TITLE:
Study on Walking Ability after Surgery for Proximal Femoral Fracture in Elderly Patients Aged 75 Years or Older
AUTHORS:
Tsuyoshi Nakai, Atsunori Onishi, Kunihiko Hashimoto, Toshiyuki Nakamura, Naohiro Yasuda, Akira Miyama
KEYWORDS:
Walking Ability; Proximal Femur Fracture; Elderly Patients
JOURNAL NAME:
Open Journal of Orthopedics,
Vol.3 No.2,
June
6,
2013
ABSTRACT: Background: Fractures of the hip are the cause of hospitalization in the geriatric
population. In many cases, hip fractures
are a sentinel event signaling a systemic decline in the patient’s health. Methods: A retrospective review of the cases of 88 patients aged 75 years or older with
proximal femoral fracture was performed. Fracture types, surgical procedures, walking ability before the
injury and at discharge, and waiting time from injury to surgery were obtained. Results: No
significant difference was observed in walking ability before injury among
patients with femoral neck fracture treated with bipolar hip arthroplasty (BHA)
or open reduction and internal fixation (ORIF) and those with trochanteric
fracture. The degree of deterioration of walking ability was 0.6 in patients
treated with BHA, 1.2 in those with neck fracture treated with ORIF, and 1.1 in
those with trochanteric fracture. Deterioration was significantly less severe
in patients who received BHA, compared with those who received ORIF. Conclusions: Among the patients aged 75 years or older with femoral
neck fracture, those who received BHA had a shorter time interval to the
start of walking with parallel assist bars or with walking aids, and also had a higher rate of regaining walking ability.