Postoperative Care for Intertrochanteric Fracture Patients Undergoing Open Reduction and Internal Fixation (ORIF)
Keywords:
Intertrochanteric fracture, post-operative care, open reduction and internal fixationAbstract
Intertrochanteric Fracture is a relatively frequent and critical problem with elderly people. The most common treatment of femur fractures is an open reduction and internal fixation for the immobilization of the bone. However, complications are prone to occur if post-surgery care is ineffective. For persons with high independence, these complications can lead to infections and possibly fatalities, thus negatively impacting quality of life or endangering life expectancy. Nurses must be educated on the role of post-operative care to be able to assess patients’ mental status effectively during rehabilitation, to minimize complications, and to assure a gradual return to a healthy baseline and good quality of life.
References
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Crist, B. D., Oladeji, L. O., Della Rocca, G. J., Volgas, D. A., Stannard, J. P., & Greenberg, D. D. (2018). Evaluating the Duration of Prophylactic Post-Operative Antibiotic Agents after Open Reduction Internal Fixation for Closed Fractures. Surgical infections, 19(5), 189-196.
Gabel, C. P., Osborne, J., & Burkett, B. (2015). The influence of ‘Slacklining’on quadriceps rehabilitation, activation and intensity. Journal of science and medicine in sport, 18(1), 62-66.
Green, J. A., Hirst-Jones, K. L., Davidson, R. K., Jupp, O., Bao, Y., MacGregor, A. J., ... & Clark, I. M. (2014). The potential for dietary factors to prevent or treat osteoarthritis. Proceedings of the Nutrition Society, 73(2), 278-288.
Kim, J. W., Kim, T. Y., Ha, Y. C., Lee, Y. K., & Koo, K. H. (2015). Outcome of intertrochanteric fractures treated by intramedullary nail with two integrated lag screws: a study in Asian population. Indian journal of orthopaedics, 49(4), 436.
Malik, A. T., Quatman, C. E., Phieffer, L. S., Ly, T. V., & Khan, S. N. (2018). Incidence, risk factors and clinical impact of postoperative delirium following open reduction and internal fixation (ORIF) for hip fractures: an analysis of 7859 patients from the ACS-NSQIP hip fracture procedure targeted database. European Journal of Orthopaedic Surgery & Traumatology, 1-12.
Pimentel, L. (2006). Orthopedic trauma: office management of major joint injury. Medical Clinics, 90(2), 355-382.
Pradeep, A. R., KiranKumar, A., Dheenadhayalan, J., & Rajasekaran, S. (2018). Intraoperative lateral wall fractures during Dynamic Hip Screw fixation for intertrochanteric fractures-Incidence, causative factors and clinical outcome. Injury, 49(2), 334-338.
Statistics Ministry of Public Health. (2017). Nonthaburi: Ministry of Public Health. (in Thai)
Segal, D., Palmanovich, E., Faour, A., Marom, E., Feldman, V., Yaacobi, E., ... & Brin, Y. S. (2018). Routine early post-operative X-ray following internal fixation of intertrochanteric femoral fractures is unjustified: a quality improvement study. Journal of orthopaedic surgery and research, 13(1), 189.
Shi, S., Guoping, W. U., Wen, H., Wang, B., Wang, R., & Zhen, Y. (2016). Perioperative hidden blood loss in aged patients with femoral intertrochanteric fracture. Chinese Journal of General Practitioners, 15(7), 543-546.
Ziegler, P., Schlemer, D., Flesch, I., Bahrs, S., Stoeckle, U., Werner, S., & Bahrs, C. (2017). Quality of life and clinical-radiological long-term results after implant-associated infections in patients with ankle fracture: a retrospective matched-pair study. Journal of orthopaedic surgery and research, 12(1), 114.
Abrolat, M., Eberhart, L. H., Kalmus, G., Koch, T., & Nardi-Hiebl, S. (2018). Patient-controlled Analgesia (PCA): an Overview About Methods, Handling and New Modalities. Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS, 53(4), 270-280.
Antony Vimalraj, M., Vinodh Rajkumar, P., Dalton, J., & Azhagan, K. (2017). Functional and radiological outcome of intertrochanteric fracture in patients treated with dynamic hip screw and proximal femoral nail. International Journal of Orthopaedics, 3(4), 412-417.
