Primary Proximal femur replacement for unstable osteoporotic intertrochanteric and subtrochanteric fractures in the elderly: A retrospective case series

ConclusionPrimary Proximal femoral replacement in a viable option in old aged patients with poor bone quality who developed intertrochanteric and subtrochanteric fracture. According to our study, with mortality rate comparable to that of primary fixation, yet with the added advantage of immediate post op ambulation and reduced incidences of decubitus ulcers, atelectasis and DVT.
Source: Annals of Medicine and Surgery - Category: General Medicine Source Type: research

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Publication date: Available online 20 August 2019Source: The Lancet HaematologyAuthor(s): Sedina Lewis, Jessica Glen, Dalia Dawoud, Sofia Dias, Jill Cobb, Xavier L Griffin, Nigel Rossiter, Michael Reed, Carlos Sharpin, Gerard Stansby, Peter BarrySummaryBackgroundHospital-associated venous thromboembolism is a major patient safety concern. Provision of prophylaxis to patients admitted for elective total knee replacement surgery has been proposed as an effective strategy to reduce the incidence of venous thromboembolism. We aimed to assess the relative efficacy and safety of all available prophylaxis strategies in this setti...
Source: The Lancet Haematology - Category: Hematology Source Type: research
A 63-year-old woman presented to the hospital with a nontender, rapidly enlarging sacral ulcer. The patient reported she felt the wound while she was in the shower and was extremely alarmed by the size. She denied any preceding injury or medical or cosmetic procedures in the area. Her past medical history was significant for endometrial carcinoma, status post bilateral salpingo-oophrectomy, hysterectomy and pelvic radiation. She also reported a sacral fracture one year prior secondary to a fall.
Source: Journal of the American Academy of Dermatology - Category: Dermatology Source Type: research
Publication date: Available online 19 August 2019Source: Journal of Cardiology CasesAuthor(s): Ryosuke Tani, Yoichi Yamashita, Keiji Matsunaga, Waki Toyama, Kaoru Mantani, Takahisa Noma, Taiko Horii, Tetsuo MinaminoAbstractWe often observe patients with antiphospholipid syndrome (APS) presenting with both venous and arterial thrombi. Anticoagulant therapy is effective for venous and peripheral arterial embolisms in these patients; however, it has opposite effects when applied for thoracic aortic mural thrombosis because of the risk of new arterial embolisms. Recently, thoracic endovascular aortic repair (TEVAR) has been us...
Source: Journal of Cardiology Cases - Category: Cardiology Source Type: research
Thrombelastography (TEG) parameters and prothrombin time (PT), activated partial thromboplastin time (APTT) are compared and analysed. According to change of TEG parameters and assessment of haemostatic state of each patient, we try to explore the feasibility of individualized anticoagulant therapies. 87 people with hip or knee diseases awaiting arthroplasty were recruited. Haemoglobin levels and TEG parameters including R, K, α-angle, maximum amplitude, coagulation index were assessed in perioperative period. PT and APTT were assessed preoperatively. For 65 patients with normal TEG parameters, PT and APTT, we use tr...
Source: Blood Coagulation and Fibrinolysis - Category: Hematology Tags: ORIGINAL ARTICLES Source Type: research
Using the American College of Physicians (ACP) guideline to evaluate cancer patients presenting to the emergency department who may have pulmonary embolism (PE) can help curtail the need for procedures such as CT pulmonary angiography (CTPA), a retrospective study suggests.Reuters Health Information
Source: Medscape Radiology Headlines - Category: Radiology Tags: Pulmonary Medicine News Source Type: news
First description in the literature of incidental saddle pulmonary embolus diagnosed on18F ‐labelled fluoro‐2‐deoxyglucose positron emission tomography/computed tomography by seeing pulmonary infarction and right‐sided myocardial uptake. This will alert clinicians about the importance of these signs and direct emergent of further investigation and therapy. 18F ‐labelled fluoro‐2‐deoxyglucose positron emission tomography/computed tomography (18F ‐FDG PET/CT) is used extensively in the setting of cancer staging and in assessing cancer treatment response. Oncology patients have a sevenfold risk of developing p...
Source: Respirology Case Reports - Category: Respiratory Medicine Authors: Tags: Case Report Source Type: research
We describe a case of suspected pulmonary embolism, followed by sudden death, in an elderly woman treated with oxygen-ozone therapy for lumbar pain caused by disk protrusion. We believe a massive pulmonary embolism occurred, probably caused by an intradiskal injection that accidentally punctured a venous vessel and created emboli. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text
Source: Journal of Neurological Surgery Part A: Central European Neurosurgery - Category: Neurosurgery Authors: Tags: Case Report Source Type: research
Discussion. Patients with HGPS frequently suffer from acute and chronic pain because of musculoskeletal abnormalities and unintentional injuries. These injuries occur because of bone deformities, malfunctioning joints, and gait problems.2 Opioid pain medications are frequently used to treat acute pain conditions and for palliative care management in these cases.4 Clinicians should be aware that, because of accelerated aging, individuals with HGPS differ in their response to specific opioid analgesics. The metabolism and the rate of elimination of opioids from the body could vary significantly in these patients. They might ...
Source: Innovations in Clinical Neuroscience - Category: Neuroscience Authors: Tags: Current Issue Letters to the Editor Pain pain management Source Type: research
CONCLUSIONS: Orthopaedic surgeons should continue to focus attention on prevention of complications and on preoperative patient education. Preoperative counseling regarding the risks of incomplete pain relief could reduce substantially the number of suits relating to primary TKAs. PMID: 28953089 [PubMed - in process]
Source: The Journal of the American Academy of Orthopaedic Surgeons - Category: Orthopaedics Tags: J Am Acad Orthop Surg Source Type: research
by James P. Byrne, Avery B. Nathens, David Gomez, Daniel Pincus, Richard J. Jenkinson BackgroundFemoral shaft fractures are common in major trauma. Early definitive fixation, within 24 hours, is feasible in most patients and is associated with improved outcomes. Nonetheless, variability might exist between trauma centers in timeliness of fixation. Such variability could impact outcomes and would therefore represent a target for quality improvement. We evaluated variability in delayed fixation ( ≥24 hours) between trauma centers participating in the American College of Surgeons (ACS) Trauma Quality Improvement Program (T...
Source: PLoS Medicine - Category: Internal Medicine Authors: Source Type: research
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