The management of intracapsular hip fractures

Winter, A; Bradman, H; Fraser, Calum; Holt, Geraldine

doi:10.1016/j.mporth.2016.03.003

Cited by 7 publications

(2 citation statements)

References 93 publications

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“…Completely undisplaced fractures occur rarely [ 9 ]. Though being an imperfect surrogate marker [ 10 ], displacement is thought to correlate with suspected femoral head blood supply disruption, which in turn predicts the rates of AVN; reportedly between 7 and 78%, with younger groups having higher rates, probably reflecting the higher energy that caused their fracture [ 9 , 11 , 12 ]. Displacement needs to be assessed orthogonally.…”

Section: Discussionmentioning

confidence: 99%

Intracapsular Femoral Neck Fractures—A Surgical Management Algorithm

et al. 2021

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Background and Objectives: Femoral neck fractures are common and constitute one of the largest healthcare burdens of the modern age. Fractures within the joint capsule (intracapsular) provide a specific surgical challenge due to the difficulty in predicting rates of bony union and whether the blood supply to the femoral head has been disrupted in a way that would lead to avascular necrosis. Most femoral neck fractures are treated surgically, aiming to maintain mobility, whilst reducing pain and complications associated with prolonged bedrest. Materials and Methods: We performed a narrative review of intracapsular hip fracture management, highlighting the latest advancements in fixation techniques, generating an evidence-based algorithm for their management. Results: Multiple different fracture configurations are encountered within the category of intracapsular hip fractures, with each pattern having different optimal surgical strategies. Additionally, these injuries typically occur in patients where further procedures due to operative complications are associated with a considerable increase in mortality, highlighting the need for choosing the correct index operation. Conclusions: Factors such as pathological causes for the fracture, pre-existing symptomatic osteoarthritis, patient’s physiological age and fracture displacement all need to be considered when choosing optimal management.

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Section: Discussionmentioning

confidence: 99%

Intracapsular Femoral Neck Fractures—A Surgical Management Algorithm

et al. 2021

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“…Hip joints as a means of motion often experience disorders such as fractures, osteoarthritis, dislocation, and osteonecrosis or Avascularisation Necrosis (AVN), therefore hip surgery is needed to restore the patient's functional abilities as before, reduce pain, and prevent complications (1). One of the surgical procedures is surgical arthroplasty (hemiarthroplasty and total hip arthroplasty) (2).…”

Section: Introductionmentioning

confidence: 99%

Discharge Teaching to Improve Discharge Readiness for Patients Post Hip Surgery

Rahmahwati

Maria²

2019

IJNHS

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The condition of returning home unpreparedness post hip surgery has an impact on the patient's ability after returning home. This unpreparedness is caused by the inability of patients to manage their own needs and care needs after returning home in carrying out daily tasks, caring for themselves, and the ability to do health care. So that a nursing strategy is needed in preparing the patient's discharge planning in the form of discharge teaching. Four data bases namely Cochrane, EBSCO, Google Scholar, and Scopus were used to explain the effect of discharge teaching to improve patient readiness post hip surgery. Educational needs expected by patients post hip surgery are related to complications, operating procedures, rehabilitation programs, prosthesis, and pain management. Patients hope to get knowledge related to all dimensions, but in reality they only get from the functional dimension. Patients get more knowledge only during treatment than when they are going home. Discharge teaching must also pay attention to the content of information and delivery methods and must be given in all stages of treatment and repetition of important items. So nurses are required to have competence and knowledge in carrying out discharge teaching with the aim of increasing patient readiness. Keywords: discharge teaching, discharge readiness, post hip surgery

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Hip fractures in the elderly—A clinical anatomy review

et al. 2016

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As elderly populations rise worldwide, the amount of hip fractures have continued to increase and result in substantial medical burdens in many countries. This increase goes hand-in-hand with an increase in surgical procedures to correct hip fractures. The medical burden imparted by hip fractures and their corrective surgeries necessitate a clinically relevant understanding of the hip joint including the vascular, neural, and musculoskeletal structures directly associated with and neighboring the joint. It is critical to appreciate how the normal hip anatomy is disrupted by a fracture and how this disruption is heavily influenced by the fracture's location. The effects of advancing age on the integrity of the hip joint and the risk of hip fractures further complicate hip anatomy. Consequentially, normal hip anatomy, aging and the pathology introduced by fractures play major roles in how hip fractures are approached surgically. This article aims to review the clinically relevant anatomy of the healthy hip joint, age-related changes that influence the joint, hip fractures, and corrective surgeries for hip fractures. Clin. Anat. 30:89-97, 2017. © 2016 Wiley Periodicals, Inc.

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The management of intracapsular hip fractures

Cited by 7 publications

References 93 publications

Intracapsular Femoral Neck Fractures—A Surgical Management Algorithm

Intracapsular Femoral Neck Fractures—A Surgical Management Algorithm

Discharge Teaching to Improve Discharge Readiness for Patients Post Hip Surgery

Hip fractures in the elderly—A clinical anatomy review

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