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Journal : Medicosphere

Femoral Neck Fracture in Geriatri Patient: A Case Studies and Approaches to Post-Operative Rehabilitation: A Literature Review Winata, Lionesya Sukma; Prawiragara, Fachrizal Arfani
Journal of Diverse Medical Research: Medicosphere Vol. 2 No. 6 (2025): J Divers Med Res 2025
Publisher : Faculty of Medical - UPN Veteran Jawa Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33005/jdiversemedres.v2i6.195

Abstract

Introduction: Femoral collum fractures are a common injury in the geriatric population, particularly postmenopausal women with osteoporosis. The intracapsular location of the fracture and proximity to the blood supply of the femoral head increases the risk of complications such as non-union and avascular necrosis. Early and appropriate treatment is essential to minimize long-term functional impact. Case Illustration: A 67-year-old woman experienced severe pain in the right hip after slipping while mopping the floor. The patient was unable to stand or walk after the incident. History showed osteoporosis which was not treated regularly. Radiologic examination revealed a right collum femur fracture with Garden type IV classification. The patient underwent arthroplasty bipolar and a gradual physiotherapy rehabilitation program for six months. Discussion: This case illustrates a common pattern of osteoporotic fractures in the elderly, where minor trauma can cause severe damage to the bone. The selection of arthroplasty is appropriate to the patient's bone condition and fracture type, providing stability and allowing early mobilization. Intensive rehabilitation has been shown to support functional recovery. Long-term management of osteoporosis with antiresorptive therapy such as zoledronate, patient education, and environmental modification are also important for the prevention of recurrent fractures. Conclusion: A comprehensive approach that includes surgery, early rehabilitation, and management of osteoporosis can result in a better.
The Role of Inflammation in the Development of Osteoarthritis: A Review Based on Recent Studies: A Literature Review Winata, Lionesya Sukma; Wardhani, Fitria Kusuma
Journal of Diverse Medical Research: Medicosphere Vol. 2 No. 1 (2025): J Divers Med Res 2025
Publisher : Faculty of Medical - UPN Veteran Jawa Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33005/jdiversemedres.v2i1.119

Abstract

Osteoarthritis (OA) is a degenerative condition characterized by cartilage destruction, subchondral bone changes, and inflammation, which can impair the quality of life of sufferers. This review aims to analyze the role of inflammation in the development of OA. The method used included a literature search of international and national databases for articles published in the last five years. The results showed that risk factors, such as age, obesity and trauma, can trigger the inflammatory process by involving pro-inflammatory cytokines such as IL-1β and TNF-α. Interventions for OA include pharmacological therapies, such as NSAIDs and corticosteroids, as well as non-pharmacological approaches through lifestyle modification. This review concludes that OA management requires an integrated approach to address inflammation and symptoms. A deeper understanding of the mechanisms of inflammation may support the development of more effective and efficient treatment strategies. Keywords: Osteoarthritis, inflammation pro-inflammatory cytokines, pharmacologic therapy, lifestyle modification.