RESUMO
Bilateral posterior hip dislocations with femoral head fractures are rare. We report the case of a 71-year-old woman who was an unrestrained driver involved in a head-on motor vehicle collision. The right hip was stable after reduction, while the left hip was felt to be unstable. Bilateral bipolar endoprostheses were inserted via standard posterior approaches. Fracture fragments composed approximately 35% of the femoral head in both hips. We believe an elderly polytrauma patient with a significant femoral head fracture may benefit from primary arthroplasty as a treatment option, especially in cases of bilateral injury.
Assuntos
Cabeça do Fêmur/lesões , Luxação do Quadril/complicações , Fraturas do Quadril/complicações , Idoso , Calcâneo/lesões , Feminino , Cabeça do Fêmur/diagnóstico por imagem , Cabeça do Fêmur/cirurgia , Fraturas Ósseas/diagnóstico por imagem , Luxação do Quadril/diagnóstico por imagem , Luxação do Quadril/cirurgia , Fraturas do Quadril/diagnóstico por imagem , Fraturas do Quadril/cirurgia , Prótese de Quadril , Humanos , Patela/lesões , Tomografia Computadorizada por Raios XRESUMO
This article describes the development and impact of a hospital-based education program for patients undergoing knee or hip replacement surgery. The program consists of three components: a preoperative 1-hour education session conducted by a case manager providing information on what to expect from the procedure; a discussion by previous patients addressing unnecessary fears; and elective membership after discharge in a hospital-based support group providing patients with information on how to live with arthritis and with new joints. The impact of the program on patient outcomes was investigated through a 5-year retrospective study. Data were collected from patients to assess their perceptions of the program and of the outcome of their surgery. Results of the study indicated favorable impact on both patient care outcomes.
