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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
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During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
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Related Experiment Video

Updated: Dec 10, 2025

Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
04:41

Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner

Published on: June 6, 2025

549

No rest for elderly femur fracture patients: early surgery and early ambulation decrease mortality.

Alessandro Aprato1, Marco Bechis2, Marco Buzzone2

  • 1School of Medicine, University of Turin, Viale 25 Aprile 137 Int 6, 10133, Turin, Italy. ale_aprato@hotmail.com.

Journal of Orthopaedics and Traumatology : Official Journal of the Italian Society of Orthopaedics and Traumatology
|August 31, 2020
PubMed
Summary

Early ambulation after femur fracture significantly reduces mortality, independent of surgery timing. Patients unable to walk within 10 days had higher mortality rates, highlighting the importance of early physiotherapy in femur fracture care.

Keywords:
Early treatmentFemur fractureWalking

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Orthopedic Robot-Assisted Femoral Neck System in the Treatment of Femoral Neck Fracture
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Last Updated: Dec 10, 2025

Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
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Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner

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Orthopedic Robot-Assisted Femoral Neck System in the Treatment of Femoral Neck Fracture
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Orthopedic Robot-Assisted Femoral Neck System in the Treatment of Femoral Neck Fracture

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Area of Science:

  • Orthopedic surgery
  • Trauma care
  • Geriatric medicine

Background:

  • Femur fracture treatment correlates with mortality.
  • Influence of ambulation timing on mortality is understudied.
  • This study investigates ambulation's independent effect on femur fracture mortality.

Purpose of the Study:

  • To determine if time to ambulation impacts femur fracture mortality.
  • To assess this impact independently of surgical timing.
  • To provide evidence for early physiotherapy protocols.

Main Methods:

  • Retrospective analysis of 516 patients over 65 with proximal femur fractures.
  • Data collected: demographics, fracture type, surgery details, time to ambulation, and mortality at 6 and 12 months.
  • Statistical analysis to identify independent predictors of mortality.

Main Results:

  • Mortality rates were 17% at 6 months and 25% at 1 year.
  • 22.7% of patients could not walk within 10 days post-fracture.
  • Early surgery and walking ability within 10 days were independently linked to lower mortality (p<0.05).

Conclusions:

  • Early surgery is crucial for femur fracture patients.
  • Early postoperative ambulation is a significant factor in reducing mortality.
  • Physiotherapy protocols emphasizing early walking are vital, regardless of surgical delay.