Loss of Independence After Operative Management of Femoral Neck Fractures
| Autor: | Emil H, Schemitsch, Sheila, Sprague, Martin J, Heetveld, Sofia, Bzovsky, Diane, Heels-Ansdell, Qi, Zhou, Marc, Swiontkowski, Mohit, Bhandari, Kyle, Jeray |
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| Přispěvatelé: | Surgery |
| Rok vydání: | 2019 |
| Předmět: |
Male
Activities of daily living Time Factors functional recovery medicine.medical_treatment Bone Screws Dentistry femoral neck fractures Femoral Neck Fractures law.invention 0302 clinical medicine Randomized controlled trial law Activities of Daily Living Medicine and Health Sciences LIVING STATUS cancellous screws Orthopedics and Sports Medicine Orthopedic Procedures health care economics and organizations Aged 80 and over 030222 orthopedics Hip fracture Rehabilitation Orthopedic Equipment sliding hip screws General Medicine Middle Aged mobility humanities aged medicine.anatomical_structure Treatment Outcome Female activities of daily living musculoskeletal diseases medicine.medical_specialty fragility fracture 03 medical and health sciences medicine Humans Femoral neck Aged patient autonomy business.industry 030208 emergency & critical care medicine medicine.disease Orthopedic surgery Surgery business human activities |
| Zdroj: | Journal of Orthopaedic Trauma, 33(6), 292-300. Lippincott Williams & Wilkins Bone and Joint Institute |
| ISSN: | 1531-2291 0890-5339 |
| Popis: | © 2019 Lippincott Williams and Wilkins. All rights reserved. Objectives:The FAITH trial evaluated effects of sliding hip screws versus cancellous screws in femoral neck fracture patients. Using FAITH trial data, we quantified changes in living status, use of AIDS, and investigated factors associated with living and walking independently 12 months after fracture.Methods:We conducted a descriptive analysis to quantify patients' changes in living status, use of AIDS, and used multivariable Cox regression analyses to determine factors associated with living and walking independently after fracture.Results:Of patients who lived independently before hip fracture, 3.07% (50-80 years old) and 19.81% (>80 years old) were institutionalized 12 months after injury. Of patients who were walking independently before injury, 33.62% (50-80 years old) and 69.34% (>80 years old) required a walking aid 12 months after injury. Factors associated with higher chances of living independently included the following: Being between 50 and 80 years, having a class I American Society of Anesthesiologists classification, not using a walking aid before fracture, being a nonsmoker or former smoker, and having an acceptable quality of implant placement. Factors associated with higher chances of walking without an aid included the following: Being between 50 and 80 years, having a class I American Society of Anesthesiologists classification, living independently before fracture, being a nonsmoker or former smoker, having an undisplaced fracture, and not requiring revision surgery.Conclusions:Femoral neck fracture patients suffer great losses of independence. Identifying factors associated with living and walking independently after hip fracture may help surgeons better identify which patients are at risk and optimize care of patients with this injury.Level of Evidence:Prognostic Level II. See Instructions for Authors for a complete description of levels of evidence. |
| Databáze: | OpenAIRE |
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