Femoral Fractures
Conditions
Brief summary
The fracture of the proximal femur is a common traumatic pathology in patients aged over 70 years, associated with a mortality of 20 to 30% a year. The care is delayed emergency. During this wait, the occurrence of heel pressure ulcers is regularly found, despite wearing antiescarres slippers. Mobilization, source of pain, is also problematic. 759/5000
Interventions
continuous pulling method: tensile force is exerted directly on the skin by means of adhesive strips, connected to weight
setting up a pillow between the legs before the care
Sponsors
Study design
Intervention model description
a pillow between the legs versus traction-stuck
Eligibility
Inclusion criteria
* Patient aged 70 and over, * Extracapsular fracture isolated from the proximal end of the femur, * Informed consent of the patient for participation in the study, * Patient affiliated to a social security scheme.
Exclusion criteria
* Restlessness or fragile skin condition that may prevent the establishment or maintenance of traction stuck preoperatively * Insane or confounding Pathology, * Predictable time before operation\> to 72 hours (eg anticoagulated patient orally before the fracture \[antiplatelet agents are allowed\], other associated diseases: urinary tract infection, pneumonia ...) * Patient under guardianship, curatorship, or under judicial protection.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Score from pain immediately after washing, the day of surgery preoperatively | 5 minutes |
Countries
France