Reza Zandi; Mohammadreza Minator Sajjadi; Yaser Safaei
Abstract
Intertrochanteric fracture is one of the most common fractures in elderly due to poor bone stock. The treatment of choice in these patients is surgery but choosing the proper method is very important. If this fracture occurs in a femur that has already undergone surgery, the treatment challenges are ...
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Intertrochanteric fracture is one of the most common fractures in elderly due to poor bone stock. The treatment of choice in these patients is surgery but choosing the proper method is very important. If this fracture occurs in a femur that has already undergone surgery, the treatment challenges are more. The patient reported in this study is an 80-yaer old woman who underwent open reduction and internal fixation (ORIF) with plate because of right femoral shaft fracture 20 years ago, and the fracture was completely healed. This patient suffered an intertrochanteric fracture on the same side following the fall and was referred to our center, who treated by remove of the previous plate of the femoral shaft and close reduction and internal fixation of the intertrochanteric fracture with long gamma nail in one stage. According to our information, no similar case with this management has been reported in the literature so far.
Mohammad Foroozeshfard, MDر; Mohammad Mirzayikhah طMirzayikhah; Ahmad Sheikhi; Naimolsadat Kia, MD; Majid Mirmohammadkhani, MD; Mohsen Poorazizi
Abstract
Background: Hip fracture is very common orthopaedic fracture in elderly. The present study investigates the outcome after surgical treatment.Methods: The hip fractures of over 65-year old patients that had undergone surgery in a 5-year period were retrospectively studied in a hospital in Semnan, Iran. ...
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Background: Hip fracture is very common orthopaedic fracture in elderly. The present study investigates the outcome after surgical treatment.Methods: The hip fractures of over 65-year old patients that had undergone surgery in a 5-year period were retrospectively studied in a hospital in Semnan, Iran. The information of 259 patients (120 male, 139 women) were collected including demographic data, medical history, history of surgery (type of anesthesia, technique of surgery), length of hospitalization before and after surgery, and death in hospital.Results: From all the operated cases, 174 (67.2%) received spinal, 68% (26.3), epidural and 17% (6.6) general anesthesia. 185 pateints (71.4%) had no complication and 74% (28.6) had at least one complication. 12 patients (6.4) died while in hospital. 56 cases (21.6%) were walking with no problem 32 (12.4%) required walking and 9 patients (3.5%) were not able to walk.Conclusions: Complications after surgery for hip fracture are relatively high. To recover faster and reduce more serious complications, it is recommended to change the strategies on how to care for the elderly during and after surgery.