April Reynolds. (2013). The Fracture Femur. Radiologic Technology, 84(1), 273-291.
Berríos-Torres, S. I., Umscheid, C. A., Bratzler, D. W., Leas, B., Stone, E. C., Kelz, R. R., ... & Dellinger, E. P. (2017). Centers for disease control and prevention guideline for the prevention of surgical site infection, 2017. JAMA surgery, 152(8), 784-791.
Brox, W. T., Roberts, K. C., Taksali, S., Wright, D. G., Wixted, J. J., Tubb, C. C., ... & Macaulay, W. B. (2015). The American Academy of Orthopaedic Surgeons evidence-based guideline on management of hip fractures in the elderly. JBJS, 97(14), 1196-1199.
Choocherd, S., Wanitkun, N., Danaidusadeekul, S., & Yottasurodom, C. (2016). Relationships among health literacy, severity of disease, patient engagement, perception of person-centered care and quality of life in patients after coronary artery bypass graft surgery. Journal of Nursing Science, 34(2), 94-106.
Crist, B. D., Oladeji, L. O., Della Rocca, G. J., Volgas, D. A., Stannard, J. P., & Greenberg, D. D. (2018). Evaluating the Duration of Prophylactic Post-Operative Antibiotic Agents after Open Reduction Internal Fixation for Closed Fractures. Surgical infections, 19(5), 189-196.
Gabel, C. P., Osborne, J., & Burkett, B. (2015). The influence of ‘Slacklining’on quadriceps rehabilitation, activation and intensity. Journal of science and medicine in sport, 18(1), 62-66.
Green, J. A., Hirst-Jones, K. L., Davidson, R. K., Jupp, O., Bao, Y., MacGregor, A. J., ... & Clark, I. M. (2014). The potential for dietary factors to prevent or treat osteoarthritis. Proceedings of the Nutrition Society, 73(2), 278-288.
Kim, J. W., Kim, T. Y., Ha, Y. C., Lee, Y. K., & Koo, K. H. (2015). Outcome of intertrochanteric fractures treated by intramedullary nail with two integrated lag screws: a study in Asian population. Indian journal of orthopaedics, 49(4), 436.
Malik, A. T., Quatman, C. E., Phieffer, L. S., Ly, T. V., & Khan, S. N. (2018). Incidence, risk factors and clinical impact of postoperative delirium following open reduction and internal fixation (ORIF) for hip fractures: an analysis of 7859 patients from the ACS-NSQIP hip fracture procedure targeted database. European Journal of Orthopaedic Surgery & Traumatology, 1-12.
Pimentel, L. (2006). Orthopedic trauma: office management of major joint injury. Medical Clinics, 90(2), 355-382.
Pradeep, A. R., KiranKumar, A., Dheenadhayalan, J., & Rajasekaran, S. (2018). Intraoperative lateral wall fractures during Dynamic Hip Screw fixation for intertrochanteric fractures-Incidence, causative factors and clinical outcome. Injury, 49(2), 334-338.
Statistics Ministry of Public Health. (2017). Nonthaburi: Ministry of Public Health. (in Thai)
Segal, D., Palmanovich, E., Faour, A., Marom, E., Feldman, V., Yaacobi, E., ... & Brin, Y. S. (2018). Routine early post-operative X-ray following internal fixation of intertrochanteric femoral fractures is unjustified: a quality improvement study. Journal of orthopaedic surgery and research, 13(1), 189.
Shi, S., Guoping, W. U., Wen, H., Wang, B., Wang, R., & Zhen, Y. (2016). Perioperative hidden blood loss in aged patients with femoral intertrochanteric fracture. Chinese Journal of General Practitioners, 15(7), 543-546.
Ziegler, P., Schlemer, D., Flesch, I., Bahrs, S., Stoeckle, U., Werner, S., & Bahrs, C. (2017). Quality of life and clinical-radiological long-term results after implant-associated infections in patients with ankle fracture: a retrospective matched-pair study. Journal of orthopaedic surgery and research, 12(1), 114.
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Published
2019-12-02
How to Cite
กาศโอสถ อ. (2019). Postoperative Care for Intertrochanteric Fracture Patients Undergoing Open Reduction and Internal Fixation (ORIF). Nursing Journal CMU, 46(4), 183–192. Retrieved from https://he02.tci-thaijo.org/index.php/cmunursing/article/view/230394
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