Avaliação da funcionalidade e qualidade de vida em idosos com lesões de membros superiores / Evaluation of functionality and quality of life in elderly with upper limb injuries

O envelhecimento é um processo de modificações corporais progressivo, que promove alterações morfofisiológicas e dificulta a realização de tarefas funcionais, podendo ocasionar aumento de lesões e influencia diretamente na qualidade de vida. Objetivo: Avaliar a funcionalidade e qualidade de vida dos idosos em reabilitação de membros superiores. Métodos: Estudo transversal e descritivo envolvendo idosos em reabilitação de membros superiores. Para realização da coleta dos dados foram aplicados três questionários na forma de entrevista, um questionário socioeconômico clínico elaborado pelos autores, o questionário Disabilities of the arm, shoulder and hand (DASH) e o questionário Item Short Form Health Survey (SF-12). Resultados: A amostra foi composta por 30 idosos, com média de idade de 69,53 ± 6.62 anos, predominantemente do sexo feminino (66,7%), ensino superior completo (46,7%), trabalhadores autônomos (46,7%), com renda mensal de 5 ou mais salário-mínimo. (53,3%). Quanto a qualidade de vida do questionário SF-12 obtivemos 40,53% no componente físico (PCS), 52,74% componente mental (MCS). Quanto a funcionalidade do questionário DASH o score de 40,68% classifica como incapacidade leve. Conclusão: Os idosos em reabilitação de membros superiores apresentaram melhor qualidade de vida no componente mental e incapacidade leve nos membros superiores

Aging is a process of progressive body changes, which promotes morphophysiological changes and makes it difficult to perform functional tasks, leading to an increase in injuries and directly influencing the quality of life. Objective: To evaluate the functionality and quality of life of elderly people undergoing rehabilitation of upper limbs. Methods: Cross-sectional and descriptive study involving elderly people undergoing upper limb rehabilitation. To perform the data collection, three questionnaires were applied in the form of an interview. The first was a socioeconomic clinical questionnaire prepared by the authors. Then, the "arm, shoulder, and hand" (DASH) impairments. Last but not least was the Item Short Form Health Survey (SF-12). Results: The sample consisted of 30 elderly people, with a mean age of 69.53 ± 6.62 years, predominantly female (66.7%), complete higher education (46.7%), self-employed (46.7 %), with a monthly income of 5 or more minimum wages. (53.3%). As for the quality of life of the SF-12 questionnaire, we obtained 40.53% in the physical component (PCS) and 52.74% in the mental part (MCS). As for the functionality of the DASH questionnaire, the score of 40.68% classifies it as a mild disability. Conclusion: The elderly undergoing rehabilitation of upper limbs had a better quality of life in the mental component and mild disability in the upper limbs.

Fracturas del extremo superior del fémur por fragilidad. Principios del comanejo / Fractures of The Upper End of the Femur Due to Fragility. Co-Management Principles

Introducción: El rápido crecimiento de la población geriátrica va aparejado al aumento de fracturas por fragilidad. Ello crea la necesidad de un programa integral para el tratamiento del paciente anciano con fracturas por fragilidad y del extremo superior del fémur. Los modelos de comanejo ortogeriátrico son empleados en muchos países. Objetivo: Presentar los distintos modelos de atención ortogeriátrica y analizar el modelo de comanejo de pacientes geriátricos con fracturas por fragilidad, principalmente la fractura del extremo superior del fémur. Métodos: Se realizó una búsqueda en la base de datos PubMed de trabajos publicados entre los años 2010-2020 con los términos: modelos de atención ortogeriátrica, comanejo de pacientes ortopédicos geriátricos, comanejo de fracturas por fragilidad y comanejo ortogeriátrico en fracturas del extremo superior de fémur. Conclusiones: El modelo de comanejo de las fracturas por fragilidad y de fémur proximal da como resultado una estadía hospitalaria más corta, tasas de reingreso y de complicaciones más bajas y una tasa de mortalidad menor a la esperada, por lo cual ofrece muchos beneficios para pacientes, médicos y sistema de salud(AU)

Introduction: The rapid growth of the geriatric population is coupled with the increase in fragility fractures. This creates the need for a comprehensive program for the treatment of the elderly patient with fragility fractures and fractures of the upper end of the femur. Orthogeriatric co-management models are used in many countries. Objective: To present the different models of orthogeriatric care and to analyze the model of co-management of geriatric patients with fragility fractures, mainly fractures of the upper end of the femur. Methods: A search was made in the PubMed database of works published in the years 2010-2020 with the terms orthogeriatric care models, co-management of geriatric orthopedic patients, co-management of fragility fractures and co-management orthogeriatric in fractures of the upper end of the femur. Conclusions: The co-management model for fragility and proximal femur fractures results in a shorter hospital stay, lower readmission and complication rates, and a lower-than-expected mortality rate, thus offering many benefits for patients, doctors and health system(AU)

A Morphometric Study Of Upper End Of Femur And Its Implications In Hemiarthroplasty

Introduction: Hemiarthroplasty of hip is very common now-a-days in fracture neck of femur. So there is alwaysneed of population specific data for making best fit prosthesis to reduce complications following the procedure.Objectives: To measure Femoral Head Diameter, Femoral Neck Length, Femoral Neck Diameter, Femoral NeckThickness and Cervico- Diaphyseal Angle. To find the correlation between each parameter.Materials and method: 100 dry femur, required for the study, were collected from the Department of Anatomy,Mysore Medical College, Mysore. Measurements were obtained using a digital vernier calliper, a ruler and aprotractor.Results: Mean value of Femoral Head Diameter was similar to other Indian studies. Mean value of CervicoDiaphyseal Angle varied as that of western studies. The values of Femoral Head Diameter show high correlationwith the values of Femoral Neck Diameter, Length and Thickness.Conclusion: The regional variations noted in this study will help designing prosthesis of appropriate head, neckand stem size, thus reducing the failure rates in hemiarthroplasty.

Morphometric Study Of Upper End Of Tibia In Gujarat Region And Its Clinical Implication In Knee Arthroplasty

Introduction: Upper end of tibia is the component of knee joint. Accurate morphometric anatomical data of theupper end of tibia and morphometric differences according to gender are very important to make design of totalknee joint replacement prosthesis. Knee prosthesis made based on morphometric data of components of knee(femur and tibia) and according to gender difference will give better results after surgery in early mobility ofpatients as well as fewer post-operative complications.Aim: Present study was done to find out sexual dimorphism in upper end of tibia as well as differences inmorphometric data of upper end of tibia between other populations across the world and within India.Materials and Methods: For the present study the material consisted of 120 dry tibia of known gender were used.Out of them 60 were of male tibia (30 of right side and 30 of left side) and 60 were of female tibia (30 of right sideand 30 of left side). We have selected five metrical parameters 1. Bicondylar width (BCW), 2. Medial condylarantero-posterior distance of superior articular surface (MCAPD), 3. Lateral condylar antero-posterior distanceof superior articular surface (LCAPD), 4. Medial condylar transverse distance of superior articular surface(MCTD) and 5. Lateral condylar transverse distance of superior articular surface (LCTD) for the present studybased on which the tibial component of prosthesis for knee joint replacement surgery is made.Results: All five parameters which are chosen are found significantly larger in male than females. The findingsare smaller than Caucasian population and population of North India and found larger than population of SouthIndia.Conclusion: Present study provides data of measurement of upper end of tibia by direct observation which will beuseful to select correct sized knee prosthesis according to measurements. We have also provided data genderwise and on right and left side which will improve the longitivity of knee prosthesis, increased mobility of patientand improve the lifestyle after knee replacement surgery.