Hip Fracture Video Analysis

B. Comminuted - refers to a fracture in which the broken bone has shattered into several smaller pieces:

The pathology of a hip fracture relates to the science, or aetiology of the femoral neck fracture in question and risk factors specific to hip fractures in the elderly are related to ageing. The most common cause of a hip fracture is physical trauma or impact, such as when stress or pressure placed on the

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 .

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

Although a fracture is also known as a broken bone, there are many types of fractures. Some types of fractures are more severe than others, all of them must be seen immediately. Fractures happen at least twice in our lives. Some types of fractures are also caused by age or osteoporosis which is the weakening of the bones (Melinda, 2015). The severity of a fracture depends on the strength with which the fracture was caused. A bone could be fractured in many ways such as lengthwise, crosswise, and also in multiple pieces (Stuart James, 2012).

Fractures in the area such as distal radius, ribs and vertebrae are likely to happen due to the spongy bone becoming thin and sparse. The bone may collapse or become misshapen. Height may decrease due to the vertebral collapse. Broken hips are seen usually in older women. The complications from fractures are the high causes of death (McCance & Crowther-Radulewicz, 2012).

Many of the injuries suffered by older adults are serious and can lead to a significant impact on quality of life (CDC, 2012). For example, 45% of the fatal falls in 2000 involved a traumatic brain injury. Falling is also the primary cause of hip fractures (95%) and in 2009 afflicted 271,000 Americans. Three fourths of these hip fractures were suffered by women. Of those who do fall, including those who sustain no serious injuries, their vitality can suffer due to self-imposed physical restrictions. Muscles can atrophy and mental health can suffer due to a lack of social activities.

Nearly 10 % of falls are followed by serious injuries including fractures, head injury and injuries to the soft tissues. About 2% of falls result in hip fracture, which is among the leading cause of long-term disability and admission to nursing homes. Interestingly more than 90% of hip fractures, which are one of the most expensive surgical diseases to manage, are caused by

We utilized data from the Study of Osteoporotic Fractures (SOF)(36), a prospective cohort study of community-dwelling women aged 65 years and older in 1986-1988 (SOF visit 1). In brief, 9,704 predominantly Caucasian older women were recruited from population-based listings in 4 locations in the United States as follows: Baltimore, Maryland; Minneapolis, Minnesota; Monongahela Valley (near Pittsburgh), Pennsylvania; and Portland, Oregon. Starting with the initial visit (visit 1), participants attended clinic visits approximately every 2 years. An additional 662 African-American older women were recruited during SOF visit 6 (1997-1998). Women were not enrolled in SOF only if they were unable to walk without assistance and had not previously undergone a bilateral hip replacement. The institutional review board at each site approved the study and participants provided written informed consent.

The rate of hip fractures is two to three times higher in women than men, however the one year mortality following a hip frcture is nearly twice as high for men as for women.(Mayo clinic center). In 1991, about 300,000 Americans age 45 and over wer admitted to the hospital with hip fractures osteroprosis was the underlying cause of most of these injuries. An average of 24% of hip fracture patients age 50 and over die in the year following their fracture. One-fourth of those who were ambulatory before their hip fracture require long-term caar afterward.

OSTEOPOROSIS Questions: Statistics show that 1 out of every 2 women and 1 out of every 4 men will experience a hip fracture related to osteoporosis. 1. According to your textbook, describe the condition of osteoporosis. Be sure to include why it is so dangerous.

Currently in my family my mother and my grandmother both have osteoporosis. “Osteoporosis is a condition characterized by a decrease in the density of bone, decreasing its strength and resulting in fragile bones” ("Osteoporosis", 2012). Osteoporosis can cause bones to break very easily. All it takes is the slightest accident and you can end up with a fracture or a complete break. The spine, hips, ribs and wrists are the most common bones broken because of this disorder. All of these most often are a result in a fall, but can happen at any point during a slight trauma. Currently there is about 55% of the population over the age of 50 that have osteoporosis or osteopenia. ("Osteoporosis", 2012) “One in two Caucasian women will

A national consensus suggests that approximately 340,000 hip fractures occur each year. Nearly 90% of these fractures have been association with falls. The frequency of falls appears to be particularly high among nursing home residents, in which 50% of the residents fall per year. Furthermore, researchers vastly attribute the high risk of falls and hip fractures in the nursing home population to the lack of postural instability. Thus, they have focused on designing methods to reduce the impact of the falls on the hip utilizing hip protectors in an effort to lower the incident rates of fractures among nursing home residents.

The studies have shown that one of the most seen cause of the death, immobility among the elderly population is the proximal femoral fractures. A notable number of the patients who had femoral fracture won’t be able to return to their pre-fracture functional condition. Within a year after surgery, less than 50% of the patients can walk without help, and only 40% can perform their ADLs activities independently.

Technology is transforming the medical field with the design of robotic devices and multifaceted imaging. Even though these developments have made operations much less invasive, robotic systems have their own disadvantages that prevent them from replacing surgeons all together. Minimally Invasive Surgery (MIS) is a broad notion encompassing a lot of common procedures that existed prior to the introduction of robots. It refers to general procedures that keep away from long cuts by entering the body through small, usually about 1cm, entry incisions, through which surgeons use long-handled instruments to operate on tissue inside the body. Such operations are directed by viewing equipment and, therefore, do not automatically need the use of a robot. Yet, it is not incorrect to say that computer-assisted and robotic surgeries are categories that fall under minimally invasive surgery (Robotic Surgery, n.d.).