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- Title
OPEN REDUCTION INTERNAL FIXATION OF PROXIMAL FEMORAL FRACTURE IN 88 YEAR OLD PATIENT - A CASE REPORT.
- Authors
Buzgau, Patrik; Dacher, Daniel; Ivanescu, Adrian
- Abstract
Background: A significant amount of lower limb fractures involve the femur. Incidence in such conditions peak in the first and last decades of life. While teenagers and young adults are likely to associate the fracture with high velocity damage and related skeletal trauma, people over 75 years old are likely to associate the condition with minor incidents often localised in their households. The high prevalence of osteoarticular diseases in the elderly population is heavily responsible for such cases, a large percentage of them being female. Objective: Comminuted fractures are characterised by multiple bone fragments, their number increasing relative to the force of the causative impact. Surgical protocol is defined by internal fixation using a rod or anatomical plate with screws, while reducing intraoperatie time in order to mitigate possible complications aggravated by the patients advanced age and associated comorbidities. Material and methods: Open Reduction Internal Fixation (ORIF) surgery is characterised by the realignment of bone fragments via open surgery and placing a centromedular titanium rod to promote osteosynthesis. The surgical approach was made from the right hip and the patient underwent general anesthesia with an operating time not exceeding 70 minutes in total. The patient later underwent subsequent radiological examination to evaluate the post-operative condition. Results: Recovery from ORIF surgery is a lengthy process especially in older patients. However, the reduced operating time and minimal intraoperative blood loss allowed for the recovery period to be devoid of complications. A mild post operative fever was suppressed in less than 24 hours and subsequent dressing and wound examination revealed no abnormal discharge from the surgical site. Conclusions: Extensive comorbidities associated with older patients often hinder good surgical outcomes. However, it appears that ORIF surgery is a viable option for achieving positive results even in complex conditions. This finding is favourable especially given the increasing amount of lower limb fractures among the elderly population.
- Subjects
ROMANIA; OPEN reduction internal fixation; COMMINUTED fractures; BONE diseases; CONFERENCES &; conventions; PROXIMAL femoral fractures
- Publication
Acta Marisiensis. Seria Medica, 2024, Vol 70, p15
- ISSN
2668-7755
- Publication type
Article