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Study on Walking Ability after Surgery for Proximal Femoral Fracture in Elderly Patients Aged 75 Years or Older

机译:75岁以上老年患者股骨近端骨折手术后行走能力的研究

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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.
机译:背景:髋部骨折是老年患者住院的原因。在许多情况下,髋部骨折是前哨事件,预示着患者健康的系统性下降。方法:回顾性分析88例75岁或以上的股骨近端骨折患者的情况。获得了骨折类型,手术程序,受伤前和出院时的步行能力以及从受伤到手术的等待时间。结果:双极髋关节置换术(BHA)或切开复位内固定术(ORIF)治疗的股骨颈骨折患者与股骨转子骨折的伤前步行能力无明显差异。 BHA治疗的患者步行能力下降的程度为0.6,ORIF治疗的颈部骨折患者的步行能力为1.2,股骨转子骨折的患者的步行能力为1.1。与接受ORIF的患者相比,接受BHA的患者的病情恶化程度明显更低。结论:在年龄大于等于75岁的股骨颈骨折患者中,接受BHA的患者开始使用平行辅助杠或助行器行走的时间间隔较短,并且恢复行走能力的比率更高。

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