A verdadeira fratura do colo do fêmur

ObjectivesTo compare the body mass index (BMI) of patients with fractures in the proximal extremity of the femur with the BMI of patients without any previous history of fractures.MethodsWe investigated patients of both sexes, aged 65 years or over, who were admitted to Hospital Independência, Hospital Beneficência Portuguesa or ULBRA University Hospital, between December 2007 and December 2010, with histories of low-energy trauma such as falling from a standing position. These individuals were compared with patients of the same age but without any history of fracturing of the proximal extremity of the femur (n = 89), who were attended at the geriatrics outpatient clinic of the Sociedade Porto-Alegrense de Auxílio aos Necessitados (SPAAN).ResultsThe age group of the patients with fractures in the proximal extremity of the femur ranged from 65 to 96 years (mean: 77.58). The main type of fracture was trochanteric (47; 62.2%), followed by femoral neck fractures (27; 36%). Among the patients who presented on fracturing the proximal extremity of the femur, 12% had low weight, 62.7% normal weight, 24% overweight, and 1.3% obesity. Among the patients without any history of fractures, 5.6% presented low weight, 43.8% normal weight, 33.7% overweight, and 9.8% obesity. It was observed that the patients with fractures in the proximal extremity of the femur (n = 75) presented a mean BMI of 22.6, while the patients without fractures presented a mean BMI of 25.5.ConclusionThe patients in the group with fractures were significantly taller than those in the group without fractures and presented significantly lower BMI than those in the group without fractures.

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“…Fractures of the proximal extremity of the femur comprise those of the head, neck, trochanteric region and subtrochanteric region. 9 …”

Section: Introductionmentioning

confidence: 99%

Body mass index as a prognostic factor for fracturing of the proximal extremity of the femur: a case–control study

Pagani

Kunz

Girardi

et al. 2014

Revista Brasileira de Ortopedia (English Edition)

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“…O primeiro caso, em que se trata de indivíduos mais jovens, com idade entre 15 e 40 anos, está mais relacionado a traumas de alta energia, como acidentes de trânsito e ferimentos por armas de fogo. Já no segundo caso estão incluídos os idosos, que são acometidos por traumas de baixa energia, como queda da própria altura, ou por fatores decorrentes da osteoporosegeralmente na parte esponjosa do osso 2 .…”

Section: Revisão Da Literaturaunclassified

Análise de abordagens cirúrgicas em pacientes submetidos à cirurgia de fêmur

Souza¹,

Lima²,

Oliveira³

et al. 2022

HRJ

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Objetivo: analisar as principais abordagens cirúrgicas em pacientes submetidos à cirurgia do fêmur, descrevendo seu perfil epidemiológico. Método: pesquisa integrativa exploratória descritiva com abordagem quantitativa, realizada em um hospital de médio porte do Distrito Federal, analisando prontuários dos pacientes que realizaram cirurgia de fêmur no ano de 2019. Resultados: os tratamentos para fraturas de fêmur e quadril variam de acordo com o local lesionado e a idade do paciente. A região corporal mais atingida foi a transtrocanteriana do fêmur. O material mais usado foi a placa de DHS. Conclusão: o tratamento está diretamente associado à idade do paciente e região da lesão.

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“…Schwartsmann a spol. naměřili u brazilské populace (126 hlavic, 83 ženských, 43 mužských) průměrnou hodnotu 46,2 mm, což v našem souboru odpovídá průměrné velikosti ženské hlavice (46,3 mm) (32). Otázkou zůstává, zda a o kolik se liší průměrná výška postavy Američana či Evropana ve srovnání s Brazilcem.…”

Section: Diskuseunclassified

Measurement of Femoral Fead Diameter: A Clinical Study

Bartoška¹

2009

ACHOT

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PURPOSE OF THE STUDYTo present the results of a clinical study concerned with the evaluation of femoral head size based on intra-operative measurement during hip hemiarthroplasty. MATERIAL AND METHODSThe group studied comprised 801 patients who underwent hip hemiarthroplasty for femoral neck fracture in the period from 1997 to 2007. There were 638 women (79.7 %) and 282 men (20.3 %); the average age was 82.2 years (women, 82.2; men, 81.4). The procedure was indicated in elderly patients and was carried out under general anaesthesia or with spinal anaesthesia from the Kocher -Langenbeck approach. The diameter of a femoral head with preserved cartilage was measured with a sliding meter or circular template. The size of each cervico-capital prosthesis used for hip hemiarthroplasty was noted in the written operative report and subsequently appeared in the patients' database. These prospectively collected data were retrospectively evaluated. Statistical analysis of the categorical data was done by the Chi-square test of independence in a contingency table, using the Epi Info software package. The level of significance was 5 %. RESULTSThe group included a significantly higher number of women than that of men (p<0.001). The diameter of implanted cervico-capital prostheses ranged from 38 mm to 60 mm, with a range of 38-58 mm in women and 42-60 mm in men. The cervico-capital prostheses most frequently implanted in women had 42 mm and 44-48 mm in diameter, and this was statistically significant (p=0.019 and p<0.001, respectively); in men the prostheses most frequently used were 50-56 mm in diameter (p<0.001). The average size of the cervico-capital prosthesis for the whole group was 47.3 mm in diameter; in women it was 46.3 mm and in men 51.1 mm (difference, 4.8 mm). DISCUSSIONThe femoral heads measured were only those used in elderly patients, which is the chief shortcomming of our study that is, however, in agreement with the common indication scheme for hip hemiarthroplasty. In addition, in case the diameter was an odd number, a prosthesis having an even number in diameter was eventually used according to the manufacturers' offer. This too can be regarded as a partial disadvantage of the method used. However, the large size of our patient group allowed for a normal Gaussian distribution and thus the effect of odd and even dimensions on the measurement results was reduced to a minimum. The advantage of the study is that the measuring of diameters of femoral heads including cartilage provided real values in contrast to the results based on anatomical specimens usually lacking any cartilage. The values obtained in the study are in agreement with the current relevant literature of the early 20 th century. CONCLUSIONSBased on the measurements of femoral head size in hip hemiarthroplasty it can be concluded that the average size of the femoral head is markedly larger in men than in women. During the 11-year period the marginal femoral head sizes, which are regularly on offer, were used only occasionally. Therefore, the range ...

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A verdadeira fratura do colo do fêmur

Cited by 5 publications

References 7 publications

Body mass index as a prognostic factor for fracturing of the proximal extremity of the femur: a case–control study

Body mass index as a prognostic factor for fracturing of the proximal extremity of the femur: a case–control study

Análise de abordagens cirúrgicas em pacientes submetidos à cirurgia de fêmur

Measurement of Femoral Fead Diameter: A Clinical Study

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