Management of lower extremity orthopaedic injuries in epileptic patients: A systematic review.
systematic_review · Level IV
Where this comes from
- Record sourced from PubMed, PMID 34121822.
- Also identified by DOI 10.1016/j.jor.2021.05.005 and PMC identifier 8175273.
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Abstract
Lower-extremity injuries may occur during seizures. There is a lack of standardized guidelines when diagnosing and planning perioperative care. Databases were systematically screened using predefined search terms. Of the 13 patients included, seven (53.8%) involved bilateral femoral neck fractures. Associated fractures were observed in all cases with surgical intervention performed in eight (61.5%) patients. Eleven patients reported functional outcomes, with over a quarter (three of 11, [27.3%]) endorsing mild range of motion deficits or issues with ambulation. Post-seizure patients may require standardized diagnostic protocols to ensure prompt management with a specialized treatment approach that accommodates the nuances of their condition.