Hip Fractures Case Study

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HuHip Fractures
Population at Greatest Risk for Hip Fractures Population at greatest risk for hip fractures is older people with osteoporosis, especially white women. The elderly have weaker bone due to osteoporosis and they are more likely to fall due to conditions such as neurological impairment, impaired vision, poor balance, side effects from medications, institutional living, physical inactivity, and difficulty maneuvering around environmental hazards. After a hip fracture, many are hospitalized and go on to receive a hip replacement. After a hip fracture, approximately 50% of patients are not able to regain their ability to live independently and mortality and morbidity substantially increase (Foster, 2015; John, 2007).
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Intertrochanteric fractures are often seen in females with osteoporosis, and they present with a seemingly shortened and significantly externally rotated extremity. They may also present with hip edema and ecchymosis, and they may have pain with any movement. Femoral neck fractures are often seen with older population and often associated with avascular necrosis, higher incidence of which is with complete displacement. Partial or completely displaced femoral neck fractures present with an extremity that is slightly shortened, abducted, and externally rotated. Patients may also have severe pain. In case of femoral neck fractures of stress fracture or severe impaction fracture types, the only presentation may be minor pain with little or no limitation in range of motion. Femoral head fractures are associated with hip dislocation. Superior femoral head fractures are associated with anterior hip dislocation, and they present with an abducted and externally rotated extremity. Inferior femoral head fractures are associated with posterior hip dislocation which is common in a dashboard injury, and they present with an extremity that appears adducted and internally rotated (John, …show more content…
As mentioned earlier, half of patients who sustained a hip fracture are unable to regain their ability to live independently. The risk for functional dependency and morbidity is especially high among nursing home residents, particularly men, patients over ninety years old, those with cognitive impairment and other comorbidities, those treated nonoperatively, and those who cannot ambulate independently (Foster, 2015). The study which measured functional recovery of hip fracture patients aged 65 years and older found that more than half of hip fracture patients did not regain mobility in the first postoperative year. The study also found that the risk of not regaining pre-fracture mobility was highest in mobile patients without an aid, the risk of becoming immobile was higher in those having a lower pre-fracture mobility, and activities of daily living dependence and delirium were the main risk factors for not regaining mobility (Vochteloo et al.,

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