title: Octogenarian with an untreated femoral neck fracture: upright position during the postoperative course after aortic valve replacement.
abstract: We describe a patient with a femoral neck fracture undergoing an aortic valve replacement. The study design was a case report. An 82-year-old female with an untreated right femoral neck fracture, and a severe aortic valve stenosis was admitted to a cardiac surgery department for surgical treatment of the valve disease. She underwent aortic valve replacement with a sutureless biological valve prosthesis through a partial sternotomy. At an early stage, the patient was instructed to make postural changes in the standing position. As a result, she was able to perform body movements associated with either a sitting or standing position. This case shows that appropriate early mobilization of a patient with a femoral neck fracture is feasible after aortic valve replacement, even though this does not necessarily mean that the patient needs to walk.
authors.affiliation: Medical Department of Continuity of Care and Disability, Physical Medicine and Rehabilitation, University Hospital S. Orsola Malpighi, Bologna. gbptap1@gmail.com.
authors.forename: M
authors.initials: M
authors.lastname: Polastri
authors.forename: L
authors.initials: L
authors.lastname: Di Marco
authors.forename: S
authors.initials: S
authors.lastname: Cantagalli
authors.forename: M
authors.initials: M
authors.lastname: Di Eusanio
mesh_terms: D000369:Aged, 80 and over; D001024:Aortic Valve Stenosis / Q000150:complications / Q000601:surgery*; D005260:Female; D005265:Femoral Neck Fractures / Q000150:complications*; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000379:methods; D006801:Humans; D056888:Patient Positioning / Q000379:methods; D011187:Posture; D016896:Treatment Outcome