ADULT CASE STUDIES

Adult Case Studies



Adult Case Studies

Introduction

The purpose of this research is to choose a case study on elderly patients with hip operation and the explanation of ethical and legal implications.

Hip fractures occur most often in older people, usually in elderly and senile osteoporosis, so for the occurrence of fracture is usually fairly minor traumatic impact. Rarely hip fractures occur in young people in road accidents. In addition, there may be pathological fractures of the femoral neck, as in this part of the femur is often metastatic tumors of the breast, kidney, prostate and thyroid glands and lungs. Signs of hip fracture are a pain in the hip. The damaged leg is in the external rotation. Motion in the hip joint is impossible. For accurate diagnosis of hip fracture require radiography hip. The goal of treatment paientov with femoral neck fractures is early mobilization, so the practice of modern medical institutions used methods that enable not only the earliest function, but also load the limb. This approach is extremely important for the treatment of older patients, because for them the early activation and walking are often the only chance to return to normal life. Refusal in surgical treatment of elderly patients deprives him to lead an active life, take care of them. These patients, if not die in the first months after the injury due to pneumonia, thromboembolism or cardiovascular disease, later eke out an existence with false joints of the femoral neck in need of constant care, making it difficult for the lives of their loved ones. Anatomy hip and upper thigh are the reason that hip fracture develops partial or total disruption of the blood supply to the femoral head, leading to its necrosis and destruction. Successful treatment of hip fractures depends largely on the degree of disturbance of blood supply the femoral head, as well as the mechanical strength of fixation of the fracture. To predict the viability of the femoral head and choice of appropriate method of treatment offered various evaluation systems, the most common of which - the classification of fractures of the femoral neck Gardner and classification Pauelsa. The blood should supply to the femoral head (i.e., with a favorable prognosis of viability), as well as sufficient strength of bone (usually in young patients) demonstrates the osteo synthesis. After the operation, in order to prevent displacement of the fragments and to create conditions for consolidation, you want to exclude the load on the leg is not a period of 6 to 12 months. In elderly patients bone quality is usually not allow a stable fixation and long-term exclusion of the load on the leg, due to the overall condition of the patient is usually impossible. Expressed circulatory disorders femoral head is the cause of her avascular necrosis. Under these conditions, execution of osteo synthesis is unpromising. To restore limb function, the possibility of early loading and activation of the patient performed hip replacement - replacement of the neck and the femoral head ...