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Optimization of transdisciplinary management of elderly with femur proximal extremity fracture:A patient-tailored plan from orthopaedics to rehabilitation

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World Journal of Orthopedics 2021年第7期12卷 456-466页

作者： Alessandro de Sire Marco Invernizzi Alessio Baricich Lorenzo Lippi Antonio Ammendolia Federico Alberto Grassi Massimiliano Leigheb Department of Medical and Surgical Sciences University of Catanzaro“Magna Graecia”Catanzaro 88100Italy Physical Medicine and Rehabilitation Department of Health SciencesUniversity of Piemonte OrientaleNovara 28100Italy Infrastruttura Ricerca Formazione Innovazione Azienda Ospedaliera SS.Antonio e Biagio e Cesare ArrigoAlessandria 15121Italy Orthopaedics and Traumatology Unit Department of Health SciencesUniversity of Piemonte OrientaleNovara 28100Italy

fractures of femur proximal extremity(FFPE)are the most common fragility fractures requiring hospitalization,with a high risk of mortality,low independence in the activities of daily living and severe consequences on healthrelated quality of *** for surgery has a key role in the management of elderly patients with FFPE as recommended by the Australian and New Zealand guidelines and the National Institute for Health and Care Excellence *** surgery(within 48 h from hospital admission)allows significant benefits in terms of lower rates of postoperative complications and risk of death and can provide better functional ***,time for surgery could be considered as a comorbidity *** choice between conservative or surgical approach surprisingly seems to be still not strongly supported by available literature,but it seems that both 30 d and 1 year risk of mortality is higher with the conservative treatment rather than with *** light of these considerations,the optimization of FFPE management care is mandatory to improve functional outcomes and to reduce sanitary *** it is widely accepted that transdisciplinary approach to patients suffering from FFPE is mandatory to optimize both short-term and long-term outcomes,the feasibility of a comprehensive approach in clinical practice is still a *** particular,the large variability of figures involved could be considered both a resource and an additional disadvantage taking into account the difficulty to coordinate multidisciplinary approach covering care in all ***,the aim of the present article was to summarize current evidence supporting transdisciplinary management of patients with FFPE,highlighting the benefits,feasibility and limitations of this approach.

关键词： Transdisciplinary management Elderly femur fracture Hip fracture Rehabilitation Pathway

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Rare Case of Injury Association of Hip Dislocation and Femoral Controlateral fracture

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Surgical Science 2024年第11期15卷 565-570页

作者： Mamadou Bassirou Traoré Mahamadou Diallo Abdoul Kadri Moussa Harouna Diallo Elizé Dembélé Layes Toure Service dOrthopdie-Traumatologie CHU Gabriel Tour (Mali) Bamako Mali Service dOrthopdie Traumatologie CHU de Kati (Mali) Kati Mali

Introduction: Traumatic hip dislocation associated with femur fracture is a rare and complex injury that occurs in the context of multiple trauma. Public road accidents represent more than 64% of the circumstances (automobiles 46% and two-wheelers 18%). Objective: Report a rare case of injury association and the speed of treatment (less than 6 hours). Clinical case: 26-year-old patient, victim of a road traffic accident. Admitted to the emergency room one hour after the trauma in a context of severe pain and absolute functional impotence of both pelvic limbs. Clinical examination reveals closed trauma to both pelvic limbs, with deformation of the right thigh, a vicious attitude of the contralateral lower limb in adduction, shortening and medial rotation. Conclusion: This is a rare injury association, which benefited from treatment within less than 6 hours.

关键词： femur fracture Coxofemoral Dislocation Contralateral

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Intramedullary Nailing of Femoral Shaft fractures with Compressive Nailing Using Only Distal Dynamic Hole and Proximal Static Hole

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Open Journal of Orthopedics 2014年第2期4卷 27-30页

作者： Hakan Cift Engin Eceviz Necdet Saglam Cem Coskun Avci Salih Soylemez Esat Uygur Yalcin Turhan Korhan Ozkan Department of Orthopaedics and Traumatology Medipol UniversityIstanbulTurkey Department of Orthopaedics and Traumatology Kartal Lutfi Kirdar Training and Research HospitalIstanbulTurkey Department of Orthopaedics and Traumatology Umraniye Training and Research HospitalIstanbulTurkey Department of Orthopaedics and Traumatology Medeniyet University Goztepe Training and Research HospitalIstanbulTurkey Department of Orthopaedics and Traumatology Atatürk Public HospitalDüzceTurkey.

Objectives: In this study we aimed to present our treatment results of intramedullary nailing of femoral shaft fractures with compressive nailing using proximal static hole and only distal dynamic hole with one screw. Methods: Forty-three patients who had a fracture of the femoral shaft were managed between 2005 and 2008 with intramedullary nailing and the use of only one screw for distal interlocking. Prospectively we evaluated the union time, possible reoperation, fixation and fracture alignment, range of knee motion and complications. Results: Union occurred within a mean duration of 18.7 weeks. No failures of the fixation and fracture alignment and no more than 1 cm shortness were detected. The knee range of motion was all more than 90 degree. Only one deep venous thrombosis was detected as complication. Conclusions: Compressive nailing using proximal hole and only distal dynamic hole with one screw is a convenient technique for femur fractures.

关键词： femur fracture Intramedullary Nailing Dynamic Locking

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