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Critical Reviews™ in Physical and Rehabilitation Medicine

Published 4 issues per year

ISSN Print: 0896-2960

ISSN Online: 2162-6553

SJR: 0.141 SNIP: 0.129 CiteScore™:: 0.6 H-Index: 18

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Treatment and Rehabilitation After Hip Fracture in the Elderly

Volume 19, Issue 2, 2007, pp. 97-113
DOI: 10.1615/CritRevPhysRehabilMed.v19.i2.20
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ABSTRACT

Hip fracture is common in the elderly, and its incidence is predicted to increase in many countries. This article focuses on femoral neck and intertrochanteric fractures in the elderly, specifically discussing their classification, conservative and operative treatment, rehabilitation protocol, period of functional recovery, activities of daily living (ADL), instrumental activities of daily living (IADL), predictors for outcome, and health-related quality of life (HRQOL). The information was obtained from a Medline search of articles published in the English language literature. Femoral neck fractures should be classified into undisplaced and displaced fractures, and intertrochanteric fractures should be divided into stable and unstable fractures. Conservative treatment may be considered for undisplaced femoral neck and intertrochanteric fractures, but most of these fractures have been operated on. Immediate unrestricted weight bearing after surgery does not seem to increase the failure of any types of hip fracture. The appropriate intensity for rehabilitation is still controversial. Home-based rehabilitation with early discharge may be an alternative. Motor ADL, IADL, and HRQOL increase following hip fracture, but the majority of patients do not regain their prefracture levels. Statistical models with predictive accuracy from an independent sample are useful to predict functional outcome.

CITED BY
  1. Chong Carol Pei Wei, Savige Judith A., Lim Wen Kwang, Medical problems in hip fracture patients, Archives of Orthopaedic and Trauma Surgery, 130, 11, 2010. Crossref

  2. Borg Séverine, Chopin Florence, Hoppé Emmanuel, Morel Gauthier, Biver Emmanuel, Laroche Michel, Why and how should we investigate men for osteoporosis?, Joint Bone Spine, 78, 2011. Crossref

  3. Thomas Thierry, Foreword, Joint Bone Spine, 78, 2011. Crossref

  4. Gupta Abhaya, Havelock William, A new future for hip fracture care – orthogeriatrician lead in an ‘Acute’ Hip Unit, Clinical Medicine, 14, 6, 2014. Crossref

  5. Metzger P.Christopher, Lombardi Mark, Orthopedic trauma, in A Comprehensive Guide to Geriatric Rehabilitation, 2014. Crossref

  6. Auais Mohammad A., Eilayyan Owis, Mayo Nancy E., Extended Exercise Rehabilitation After Hip Fracture Improves Patients' Physical Function: A Systematic Review and Meta-Analysis, Physical Therapy, 92, 11, 2012. Crossref

  7. KAGAYA Hitoshi, Rehabilitation after Femoral Neck and Intertrochanteric Fractures in the Elderly, The Japanese Journal of Rehabilitation Medicine, 45, 10, 2008. Crossref

  8. KOBAYASHI Masanori, The Relationship between Activities of Daily Living (ADL) and Bone Fracture Condition of Femoral Neck Pseudoarthrosis Patients Undergoing Early Physical Therapy, Rigakuryoho Kagaku, 26, 2, 2011. Crossref

  9. Maeshima Shinichiro, Osawa Aiko, Nishio Daisuke, Hirano Yoshitake, Kigawa Hiroshi, Approaches to hip fractures in convalescent rehabilitation wards - Consideration of length of stay, number of sessions, and discharge destination, Japanese Journal of Comprehensive Rehabilitation Science, 3, 2012. Crossref

  10. Matsumura Jun, Kagaya Hitoshi, Preoperative Rehabilitation in Hip Fracture, The Japanese Journal of Rehabilitation Medicine, 59, 7, 2022. Crossref

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