Conservative treatment using a sponge cast for transfer fractures in nursing home patients
| Autor: | Hyochoon Lee, Hyun-Ju Lee, Joon Ha, Jae Woong Seo, Sun Do Kim, Hong-Man Cho, Hyung Bae Park |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment Periprosthetic General Medicine Arthroplasty Surgery Conservative treatment 03 medical and health sciences Splints 0302 clinical medicine medicine Effective treatment Femur 030212 general & internal medicine Geriatrics and Gerontology Nursing homes business Fibrous union 030217 neurology & neurosurgery |
| Zdroj: | Clinical Interventions in Aging. 14:1361-1369 |
| ISSN: | 1178-1998 |
| DOI: | 10.2147/cia.s210310 |
| Popis: | Background Transfer fractures in the lower limbs of bedridden and chair-bound nursing home patients can result from trauma induced by the usual lifting, moving, turning, or transferring maneuvers. Treatment entails immobilization for pain control and position change; however, splints/hard casts increase the risk of pressure sores. Therefore, we evaluated the use of a sponge cast. Materials and methods Between March 2011 and October 2017, 17 patients with a lower limb transfer fracture due to transferring maneuvers in a nursing home were recruited. We evaluated the improvement in pseudo-motion and divided the patients as having bony union, fibrous union, or remaining pseudo-motion. We also investigated the occurrence of pressure sores due to immobilization up until the final follow-up. Results Femur fractures occurred in 15 patients and lower leg fractures in two. Six of the 15 femur fractures were periprosthetic (four hip arthroplasty and two knee arthroplasty). Pseudo-motion was improved in 15 of 17 cases, within an average of 17.3 weeks for the improvement (14-23 weeks; bony union: 11 cases and fibrous union: four cases). Pseudo-motion remained in two cases: one periprosthetic fracture around the knee arthroplasty and the other, a femur neck fracture. No pressure sores occurred. Conclusions A sponge cast appears to be one of the effective treatment options available for bedridden or chair-bound patients with a lower limb fracture due to its low risk of complications and satisfactory clinical results. |
| Databáze: | OpenAIRE |
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