Midshaft femoral fracture in an elderly patient with a rich history. Therapeutic and economic insights

Mihai-Daniel Angheluta; Mihai Gherman; Anca Madalina Sere; Remus Coste

doi:10.2478/rojost-2018-0082

Abstract

In the context of an ever-increasing elderly population, we attempted to trace the portrait of the typical orthopedic patient of the future. We presented the case of a 92-year-old woman who presented with a midshaft femoral fracture and a rich medical and surgical history. We reported the management, treatment, and evolution while touching upon the economic side of orthopedic surgery.

References

1. United Nations, Department of Economic and Social Affairs, Population Division, Population Estimates and Projections Section (2010) World population prospects. https://population.un.org/wpp/Graphs/Probabilistic/POP/65plus/. Published 2018.
Search in Google Scholar Back to article
2. Grigorie D, Sucaliuc A, Johansson H, Kanis JA, McCloskey E. Incidence of Hip Fracture in Romania and the Development of a Romanian FRAX Model. Calcif Tissue Int. 2013; 92(5):429-436. doi:10.1007/s00223-013-9697-7.
Open DOI Search in Google Scholar Back to article
3. Kanis JA, Odén A, McCloskey EV et al. A systematic review of hip fracture incidence and probability of fracture worldwide. Osteoporos Int. 2012; 23(9):2239-2256. doi:10.1007/s00198-012-1964-3.
Open DOI Search in Google Scholar Back to article
4. Streubel PN, Ricci WM, Wong A, Gardner MJ. Mortality After Distal Femur Fractures in Elderly Patients. Clin Orthop Relat Res. 2011; 469(4):1188-1196. doi:10.1007/s11999-010-1530-2.
Open DOI Search in Google Scholar Back to article
5. Asplund CA, Thomas J, Mezzanotte M. Midshaft femur fractures in adults. https://www.uptodate.com/contents/midshaft-femur-fractures-in-adults/print.
Search in Google Scholar Back to article
6. Ehlinger M, Ducrot G, Adam P, Bonnomet F. Distal femur fractures. Surgical techniques and a review of the literature. Orthop Traumatol Surg Res. 2013; 99(3):353-360. doi: https://doi.org/10.1016/j.otsr.2012.10.014.
Open DOI Search in Google Scholar Back to article
7. Weiss RJ, Montgomery SM, Dabbagh Z Al, Jansson K-Å. National data of 6409 Swedish inpatients with femoral shaft fractures: Stable incidence between 1998 and 2004. Injury. 2009; 40(3):304-308. doi: https://doi.org/10.1016/j.injury.2008.07.017.
Open DOI Search in Google Scholar Back to article
8. Winquist RA, Hansen STJ. Comminuted fractures of the femoral shaft treated by intramedullary nailing. Orthop Clin North Am. 1980; 11(3):633-648.10.1016/S0030-5898(20)31463-2
Search in Google Scholar Back to article
9. Court-Brown CM, Caesar B. Epidemiology of adult fractures: A review. Injury. 2006; 37(8):691-697. doi:10.1016/j.injury.2006.04.130.
Open DOI Search in Google Scholar Back to article
10. Chughtai M, Gwam CU, Mohamed N et al. The Epidemiology and Risk Factors for Postoperative Pneumonia. J Clin Med Res. 2017; 9(6):466-475. doi:10.14740/jocmr3002w.
Open DOI Search in Google Scholar Back to article
11. Müller F, Galler M, Roll C, Füchtmeier B. Infection Versus Hematoma Following Surgical Treatment of Proximal Femoral Fractures in Geriatric Patients. Geriatr Orthop Surg Rehabil. 2018; 9:2151458517750515-2151458517750515. doi:10.1177/2151458517750515.
Open DOI Search in Google Scholar Back to article
12. Wukich DK, Lowery NJ, McMillen RL, Frykberg RG. Postoperative Infection Rates in Foot and Ankle Surgery: A Comparison of Patients with and without Diabetes Mellitus. JBJS. 2010; 92(2). https://journals.lww.com/jbjsjournal/Fulltext/2010/02000/Postoperative_Infection_Rates_in_Foot_and_Ankle.4.aspx.10.2106/JBJS.I.0008020124054
Search in Google Scholar Back to article
13. Levy D. The fat embolism syndrome. A review. Clin Orthop Relat Res. 1990; (261):281-286.10.1097/00003086-199012000-00034
Search in Google Scholar Back to article
14. Ricci WM, Schwappach J, Tucker M et al. Trochanteric versus piriformis entry portal for the treatment of femoral shaft fractures. J Orthop Trauma. 2006; 20(10):663-667. doi:10.1097/01.bot.0000248472.53154.14.
Open DOI Search in Google Scholar Back to article
15. Ayoub M, Paul Bassett W, Seuffert P, Matijakovich D, O Hara DA, Butler MS. Perception Versus Reality in the Cost of Orthopedic Trauma Implants. J Surg Educ. 2018; 75(5):1333-1341. doi:10.1016/j.jsurg.2018.02.015.
Open DOI Search in Google Scholar Back to article
16. Okike K, O’Toole RV, Pollak AN et al. Survey finds few orthopedic surgeons know the costs of the devices they implant. Health Aff (Millwood). 2014; 33(1):103-109. doi:10.1377/hlthaff.2013.0453.
Open DOI Search in Google Scholar Back to article
17. Wasterlain AS, Melamed E, Bello R, Karia R, Capo JT. The Effect of Price on Surgeons’ Choice of Implants: A Randomized Controlled Survey. J Hand Surg Am. 2017; 42(8):593-601.e6. doi:10.1016/j.jhsa.2017.05.005.
Open DOI Search in Google Scholar Back to article

Midshaft femoral fracture in an elderly patient with a rich history. Therapeutic and economic insights

Abstract

Paradigm

My account