Pronostic vital à un an après une fracture de l’extrémité supérieure du fémur

Oberlin, P.; Mouquet, Marie-Claude

doi:10.1016/j.respe.2016.01.072

Cited by 3 publications

(3 citation statements)

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“…They are the complication of osteoporosis; they occur after a low-energy trauma involving these patients' vital and functional prognosis [5] . The consequences of these pathologies are not negligible; about 20% of operated patients will present postoperative complications with a socio-economic challenge in low-income countries [6,7] .…”

Section: Introductionmentioning

confidence: 99%

Problem of the operative management of elderly people aged 65 and over in the orthopedic-traumatology department of the IGNACE Deen Chu in Conakry

Camara¹,

ML²,

Sidibé³

et al. 2023

Int. J. Orthop. Sci.

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Introduction: Aging is the set of gradual, irreversible physiological and psychological processes of progressive change in all the structures and functions of the body. The impact of such a change on a person's quality of life depends mainly on the socio-cultural background. The objective of this study was to report the experience of our service in the care of people aged 65 and over. Patients and methods: This descriptive prospective study lasted three years, from January 2018 to December 2020. It focused on patients aged 65 and over who were received, operated on and followed. Results: We hospitalized 102 older people, i.e. a frequency of 8.98% of all hospitalizations. There were 44 men and 58 women with a sex ratio of 0.76 and an average age of 74.04±7.79 years. The fractures of the trochanteric massif were the most found pathology at 39.21%, and the domestic accident was the most evoked aetiology is 56.80%. The patients were previously semi-autonomous, 77.50%. Dynamic hip screws (DHS) were the most used implant in 30.39%. According to the postoperative Parker score, 43.60% of the patients walked without a cane. Conclusion:The elderly are at risk of complications due to their fragility and comorbidities related to physiological changes. The best therapeutic option is surgery, allowing early mobilization and lifting of these patients.

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Section: Introductionmentioning

confidence: 99%

Problem of the operative management of elderly people aged 65 and over in the orthopedic-traumatology department of the IGNACE Deen Chu in Conakry

Camara¹,

ML²,

Sidibé³

et al. 2023

Int. J. Orthop. Sci.

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show abstract

“…Osteoporosis is defined by bone fragility due to low bone mineral density and/or microarchitecture alterations leading to a higher risk of fracture and by a value for bone mineral density or content (BMD/BMC), 2.5 SD or more below the young adult mean [ 5 , 6 ]. Osteoporosis is a public health problem due to the consequences of fractures in terms of residual physical disability, loss of autonomy, institutionalization, and, above all, higher mortality for major fractures [ 7 ]. Measurement of bone mineral density (BMD) with dual X-ray absorptiometry (DXA) remains the gold standard [ 6 ] for the diagnosis of osteoporosis.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Osteoporosis Assessed by DXA and/or CT in Severe Obese Patients

Halin

Allado

Albuisson

et al. 2022

JCM

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The primary objective was to evaluate bone fragility prevalence on dual X-ray absorptiometry (DXA) and computed tomography (CT) in patients with severe obesity. The secondary objective was to evaluate the risk factors for bone fragility. This monocentric study was conducted in patients with grade 2 and 3 obesity. Bone mineral density (BMD) and T-score were studied on DXA, and the scanographic bone attenuation coefficient of L1 (SBAC-L1) was measured on CT. Among the 1386 patients included, 1013 had undergone both DXA and CT within less than 2 years. The mean age was 48.4 (±11.4) years, 77.6% were women, and the mean BMI was 45.6 (±6.7) kg/m². Eight patients (0.8%) had osteoporosis in at least one site. The mean SBAC-L1 was 192.3 (±52.4) HU; 163 patients (16.1%) were under the threshold of 145 HU. Older age (OR[CI95] = 1.1 [1.08–1.16]), lower BMD on the femoral neck and spine (OR[CI95] = 0.04[0.005–0.33] and OR[CI95] = 0.001[0.0001–0.008], respectively), and higher lean mass (OR[CI95] = 1.1 [1.03–1.13]) were significantly associated with an SBAC-L1 ≤ 145 HU in multivariate analysis. Approximately 16% of patients with severe obesity were under the SBAC-L1 threshold, while less than 1% were classified as osteoporotic on DXA.

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“…Although fractures have many causes such as traffic accidents, falls, sports injuries, and gunshot wounds in older individuals, they may also be a result of simple and low energy traumas due to osteoporosis (Gronewold et al, 2017;Rommens, 2019). Common symptoms experienced by individuals with fractures are deformity, abnormal movement, swelling, redness, tenderness, loss of movement, and severe pain (Oberlin & Mouquet, 2016;Papadimitriou et al, 2017). Pain, which can be defined as an unpleasant sensory and emotional experience, is associated with actual or potential tissue damage.…”

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confidence: 99%

The Effect of the Timing of Cold Application on Pain and Satisfaction in Patients With Fractures

Kırıcı,

Oral

2024

Orthopaedic Nursing

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This experimental study used a repeated-measures design to examine the effect of the timing of cold application on pain and satisfaction in a sample of 60 patients who had fracture surgery. Cold was applied for 20 minutes each hour for four hours to patients assigned to the experimental group. Whereas cold was applied once to those in the control group: for 20 minutes during the first hour after surgery. Results following data analysis from repeated measurements of pain before and after cold application in both groups showed a significant difference between the groups (p < .05). Patients' levels of satisfaction with nursing care practice were higher in the experimental group than in the control group, although not significantly (p > .05). The pain score in the experimental group decreased significantly with each cold application. In the control group, the pretreatment pain score decreased significantly after one cold application, increasing again in 3 hours without cold application. These findings are important for nurses caring for postoperative patients and giving discharge instructions. Our findings suggest repeated cold applications for 20 minutes at hourly intervals may result in better overall pain reduction than a single cold application.

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Pronostic vital à un an après une fracture de l’extrémité supérieure du fémur

Cited by 3 publications

References 0 publications

Problem of the operative management of elderly people aged 65 and over in the orthopedic-traumatology department of the IGNACE Deen Chu in Conakry

Problem of the operative management of elderly people aged 65 and over in the orthopedic-traumatology department of the IGNACE Deen Chu in Conakry

Prevalence of Osteoporosis Assessed by DXA and/or CT in Severe Obese Patients

The Effect of the Timing of Cold Application on Pain and Satisfaction in Patients With Fractures

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