Transcription of Hip Arthoplasty: Post-operative Nursing Management
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Hip Arthoplasty: Post-operative Nursing Management
Post-operative Nursing Management : Hip Fracture SurgeryEva AUAPN, O&T, QEH8 July, 2007 Epidemiology Hip fracture is a major health problem as population ages HK (1995): 11/1000 in women, 5/1000 in men >70yrs (Lau et al, 1999) 2003: 40,000 elderly fall, 25% fracture HK (2031): population >65yrs World wide (2050): million hip # women & 1/3 men sustain a fragility fracture during their life time (Karlsson et al, 2005)ORIF VS Hemiarthroplasty Parker et al 2002 (RCT of 455 patients)ORIFHemi- arthroplastyShorter length of anaesthesia Less blood loss Lower blood transfusion requirement Low risk for 2 surgery ORIF VS THR Tidermark et al, 2003 (RCT of 102 patients)ORIFTHRL ower failure rate Better hip function HRQOL Low revision rate Arthroplasty as 1 surgery THR > bipolar hemiarthroplasty > ORIF #NOF in active, alert, independent elderly Better function Minimize 2 surgery removal, revision Better HRQOL (Blomfeldt et al, 2007 RCT of 120 patients)
in patients with hip fracture; Arch Intern Med 2000, 160(12), pp 1856 – 1860 • Bush JB, & Wilson MR; 2007; Dislocation after hip hemiarthroplasty: anterior versus posterior capsular approach; Orthopedics Feb 2007, Vol 30, No.2; pp 138 - 144
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