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The classic clinical presentation of a hip fracture is an elderly patient who sustained a low-energy fall and now has groin pain and is unable to bear weight. [5] Pain may be referred to the supracondylar knee. On examination, the affected extremity is often shortened and externally rotated compared to the unaffected leg. [6]
Hip fractures can lead to decreased mobility and additional risks of numerous complications (such as deep venous thrombosis and/or pulmonary embolism, and pneumonia). The six-month mortality rate for those aged 50 and above following hip fracture was found to be around 13.5%, with a substantial proportion (almost 13%) needing total assistance ...
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 ...
However, elderly patients with severe trauma often do not meet the standard TTA criteria due to normal age-related changes and reduced physiologic capacities. For example, older adults have a less profound tachycardic response to hemorrhage, pain, or anxiety following trauma. This explains why mortality increases in the elderly above a heart ...
The procedure is recommended only for elderly/frail patients, due to their lower life expectancy and activity level. This is because over time the prosthesis tends to loosen or to erode the acetabulum. [101] Independently mobile older adults with hip fractures may benefit from a total hip replacement instead of hemiarthroplasty. [102]
One form of malunion is the malrotation of a bone, which is especially common after femoral and tibial fractures. [6] Complications of fractures may be classified into three broad groups, depending upon their time of occurrence. These are as follows – Immediate complications – occurs at the time of the fracture. Early complications ...
Bone healing, or fracture healing, is a proliferative physiological process in which the body facilitates the repair of a bone fracture. Generally, bone fracture treatment consists of a doctor reducing (pushing) displaced bones back into place via relocation with or without anaesthetic, stabilizing their position to aid union, and then waiting ...
Visual impairments, glaucoma, macular degeneration and retinopathy increase the risk of falling and of hip fractures. [ 14 ] Bifocals and trifocals can increase the risk of falling as the lower portion of corrective lenses are optimized for distances approximately 18 in (46 cm), thus precluding clear vision of one's feet/floor, approximately 4. ...