Hip Fractures Flashcards
Manifestations of a Hip Fractures
Externally Rotated and shortened in length
Kinds of Fractures
Intracapsular: head and neck of femur
Extracapsular: trochanteric part of femur
Kinds of Surgery
ORIF
Hemiarthroplasty
Total Arthroplasty
Nursing Care of ORIF
Use of crutches
Partial Weight Bearing
Nursing Care of Hemiarthroplasty
Replace head of femur
Full Weight Bearing
Return to function much faster
Nursing Care of Total Arthroplasty
Completely new hips and bones
metal bones, joint and socket
JP Drain, HemoVac, closed wound
Only for people with severe OA
Cemented Joint v. Non Cemented Joint
Cemented: resume activity faster, does not last as long
Non Cemented: longer recovery, lasts longer
Post Op Care
Abduction pillow Ambulation in 12 hrs Keep hips aligned PWB Monitor for complications Do not cross legs Monitor lab values
Pre Op Care
Stop Anti-Coags for one week All Dental Work beforehand Epoetin Alpha Iron Supplements Autologus Transfusion Shower with antibacterial soap Dont Shave Med Clearance Appropriate Anesthesia
Longitudinal v. Posterolateral Incision
-Longitudinal: 8-10cm, more muscle loss, longer recovery, decrease risk of dislocation
Posterolateral : 20-24 cm, less muscle involved, increase risk dislocation
Patient Teaching
Family involved in PT
Use Assistive Device
Proper body mechanics
Fall Prevention
Factors that improve Recovery
Age, Balance, Cognitive, Gender, Fatigue, Pain and Complications
