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Recovery after hip fractures: influence of bipolar hemiarthroplasty on physical disability and social dependency in the elderly.
- Source :
- Hip International; 2011, Vol. 21 Issue 6, p751-756, 6p, 3 Charts
- Publication Year :
- 2011
-
Abstract
- Surgical treatment of femoral neck fractures is associated with a significant impact on quality of life. The aim of this study was to determine the long-term influence of displaced femoral neck fractures treated by bipolar hemiarthroplasty on the activities of daily living, quality of life and social dependency. We studied 487 geriatric patients treated in the years 1989 to 2003. At the beginning of follow-up in 2004, 166 patients were alive and evaluation was carried out on 145 patients (87.3%) at 91.3 (14 - 244) months postoperatively by a standardized questionnaire. All enrolled patients had been treated with cemented bipolar hemiarthroplasty for a displaced femoral neck fracture. Patients were evaluated concerning their average pre- and postoperative ability to walk, the need for assisting devices, type of residency and the SF-12® Score. Femoral neck fracture and hemiarthroplasty had a significant influence on all recorded aspects of quality of life. Even though almost two thirds of the patients needed assisting devices to walk after surgery, about two thirds returned to their original type of accommodation and the majority reached their original degree of mobility. Compared to a normal population no significant impact was observed on the quality of life measured by the SF-12® score. We consider bipolar hemiarthroplasty an effective treatment option for displaced femoral neck fractures in geriatric patients. Most patients returned to their original type of accommodation and level of mobility, even though the majority required a number of assisting devices to do so. [ABSTRACT FROM AUTHOR]
- Subjects :
- FEMUR neck
HIP joint injury treatment
HIP surgery
CHI-squared test
BONE fractures
ORTHOPEDIC apparatus
QUALITY of life
QUESTIONNAIRES
SCALES (Weighing instruments)
STATISTICAL hypothesis testing
TOTAL hip replacement
BODY movement
PRE-tests & post-tests
DATA analysis software
DESCRIPTIVE statistics
SURGERY
Subjects
Details
- Language :
- English
- ISSN :
- 11207000
- Volume :
- 21
- Issue :
- 6
- Database :
- Complementary Index
- Journal :
- Hip International
- Publication Type :
- Academic Journal
- Accession number :
- 70187776
- Full Text :
- https://doi.org/10.5301/HIP.2011.8824