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Koizia A, Abuown A, Vowles J, et al. Novel Conservative Approach to High Surgical Risk Frail Proximal Femur Fractures. Case Rep Orthop. 2020;2020:8847080doi: 10.1155/2020/8847080.
Koizia, A., Abuown, A., Vowles, J., Smith, D., & Koizia, L. J. (2020). Novel Conservative Approach to High Surgical Risk Frail Proximal Femur Fractures. Case reports in orthopedics, 20208847080. https://doi.org/10.1155/2020/8847080
Koizia, Alexander, et al. "Novel Conservative Approach to High Surgical Risk Frail Proximal Femur Fractures." Case reports in orthopedics vol. 2020 (2020): 8847080. doi: https://doi.org/10.1155/2020/8847080
Koizia A, Abuown A, Vowles J, Smith D, Koizia LJ. Novel Conservative Approach to High Surgical Risk Frail Proximal Femur Fractures. Case Rep Orthop. 2020 Jun 22;2020:8847080. doi: 10.1155/2020/8847080. eCollection 2020. PMID: 32655961; PMCID: PMC7330637.
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Case Rep Orthop. 2020 Jun 22;2020:8847080. doi: 10.1155/2020/8847080. eCollection 2020.

Novel Conservative Approach to High Surgical Risk Frail Proximal Femur Fractures.

Case reports in orthopedics

Alexander Koizia, Ala Abuown, Julie Vowles, Damien Smith, Louis J Koizia

Affiliations

  1. East Suffolk and North Essex NHS Foundation Trust, UK.
  2. Imperial College Healthcare NHS Trust, UK.
  3. The Hillingdon Hospitals NHS Foundation Trust, UK.
  4. Cutrale Perioperative and Ageing Research Group, Department of Bioengineering, Imperial College London, UK.

PMID: 32655961 PMCID: PMC7330637 DOI: 10.1155/2020/8847080

Abstract

One of the major impacts following a neck of femur fracture is pain. Most patients (nearly all) undergo an operation. This usually includes the frailest terminal patients and deemed a palliative procedure to reduce ongoing pain. The operation comes with risks and can reduce life expectancy in these patients and result in prolonged hospital admission, delirium, and postoperative complications. This case highlights a novel approach to managing the frailest end-of-life patients that does not require them to undergo a conventional operation. The case resulted in a quick discharge from hospital and for the patient and family to maximise the time out of hospital, with a reduced analgesic burden and a peaceful passing away. We feel that this could be an alternative, more humane option for such patients.

Copyright © 2020 Alexander Koizia et al.

Conflict of interest statement

The authors declare that there is no conflict of interest regarding the publication of this paper.

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