Outcomes and Weight‐bearing Status During Rehabilitation After Arthroplasty for Hip Fractures

Abstract

WBAT is associated with a greater likelihood of home discharge and had similar functional outcomes compared with restricted weight bearing. These findings add support for allowing WBAT after arthroplasty for hip fracture.

Non-Weight-Bearing Status Compromises the Functional Level Up to 1 yr After Hip Fracture Surgery

“…Similar findings were reported by Wu et al 4 and Siebens et al 5 However, a study with a different focus (all patients allowed immediate WB) showed that surgery on a preholiday was associated with retarded WB (ability to stand for 2 mins within 48 hrs). Similar findings were reported by Wu et al 4 and Siebens et al 5 However, a study with a different focus (all patients allowed immediate WB) showed that surgery on a preholiday was associated with retarded WB (ability to stand for 2 mins within 48 hrs).…”

“…5,6 However, the decision to allow early, full WB (practiced as WBAT) after hip fracture differs from one country to the next. 1Y4 It has been shown that patients voluntarily limit loading of the fractured limb within the first 3Y4 mos after hip fracture surgery, beyond BWB as tolerated[ (WBAT).…”

“…5,6 However, the decision to allow early, full WB (practiced as WBAT) after hip fracture differs from one country to the next. 5 The follow-up of patients admitted to skilled nursing and inpatient facilities showed a 2.6 greater likelihood of home discharge when allowed WBAT as compared with restricted WB. 4 In a recent North American study, 79% of a group of hip fracture patients treated with arthroplasty were allowed WBAT.…”

“…In northern Europe, around 95% of patients are allowed WBAT after hip fracture surgery, with no surgical restrictions of WB, 7,8 whereas 77% were allowed WB in an Australian study. 5 The rationale for restricted WB after hip fracture surgery reflects concerns about the stability of the fracture and the belief that surgical complications are reduced with less WB. 5 The follow-up of patients admitted to skilled nursing and inpatient facilities showed a 2.6 greater likelihood of home discharge when allowed WBAT as compared with restricted WB.…”

Predictors of Long-Term Mortality in Older People With Hip Fracture

“…The influence of early WB and mobilization on the postoperative functional outcome after a hip fracture has been evaluated in a number of studies. [35][36][37] Yet, there is a lack of knowledge about the influence of the WB status specifically on mortality after hip fracture. Several studies 4,20 have explored complications such as respiratory disease as a risk factor of mortality, but it is not known whether these complications could be due to late WB and mobilization.…”