Archives of orthopaedic and trauma surgery
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Fractured neck of femur in elderly is associated with mortality which is reported in literature to vary between 20 and 40%. One of the factors which is suggested to be a risk factor is male sex. We reviewed 83 male necks of femur patients admitted over a period of a year to assess the patient's physical status, influence of co-morbidities, postoperative course and mortality. ⋯ Increasing age, high ASA category and post-operative chest infections were associated with high peri-operative mortality, and fall sustained in an acute hospital ward was associated with high 1-year mortality in addition to ASA grade and chest infection. Patients who had a chest infection in the post-operative period had in-hospital mortality of 46.2% (P value 0.006) and a 1-year mortality of 73.1% (P value 0.001). Patients who fell in the ward as inpatients under geriatric care had 60% mortality.
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Arch Orthop Trauma Surg · Apr 2006
Case ReportsGlenohumeral interposition of a torn rotator cuff in a young motorcyclist.
This report describes the rare case of a traumatic rotator cuff tear in a young patient which led to a pseudo-paralyzed shoulder by interposition of the tendon stump into the glenohumeral joint. The patient underwent an open rotator cuff repair and regained an almost normal shoulder function after 12 weeks. A review of the literature is presented.