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Hemiarthroplasty for displaced femoral neck fracture: good clinical outcome but uneven distribution of occupational therapy.

Nilsson, Inger and Rogmark, Cecilia LU (2011) In Disability and Rehabilitation 33. p.2329-2332
Abstract
Purpose. To assess rehabilitation, type of follow-up visits and outcome after bipolar hemiarthroplasty for femoral neck fracture. Method. Two hundred thirty-six consecutive patients with femoral neck fractures treated with hemiarthroplasty were followed for 30 months. Results. One hundred sixty-eight (71%) were women, 175 (74%) over 80 years old and 53 (22%) were demented. Of 150 patients with available 3-month data, 7 patients (5%) had not regained their walking ability. Seventy (47%) were pain-free and 112 (75%) were back in their original habitat. A hip-related complication leading to a contact with the orthopaedic department occurred in 20 of all patients (8%), and 7 (3%) of these underwent a revision surgery. One hundred eighty-seven... (More)
Purpose. To assess rehabilitation, type of follow-up visits and outcome after bipolar hemiarthroplasty for femoral neck fracture. Method. Two hundred thirty-six consecutive patients with femoral neck fractures treated with hemiarthroplasty were followed for 30 months. Results. One hundred sixty-eight (71%) were women, 175 (74%) over 80 years old and 53 (22%) were demented. Of 150 patients with available 3-month data, 7 patients (5%) had not regained their walking ability. Seventy (47%) were pain-free and 112 (75%) were back in their original habitat. A hip-related complication leading to a contact with the orthopaedic department occurred in 20 of all patients (8%), and 7 (3%) of these underwent a revision surgery. One hundred eighty-seven patients (79%) received occupational therapy (OT). Demented patients received OT more seldom (p < 0.001), as did patients aged 90 and older (p = 0.049). Conclusion. Due to the low rate of orthopaedic complications, these patients are now referred to their general practitioners, without any further follow-up at the orthopaedic department. Rehabilitation efforts are unevenly distributed. The need of increased rehabilitation efforts for demented or 'old old' patients is discussed. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Disability and Rehabilitation
volume
33
pages
2329 - 2332
publisher
Taylor & Francis
external identifiers
  • wos:000296499500020
  • pmid:21491989
  • scopus:80455149649
ISSN
0963-8288
DOI
10.3109/09638288.2011.570412
language
English
LU publication?
yes
id
8ac4d320-0f9c-4850-892d-d8b711414b05 (old id 1937111)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/21491989?dopt=Abstract
date added to LUP
2011-05-02 14:28:20
date last changed
2017-05-28 04:32:56
@article{8ac4d320-0f9c-4850-892d-d8b711414b05,
  abstract     = {Purpose. To assess rehabilitation, type of follow-up visits and outcome after bipolar hemiarthroplasty for femoral neck fracture. Method. Two hundred thirty-six consecutive patients with femoral neck fractures treated with hemiarthroplasty were followed for 30 months. Results. One hundred sixty-eight (71%) were women, 175 (74%) over 80 years old and 53 (22%) were demented. Of 150 patients with available 3-month data, 7 patients (5%) had not regained their walking ability. Seventy (47%) were pain-free and 112 (75%) were back in their original habitat. A hip-related complication leading to a contact with the orthopaedic department occurred in 20 of all patients (8%), and 7 (3%) of these underwent a revision surgery. One hundred eighty-seven patients (79%) received occupational therapy (OT). Demented patients received OT more seldom (p &lt; 0.001), as did patients aged 90 and older (p = 0.049). Conclusion. Due to the low rate of orthopaedic complications, these patients are now referred to their general practitioners, without any further follow-up at the orthopaedic department. Rehabilitation efforts are unevenly distributed. The need of increased rehabilitation efforts for demented or 'old old' patients is discussed.},
  author       = {Nilsson, Inger and Rogmark, Cecilia},
  issn         = {0963-8288},
  language     = {eng},
  pages        = {2329--2332},
  publisher    = {Taylor & Francis},
  series       = {Disability and Rehabilitation},
  title        = {Hemiarthroplasty for displaced femoral neck fracture: good clinical outcome but uneven distribution of occupational therapy.},
  url          = {http://dx.doi.org/10.3109/09638288.2011.570412},
  volume       = {33},
  year         = {2011},
}