Case Study On Hip Fracture Surgery

Katz, J. N., Wright, E. A., Polaris, J. J., Harris, M. B., & Losina, E. (2014, May 22). Prevalence and risk factors for periprosthetic fracture in older recipients of total hip replacement: a cohort study. BMC Musculoskeletal Disorders, 15(1), 1-9. http://dx.doi.org/10.1186/1471-2474-15-168Lewis, S. L., Dirksen, S. R., Heitkemper, M. M., Bucher, L., & Camera, I. M. (2011). Medical-surgical nursing: Assessment and management of clinical problems (8th ed.). St. Louis, MO: else

Total joint replacements are very common in the United States, and are becoming even more common with increasing obesity rates and an increase in life expectancy. Long-lasting and high-performance implants are needed for the younger, active population that receives them. The Agency for Healthcare Research and Quality states more than 285,000 total hip arthroplasties (THA) and 600,000 total knee arthroplasties (TKA) are performed in the United States alone each year (2). Longevity of these joint replacements is dependent on several factors: the durability of the fixation of the implant surface to the bone, the bearing surface’s wear rate, and the accuracy of the surgeon in implantation of the total joint (2). Of these total joint replacements, periprosthetic osteolysis and aseptic loosening occurs in about twenty percent of cases, and aseptic loosening is responsible for about seventy-five percent of total joint replacement failures (2). This is

PROCEDURE IN DETAIL: The patient was brought into the operating room, after satisfactory anesthesia, was placed in the left lateral dicubitis position. The right hip was prepped and draped. A previous made incision was reopened over the greater trochanter and carried down to Illiotibial (IT) band. The IT band was opened in the direction of the skin incision. The anterior 1/3 of the gluteus medius/minimus group was reflected off the trochanter over to the anterior brim of the pelvis. The hip was dislocated. The femoral component was easily removed. It was loose in the cement. The polyethylene was loose and easily removed. There was a lot of cement in and around the acetabulum. We debridement most of this. There was a wired mesh plug that went medially into the pelvis that was left in place. There was also one in the ishium that was quite stable and it was left in place. There was a large defect in the medial wall of the acetabulum about the size of a silver dollar.

Mrs. Pink, aged 75 was admitted to the orthopaedic ward after suffering a fall at home, resulting in an intracapsular fracture of the hip at the femoral neck. Mrs. Pink has a history of cancer and cardiac diseases and has severe rheumatoid arthritis. Due to ageing patients putting a great deal of strain on the health care system, the incidences of hip fractures in the elderly are a major concern and requires careful consideration regarding treatment. Known as a major cause of disability in the elderly, hip fractures and their subsequent need for surgery result in chronic pain and an altered quality of life (Strike, Sieber, Gottschalk & Mears, 2013). Although important to improve a patient’s quality of life and physical independence, pain related to a total hip replacement (THR), also known as hip arthroplasty (HA) can lead to delays in ambulation, longer hospital stays, poor functional outcomes and quality of life. The purpose of this essay is to identify the rationale behind nursing interventions provided to post-operative THR patients as well as the pathology of a femoral neck hip fracture and their procedure for assessment and diagnosis.

These findings could appeal to individuals who might question if they have hip dysplasia. It could also appeal to the individuals that have developed hip dysplasia and are questioning if they could benefit more from a hip replacement or other methods. My interest in this topic began a few years ago during a recreational soccer season. My hips both were not as strong as they were during childhood. Over the course of my high school career, I have spent multiple hours at different specialists for my hips, physical therapy and hydrotherapy. Shortly after my sophomore year of high school, I decided I needed to have periacetabular osteotomy surgery. I know that there are many options to correct a hip, however, I am wondering if a PAO would be better for someone as a young adult.

Indications: The patient is a 69 year old black female who fell landing on her right hip. She was seen in the Emergency Room where physical exam and x-ray revealed an intertrochanteric right femoral fracture. She was admitted to Dr. Loyd’s service .

A closed reduction is a procedure to align bones that have moved out of place. A knee dislocation occurs when one of the leg bones slips out of its normal position in the knee socket. It typically involves the bones in the lower leg (tibia or fibula) in relation to the thigh bone (femur). Knee dislocation in a leg with an artificial (prosthetic) knee joint is not common. When this injury occurs, it is a medical emergency that needs to be treated right away.

An incision will be made in your hip. Your surgeon will take out any damaged cartilage and bone.

Surgery is generally indicated for patients who have displaced or unstable fractures and patients who will not tolerate cast immobilization. There is currently an increasing trend for immediate surgical fixation for both displaced and undisplaced fractures, mainly due to the short term benefits,

Hip fractures are one of the most common causes of extended hospital stay among the

Patients that experience hip fractures will die within a year. Many of these fractures are due to immobility according to assessment and Management of Clinical Problems (1788). Many falls occur in the older adult population and usually age over 60. Hip fractures not only happen with falls but also can come from blunt trauma to the hip, car accident, disease like osteoporosis and obesity can all be a major concern to hip fractures. The video talks about the common hip joint site are dislocation. Hip fracture may involve both vascular and bony damage to the body. Hip fractures are determined by atomic location of the fracture. These common fractures occur at the head of the femur, neck and greater trochanter. Over my twenty years of health care experience I have witness patients going through some difficult physical therapy. Many patients do not bounce back and many give up because the rehab is so

Introduction: Because life expectancy is increasing, the number of performed primary knee prostheses is projected to increase 673% by 2030 (Westrich et al.). 20% of patients are unsatisfied with the outcome (Klit et al). The implant misalignment has been reported as a decisive factor in outcome and the primary reason for revision in 7% of revised prostheses (Ritter et al). Misalignment definition however varies among studies, making it difficult to compare the results.

Despite contrary belief, hip replacement is not necessarily negative. Many Americans believe that in order to have a hip replacement, your condition must be terrible. A survey conducted in 2012 said that almost 1/3 of respondents to the hip replacement survey felt they would have benefited from having their surgery done earlier. This procedure has and continues to change the lives’ of many people in our world. Hip replacement, or arthroplasty, is a surgical procedure in which the diseased parts of the hip joint are removed and replaced with new, artificial parts. These artificial parts are called the prosthesis. The goals of hip replacement surgery include increasing mobility, improving the function of the hip joint, and relieving pain. According to the Centers for Disease Control and Prevention, 332,000 total hip replacements are performed in the United States each year. “Hip Replacement.” Questions and Answers about. N.p., n.d. Web. 21 Oct. 2013.

The role of the large-diameter ASR devices in males are linked with considerably lower metal ion levels in contrast to the BHR devices, proposing that under perfect in vivo conditions the ASR has a less wear rate than the BHR device (Underwood et al. 2011). Although, problems also occurred with the smaller hip resurfacing implants among women and small men. It was discovered that these implants did not lubricate as well, unlike the bigger implants and therefore they produced a large amount of metal debris and produced a very concentration of metal ions in the blood. (Cohen 2012).

Episiotomy is normally done out of necessity (such as in the case of resolving shoulder dystocia), rather than electivity (randomly choosing to have/perform an episiotomy when it is not absolutely necessary). Like any other surgical procedure, episiotomy comes with its benefits and potential complications, therefore it is unfair to rate the procedure as “bad” or “unnecessary” practice base on common misconceptions that usually focuses on the potential complications that could arise after the surgery, rather than the overall benefit of the surgery. This paper is going to address the risks and benefits of episiotomy, as well as some of the common misconceptions surrounding this procedure, and also the most popular comparison and contrast between it versus normal perineal tear, but first let’s start with definition and basic understanding of an episiotomy.