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A hip fracture is a break that occurs in the upper part of the femur (thigh bone), at the femoral neck or (rarely) the femoral head. [2] Symptoms may include pain around the hip, particularly with movement, and shortening of the leg. [2] Usually the person cannot walk. [3] A hip fracture is usually a femoral neck fracture.
His advocacy of the use of Thomas splint for the initial treatment of femoral fractures reduced mortality of open fractures of the femur from 87% to less than 8% in the period from 1916 to 1918. [9] The use of intramedullary rods to treat fractures of the femur and tibia was pioneered by Gerhard Küntscher of Germany.
A femoral fracture is a bone fracture that involves the femur. They are typically sustained in high-impact trauma, such as car crashes , due to the large amount of force needed to break the bone. Fractures of the diaphysis , or middle of the femur, are managed differently from those at the head, neck, and trochanter ; those are conventionally ...
Gray attributed the high percentage mortality of fractures of the femur during the first two years of the war to inadequate splintage of fractures, which resulted in excessive blood loss during the transfer of the wounded from "No Man's Land" to casualty clearing stations. Most arrived in a state of circulatory collapse unable to withstand surgery.
His advocacy of the use of Thomas splint for the initial treatment of femoral fractures resulted in a dramatic reduction in morbidity and mortality from this injury. [10] Jones was promoted several times for his war service, ending his military career as a major general. [10] Jones died, aged 75, in Bodynfoel, near Llanfechain.
In order to achieve a combination of prolonged rest, Thomas created the 'Thomas Splint', which would stabilise a fractured femur and prevent infection. [9] The Thomas splint was introduced in 1916 to treat injured soldiers and reduced the rate of mortality from fractures (particularly femoral fractures) from 80% to 8%, in 1918. [2]
Acute and chronic pain in the elderly is often attributed to fractures from osteoporosis and can lead to further disability and early mortality. [20] These fractures may also be asymptomatic. [ 21 ] The most common osteoporotic fractures are of the wrist, spine, shoulder and hip.
Early operative fixation of long bone fractures can reduce the incidence of FES especially with the usage of internal fixation devices. Patients undergoing urgent fixation of long bone fractures has a rate of 7% of acute respiratory distress syndrome (ARDS) when compared to those undergoing fixation after 24 hours (39% with ARDS). However ...