Does the type of hip fracture affect functional recovery in elderly patients undergoing inpatient rehabilitation?

Arcolin, Ilaria; Godi, Marco; Giardini, Marica; Guglielmetti, Simone; Corna, Stefano

doi:10.1016/j.injury.2021.04.001

Cited by 8 publications

(3 citation statements)

References 41 publications

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“…Regarding the type of hip fracture, in the present study, femoral head fractures were the most common, but the data showed no significant association with poor functional ability after hip fracture surgery. Our findings support the evidence revealed in earlier investigations that there was no significant relationship between the type of hip fracture and functional ability recovery of older and more dependent [42]. Our findings support the evidence revealed in earlier investigations that there was no significant relationship between femoral head fracture and functional ability recovery [43].…”

Section: Discussionsupporting

confidence: 92%

Associated Factors of Functional Ability in Older Persons Undergoing Hip Surgery Immediately Post-Hospital Discharge: A Prospective Study

Monkuntod,

Aree-Ue,

Roopsawang

2023

JCM

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Background: hip fractures commonly have an impact on older adults’ health. Surgical treatment aims to reduce pain and promote functional ability. However, developing adverse health outcomes or complications post-hip surgery may impede older patients’ recovery to return to functional ability as pre-fracture. We aimed to examine the association of personal factors and adverse health outcomes during hospitalization and post-hospital discharge on the functional ability of older people undergoing hip surgery. Methods: a total of 120 older people with hip fractures who were scheduled for surgery at three tertiary hospitals and met the inclusion criteria were recruited for this study. Data were obtained at admission, before discharge, and during the two-week postoperative follow-up using the Demographic, Hip Dysfunction and Osteoarthritis Outcome Score, Joint Replacement, the Confusion Assessment Method (CAM) Thai version, and Health Outcome Questionnaires. Descriptive statistics and multiple logistic regression analyses were performed to analyze the data. Results: most participants were female, with a mean age of 78.10 years (range = 60–93; SD = 8.37). The most common adverse health outcome during hospitalization was urinary tract infection, followed by delirium, pneumonia, deep vein thrombosis, and surgical site infection. At two weeks immediately post-hospital discharge, 16 participants experienced unpleasant events, including delirium, urinary tract infection, surgical site infection, and pneumonia. The significant predictors of poor functional ability at two weeks immediately post-hospital discharge were old age (OR = 1.114, p = 0.001), subtrochanteric fracture (OR = 13.48, p = 0.008), and type of surgery (OR = 4.105, p = 0.049).

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Section: Discussionsupporting

confidence: 92%

Associated Factors of Functional Ability in Older Persons Undergoing Hip Surgery Immediately Post-Hospital Discharge: A Prospective Study

Monkuntod,

Aree-Ue,

Roopsawang

2023

JCM

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“…[2][3][4] Fracture types and differences in surgical approach have not shown overall differences in functional outcomes despite a wide variety of fracture patterns and treatment types. [5][6][7] Despite the lack of influence of fracture type and fixation methods, it is widely held that failed fixation leads to worse outcomes. Failure of fracture fixation may lead to severe femoral neck shortening (≥10 mm) in 12.9% 8 to 32% 9 of patients following internal fixation of femoral neck fractures.…”

Section: Introductionmentioning

confidence: 99%

“… 2 - 4 Fracture types and differences in surgical approach have not shown overall differences in functional outcomes despite a wide variety of fracture patterns and treatment types. 5 - 7 …”

Section: Introductionmentioning

confidence: 99%

Leg Length Discrepancy After Hip Fracture Repair is Associated With Reduced Gait Speed

Pearce

Sieber

Wang

et al. 2023

Geriatr Orthop Surg Rehabil

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Introduction A negative correlation exists between functional outcomes and leg length discrepancy (LLD) following hip fracture repair. We have assessed the effects of LLD following hip fracture repair in elderly patients on 3-meter walking time, standing time, activities of daily living (ADL), and instrumental activities of daily living (IADL). Methods One hundred sixty-nine patients enrolled in the STRIDE trial were identified with femoral neck, intertrochanteric, and subtrochanteric fractures that were treated with partial hip replacement, total hip replacement, cannulated screws, or intramedullary nail. Baseline patient characteristics recorded included age, sex, body mass index Charlson comorbidity index (CCI) score. ADL, IADL, grip strength, sit-to-stand time, 3-meter walking time and return to ambulation status were measured at 1 year after surgery. LLD was measured on final follow-up radiographs by either the sliding screw telescoping distance or the difference from a trans-ischial line to the lesser trochanters, and was analyzed as a continuous variable using regression analysis. Results Eighty eight patients (52%) had LLD <5 mm, 55 (33%) between 5-10 mm and 26 subjects (15%) >10 mm. Age, sex, BMI, Charlson score, and ambulation status had no significant impact on LLD occurrence. Type of procedure and fracture type did not correlate with severity of LLD. Having a larger LLD was not found to have a significant impact on post-operative ADL ( P = .60), IADL ( P = .08), sit-to-stand time ( P = .90), grip strength ( P = .14) and return to former ambulation status ( P = .60), but did have a statistically significant impact on 3-meter walking time ( P = .006). Discussion LLD after hip fracture was associated with reduced gait speed but did not affect many parameters associated with recovery. Continued efforts to restore leg length after hip fracture repair are likely to be beneficial.

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Optimizing Orthogeriatric Hip Fracture Care: Why Fracture Type Matters

Verduijn,

Sipers,

Spaetgens

2024

Journal of the American Medical Directors Association

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Does the type of hip fracture affect functional recovery in elderly patients undergoing inpatient rehabilitation?

Cited by 8 publications

References 41 publications

Associated Factors of Functional Ability in Older Persons Undergoing Hip Surgery Immediately Post-Hospital Discharge: A Prospective Study

Associated Factors of Functional Ability in Older Persons Undergoing Hip Surgery Immediately Post-Hospital Discharge: A Prospective Study

Leg Length Discrepancy After Hip Fracture Repair is Associated With Reduced Gait Speed

Optimizing Orthogeriatric Hip Fracture Care: Why Fracture Type Matters

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