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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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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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在一家大型爱尔兰教学医院的医院内部骨折:患者的风险因素和结果.

Matthew Condon1, Alex Tofan1, Tom McCarthy1

  • 1Department of Orthopaedics, St. James' Hospital, Dublin, IRL.

Cureus
|December 18, 2023
PubMed
概括

住院关节骨折是一个重大问题,占所有关节骨折的11.5%. 这些患者的死亡率高,独立性丧失,需要改善预防跌倒的医院协议.

科学领域:

  • 老年医学 老年医学
  • 创伤外科 手术 创伤外科
  • 医院质量改善 医院质量改善

背景情况:

  • 住院关节骨折发生在因其他原因入院的患者中,通常是跌倒后.
  • 关于爱尔兰这种脆弱患者群体的发病率,风险因素和结果的数据有限.
  • 了解这些骨折对于在医疗保健机构中制定有针对性的预防和管理策略至关重要.

研究的目的:

  • 为了确定爱尔兰一家医院的住院关节骨折的发生率.
  • 为了确定相关的风险因素和患者特征.
  • 评估结果,包括生存和排放目的地.

主要方法:

  • 进行了一项回顾性观察性研究.
  • 数据是从2017年2月至2020年4月期间的圣詹姆斯医院记录 (医院患者调查数据库和电子患者记录) 中收集的.
  • 关键数据点包括患者人口统计学,并发症,跌倒细节,生存状况和出院目的地.

主要成果:

  • 确定了40例住院关节骨折,占研究期间所有关节骨折的11.5%.
  • 患者经常有跌倒史 (67.5%),痴呆症 (52.5%) 和妄想症 (42.5%). 血管/凝血障碍存在于75%的患者中.
  • 12个月死亡率很高 (51.4%),出院目的地从家 (70%的入院) 转移到养老院 (30%的出院).
关键词:
部骨折 骨折 部骨折 部骨折在住院的病人.死亡率 死亡率结果就是结果.风险因素 风险因素

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Method and Instrumented Fixture for Femoral Fracture Testing in a Sideways Fall-on-the-Hip Position
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结论:

  • 医院内关节骨折占所有关节骨折的很大一部分,突出了对强大的医院协议的需求.
  • 患者通常是老年人,患有多种并发症,包括认知障碍和跌倒史.
  • 结果很差,以高死亡率和独立生活的显著损失为特征,强调需要改善护理途径.