Who Will Walk Again? Effects of Rehabilitation on the Ambulatory Status in Elderly Patients Undergoing Hemiarthroplasty for Femoral Neck Fracture

Geriatric Orthopaedic Surgery & Rehabilitation
Junren ZhangErnest Beng Kee Kwek

Abstract

Femoral neck fractures in elderly patients result in significant reduction in mobility. Deconditioning takes place quickly without early ambulation postsurgery. A recent Cochrane review found inconclusive evidence on the rehabilitation protocol required to effectively restore patients' prefracture mobility status. This study was conducted to determine the effects of different rehabilitation approaches on the functional and mobility outcomes of elderly patients after hip hemiarthroplasty for femoral neck fractures. We enrolled consecutive patients aged >65 years, admitted into a tertiary orthopedic unit from January to December 2010, who had undergone hip hemiarthroplasty. They were divided into 3 cohorts: (a) home with outpatient rehabilitation, (b) intensive short rehabilitation, and (c) extended slow-stream rehabilitation. Clinical variables were collected along with outcome variables of Modified Harris Hip Score, Parker Mobility Score (PMS), and the return to near premorbid ambulatory status at 1 year (PMS decrease of ≤2). A total of 133 patients were recruited and followed up for a year. The 3 cohorts were found to be comparable for prefall cardiovascular diseases, PMS, and Katz Index, although it was found that in the slow...Continue Reading

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Citations

Aug 10, 2018·Journal of the American Geriatrics Society·Yilin Eileen SimHairil Rizal Abdullah
Mar 5, 2019·Canadian Journal on Aging = La Revue Canadienne Du Vieillissement·Melody MaximosVanina Dal Bello-Haas
Apr 15, 2017·Journal of Aging Research·Joanie Sims-GouldMaureen C Ashe
Jul 3, 2021·Medicina·Nicolas VuilleminJohannes Dominik Bastian
Jun 29, 2021·Hong Kong Physiotherapy Journal : Official Publication of the Hong Kong Physiotherapy Association Limited = Wu Li Chih Liao·Dennis Kim Chung MoSheung Wai Law

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