Physical medical aspects of early rehabilitation after proximal femoral fractures

Zeitschrift für Gerontologie und Geriatrie
Katharina Pils

Abstract

Proximal femoral fractures in old age are known as fragility fractures. They are the sequelae of osteoporosis and an expression of a general reduced capacity and an increase in sensory and functional deficits against the background of multimorbidity. They are often caused by reduced compensation strategies. Simultaneously, for many older people they represent a life event. Despite modern osteosynthesis techniques and less stressful anesthesia procedures, the occurrence of a proximal femoral fracture shakes the labile equilibrium of those affected. Proximal femoral fractures are associated with a high risk of mortality. Only some 50% of those affected achieve the pretraumatic functional level again. Therefore, a comprehensive, multiprofessional and interdisciplinary management of these patients is required. The rehabilitation has to start at the time of diagnosis and at the latest after the operation with a comprehensive interdisciplinary management. Pain and complaints during the rehabilitation have to be clarified and targeted, mostly multimodal interventions, must be included.

References

Jun 6, 1996·The New England Journal of Medicine·J D Zuckerman
Mar 5, 2003·Zeitschrift für Gerontologie und Geriatrie·K PilsT J M Van der Cammen
Apr 23, 2003·Neurourology and Urodynamics·Vera VandoninckBart L H Bemelmans
Oct 23, 2013·World Journal of Orthopedics·Jan Overgaard, Morten T Kristensen
Jan 7, 2018·Zeitschrift für Gerontologie und Geriatrie·M GoschS Wicklein

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