Factors Associated With an Immediate Weight-Bearing and Early Ambulation Program for Older Adults After Hip Fracture Repair

Barone, Antonella; Giusti, Andrea; Pizzonia, Monica; Razzano, Monica; Oliveri, Mauro; Palummeri, E; Pioli, Giulio

doi:10.1016/j.apmr.2009.03.013

Cited by 27 publications

(55 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Early surgery also reduces the negative effects of immobility on the patients. Immobility after a fracture increases the risk of infections, pressure sores, morbidity, and mortality [5,38]. It is desirable to mobilize patients promptly after surgical repair of their fractures, with early weightbearing being permitted for all proximal femur fractures [5,38,62,74,80].…”

Section: Preoperative Assessment and Preparation For Surgerymentioning

confidence: 99%

See 1 more Smart Citation

Short-term and Long-term Orthopaedic Issues in Patients With Fragility Fractures

Bukata

Kates

O’Keefe

2011

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

Background Patients with impaired bone quality who suffer a fragility fracture face substantial challenges in both their short-and long-term care. In addition to poor bone quality, many of these patients have multiple medical comorbidities that alter their surgical risk and affect their ultimate functional recovery. Some medical issues can contribute to the altered bone quality and must be addressed to prevent future fractures. Questions/purposes This review summarizes the modifications in perioperative management and fracture fixation in patients with common fragility fractures who have impaired bone quality. It also summarizes the postoperative diagnosis and treatment of secondary causes of impaired bone quality in these patients. Methods We performed a PubMed search, and literature published after 2000 was prioritized, with the exception of benchmark clinical trial studies published before 2000. Results Patients with altered bone quality require rapid perioperative management of multiple medical comorbidities. Implant selection in patients with poor quality bone should permit early weightbearing, and constructs should maximize surface area contact with the remaining bone. Long-term diagnosis and treatment of other disease states contributing to poor bone quality (vitamin D deficiency/ insufficiency, hypothyroidism, hyperthyroidism, hyperparathyroidism, Cushing's disease, and hypogonadism) must occur to minimize the chances of future fractures. Conclusions Recognition of patients with impaired bone quality and proper treatment of their special needs in both the short and long term are essential for their best opportunity for maximal functional recovery and prevention of future fractures.

show abstract

Section: Preoperative Assessment and Preparation For Surgerymentioning

confidence: 99%

“…It is desirable to mobilize patients promptly after surgical repair of their fractures, with early weightbearing being permitted for all proximal femur fractures [5,38,62,74,80]. This helps to improve functional outcomes and prevent the mentioned complications [5,38,80].…”

Section: Preoperative Assessment and Preparation For Surgerymentioning

confidence: 99%

Short-term and Long-term Orthopaedic Issues in Patients With Fragility Fractures

Bukata

Kates

O’Keefe

2011

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

show abstract

“…Comorbidity can be used to predict the risk of death and the development of complications from surgery perioperatively and postoperatively [12]. It may also directly correlate with rehabilitation potential [14]. The goals of care may be strongly influenced by the presence of concurrent disease and should be considered on an individual patient basis.…”

Section: Identifying At-risk Patientsmentioning

confidence: 99%

How to optimize patients for geriatric fracture surgery

et al. 2010

View full text Add to dashboard Cite

Low-energy fragility fractures account for >80% of fractures in elderly patients, and with aging populations, geriatric fracture surgery makes up a substantial proportion of the orthopedic workload. Elderly patients have markedly less physiologic reserve than do younger patients, and comorbidity is common. Even with optimal care, the risk of mortality and morbidity remains high. Multidisciplinary care, including early orthogeriatric input, is recommended to anticipate and treat complications. This article explores modern treatment strategies for this challenging group of patients and provides guidance for systematically preparing and optimizing elderly patients before surgery, based on best available current evidence and recommendations by relevant health organizations.

show abstract

“…Following study selection (see Supplementary file) twenty six papers were included in the scoping review: three systematic reviews [25][26][27], six randomised controlled trials (RCTs) [28][29][30][31][32][33], thirteen observational studies [2,[34][35][36][37][38][39][40][41][42][43][44][45], two qualitative surveys [46,47], and two qualitative studies [45,46].…”

Section: Types Of Studymentioning

confidence: 99%

“…Several studies reported that people should be encouraged to stand on the first post operative day and then mobilised after this as able [28,44,45,52], however the exact nature of this was not described in any detail.…”

Section: Interventionmentioning

confidence: 99%

Physiotherapy interventions for people with dementia and a hip fracture—a scoping review of the literature

et al. 2017

View full text Add to dashboard Cite

The findings of this scoping review suggest there is limited evidence to guide physiotherapists in the management of people with dementia who fracture their hip. No evidence was found about perceptions or experiences of patients in this group or of the physiotherapists involved in their care. Further research is needed to develop and evaluate physiotherapy interventions for people with dementia who fracture their hip.

show abstract

Factors Associated With an Immediate Weight-Bearing and Early Ambulation Program for Older Adults After Hip Fracture Repair

Cited by 27 publications

References 19 publications

Short-term and Long-term Orthopaedic Issues in Patients With Fragility Fractures

Short-term and Long-term Orthopaedic Issues in Patients With Fragility Fractures

How to optimize patients for geriatric fracture surgery

Physiotherapy interventions for people with dementia and a hip fracture—a scoping review of the literature

Contact Info

Product

Resources

About