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Conservative treatment using a sponge cast for transfer fractures in nursing home patients.
Cho, Hong Man; Ha, Joon Soo; Seo, Jae Woong; Lee, Hyun Ju; Kim, Sun Do; Lee, Hyochoon; Park, Hyung Bae.
Afiliación
  • Cho HM; Department of Orthopaedic Surgery, Gwangju Veterans Hospital, Gwangju, Korea.
  • Ha JS; Department of Orthopaedics, King's College Hospital, London, UK.
  • Seo JW; Department of Orthopaedic Surgery, Gwangju Veterans Hospital, Gwangju, Korea.
  • Lee HJ; Department of Orthopaedic Surgery, Gwangju Veterans Hospital, Gwangju, Korea.
  • Kim SD; Department of Orthopaedic Surgery, Gwangju Veterans Hospital, Gwangju, Korea.
  • Lee H; Department of Orthopaedic Surgery, Gwangju Veterans Hospital, Gwangju, Korea.
  • Park HB; Department of Biology, College of Chonbuk National University, Jeonju, Korea.
Clin Interv Aging ; 14: 1361-1369, 2019.
Article en En | MEDLINE | ID: mdl-31440041
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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Férulas (Fijadores) / Extremidad Inferior / Fracturas Óseas / Movimiento y Levantamiento de Pacientes / Hogares para Ancianos / Casas de Salud Tipo de estudio: Etiology_studies Límite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Clin Interv Aging Asunto de la revista: GERIATRIA Año: 2019 Tipo del documento: Article Pais de publicación: Nueva Zelanda
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Férulas (Fijadores) / Extremidad Inferior / Fracturas Óseas / Movimiento y Levantamiento de Pacientes / Hogares para Ancianos / Casas de Salud Tipo de estudio: Etiology_studies Límite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Clin Interv Aging Asunto de la revista: GERIATRIA Año: 2019 Tipo del documento: Article Pais de publicación: Nueva Zelanda