Differentiated Care of hip Fracture in the Elderly:<i>Mean Hospital Days and Results of Rehabilitation</i>

Ceder, Leif; Lindberg, Lars; Odberg, Erik

doi:10.3109/17453678008990780

Cited by 31 publications

(10 citation statements)

References 10 publications

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“…Among the 27 clinical series surveyed, 2,3,6,11,13–15,24–48 the most frequently specified measurement of outcome was mortality. Not only is mortality discrete and easily measurable, it also conceptually fits easily with the medical model of disease, cure, or death.…”

Section: General Aspects Of Hip Fracturementioning

confidence: 99%

A Review of Factors Affecting the Occurrence and Outcome of Hip Fracture, with Special Reference to Psychosocial Issues

Nickens

1983

J American Geriatrics Society

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Section: General Aspects Of Hip Fracturementioning

confidence: 99%

A Review of Factors Affecting the Occurrence and Outcome of Hip Fracture, with Special Reference to Psychosocial Issues

Nickens

1983

J American Geriatrics Society

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“…Median age was 75. 5 (70.5-80.5), male 1003 (68.2%), median ISS 18 (13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25). Mechanical ventilation was used in 61% of the patients.…”

Section: Discussionmentioning

confidence: 99%

“…Five patients (8%) needed a conversion to laparotomy, all of them being discovered with an ulcer perforation size greater than 15 mm. The mean operative time was 57 min (range 37-84 min) There were 8 postoperative complications (9.65 %) and the mean hospital stay was 4.8 days (3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16). No malignant pathology was identified at the biopsy during the control upper endoscopy that was made 6 weeks after disharge.…”

Section: Pr055 Laparoscopic Repair Of the Duodenal Perforated Ulcermentioning

confidence: 99%

ECTES Abstracts 2018

2018

Eur J Trauma Emerg Surg

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Introduction: Injuries of the lower extremities are known to be associated with negative long term outcome. In this analysis, we aimed to analyze the quality of life and the dynamics in multiply injures patients sustained injuries of lower extremities. Material and methods: A standardized SF (Short Form) 12 questionnaire was administered to multiply injured patients at least 10 years (time point 1) and 20 years (time point 2) after trauma. Using this score, we could calculate the ''Physical Health Score'' (PHS) and ''Mental Health Score'' (MHS). Following anatomical regions were distinguished: Pelvis (Acetabulum ? proximal femur), femoral shaft, knee joint (distal femur ? proximal tibia), tibia shaft and foot injuries. Results: In total 299 patients completed the SF 12 questionnaire at both time points. Demographic parameters of patients with lower extremity trauma (n = 87) were as follows: male (n = 70) 80%, ISS mean 21 ± 9.6 points; age 26 ± 12.1 years at time of injury, mean follow up (time point I) 18 years and (time point II) 28 years. Only patiens with pelvic injuries have shown a significant decrease of the PHS over the observation period (20 years: 44,6 points) and (30 years 37,7 points) (p = 0.025). There were no changes in quality of life in patients with femoral shaft, knee joint, tibia shaft and foot injuries during the observation period. Conclusion:We did not find any worsening of quality of life in patient with lower extremity trauma in our cohorts. Only patients sustained pelvic injuries were associated with significant reduction of the PHS at long term follow up. References: Disclosure: No significant relationships.

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“…The gait of the patient was evaluated using the walking ability score suggested by Ceder et al 13) before trauma and at the follow-up session during 1 to 3 years after surgery.…”

Section: Methodsmentioning

confidence: 99%

The Effect of Positive Medial Cortical Support in Reduction of Pertrochanteric Fractures with Posteromedial Wall Defect Using a Dynamic Hip Screw

et al. 2018

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BackgroundWe evaluated the radiological and clinical results of reduction using a dynamic hip screw according to the grade of medial cortical support in patients with AO Foundation and Orthopaedic Trauma Association (AO/OTA) classification type 31-A2 pertrochanteric fractures.MethodsWe enrolled 100 patients with AO/OTA type 31-A2 fractures with displaced lesser trochanter fragments (length of the cortical area longer than 20 mm on the pelvis anteroposterior view). Patients with positive medial cortical support were assigned to group 1 (n = 28); neutral medial cortical support, group 2 (n = 42); and negative medial cortical support, group 3 (n = 30). Radiological evaluation was done by measuring the change in the femoral neck-shaft angle and sliding distance of the lag screw. Clinical outcomes of each group were compared by means of the walking ability score proposed by Ceder.ResultsGroup 1 showed significantly less changes in the femoral neck-shaft angle and shorter sliding distance than groups 2 and 3. Group 2 showed significantly less changes in the femoral neck-shaft angle and shorter sliding distance than group 3. Group 1 showed significantly higher walking ability scores than group 3 (p = 0.00). The use of trochanter stabilizing plates or fixation using wires for posteromedial wall defect resulted in no significant changes in terms of the femoral neck-shaft angle or sliding distance.ConclusionsIn the treatment of pertrochanteric fractures accompanied by posteromedial wall defect using a dynamic hip screw, reduction with negative cortical support should be avoided.

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Differentiated Care of hip Fracture in the Elderly:Mean Hospital Days and Results of Rehabilitation

Cited by 31 publications

References 10 publications

A Review of Factors Affecting the Occurrence and Outcome of Hip Fracture, with Special Reference to Psychosocial Issues

A Review of Factors Affecting the Occurrence and Outcome of Hip Fracture, with Special Reference to Psychosocial Issues

ECTES Abstracts 2018

The Effect of Positive Medial Cortical Support in Reduction of Pertrochanteric Fractures with Posteromedial Wall Defect Using a Dynamic Hip Screw

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