Novel Conservative Approach to High Surgical Risk Frail Proximal Femur Fractures
One of the major impacts following a neck of femur fracture is pain. Most patients (nearly all) undergo an operation. This usually includes the frailest terminal patients and deemed a palliative procedure to reduce ongoing pain. The operation comes with risks and can reduce life expectancy in these...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2020/8847080 |
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| _version_ | 1832546899269255168 |
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| author | Alexander Koizia Ala Abuown Julie Vowles Damien Smith Louis J. Koizia |
| author_facet | Alexander Koizia Ala Abuown Julie Vowles Damien Smith Louis J. Koizia |
| author_sort | Alexander Koizia |
| collection | DOAJ |
| description | One of the major impacts following a neck of femur fracture is pain. Most patients (nearly all) undergo an operation. This usually includes the frailest terminal patients and deemed a palliative procedure to reduce ongoing pain. The operation comes with risks and can reduce life expectancy in these patients and result in prolonged hospital admission, delirium, and postoperative complications. This case highlights a novel approach to managing the frailest end-of-life patients that does not require them to undergo a conventional operation. The case resulted in a quick discharge from hospital and for the patient and family to maximise the time out of hospital, with a reduced analgesic burden and a peaceful passing away. We feel that this could be an alternative, more humane option for such patients. |
| format | Article |
| id | doaj-art-b6bf5f0533094496bf66337cf87e3674 |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-b6bf5f0533094496bf66337cf87e36742025-02-03T06:46:53ZengWileyCase Reports in Orthopedics2090-67492090-67572020-01-01202010.1155/2020/88470808847080Novel Conservative Approach to High Surgical Risk Frail Proximal Femur FracturesAlexander Koizia0Ala Abuown1Julie Vowles2Damien Smith3Louis J. Koizia4East Suffolk and North Essex NHS Foundation Trust, UKImperial College Healthcare NHS Trust, UKThe Hillingdon Hospitals NHS Foundation Trust, UKThe Hillingdon Hospitals NHS Foundation Trust, UKCutrale Perioperative and Ageing Research Group, Department of Bioengineering, Imperial College London, UKOne of the major impacts following a neck of femur fracture is pain. Most patients (nearly all) undergo an operation. This usually includes the frailest terminal patients and deemed a palliative procedure to reduce ongoing pain. The operation comes with risks and can reduce life expectancy in these patients and result in prolonged hospital admission, delirium, and postoperative complications. This case highlights a novel approach to managing the frailest end-of-life patients that does not require them to undergo a conventional operation. The case resulted in a quick discharge from hospital and for the patient and family to maximise the time out of hospital, with a reduced analgesic burden and a peaceful passing away. We feel that this could be an alternative, more humane option for such patients.http://dx.doi.org/10.1155/2020/8847080 |
| spellingShingle | Alexander Koizia Ala Abuown Julie Vowles Damien Smith Louis J. Koizia Novel Conservative Approach to High Surgical Risk Frail Proximal Femur Fractures Case Reports in Orthopedics |
| title | Novel Conservative Approach to High Surgical Risk Frail Proximal Femur Fractures |
| title_full | Novel Conservative Approach to High Surgical Risk Frail Proximal Femur Fractures |
| title_fullStr | Novel Conservative Approach to High Surgical Risk Frail Proximal Femur Fractures |
| title_full_unstemmed | Novel Conservative Approach to High Surgical Risk Frail Proximal Femur Fractures |
| title_short | Novel Conservative Approach to High Surgical Risk Frail Proximal Femur Fractures |
| title_sort | novel conservative approach to high surgical risk frail proximal femur fractures |
| url | http://dx.doi.org/10.1155/2020/8847080 |
| work_keys_str_mv | AT alexanderkoizia novelconservativeapproachtohighsurgicalriskfrailproximalfemurfractures AT alaabuown novelconservativeapproachtohighsurgicalriskfrailproximalfemurfractures AT julievowles novelconservativeapproachtohighsurgicalriskfrailproximalfemurfractures AT damiensmith novelconservativeapproachtohighsurgicalriskfrailproximalfemurfractures AT louisjkoizia novelconservativeapproachtohighsurgicalriskfrailproximalfemurfractures |