Operated versus non-operated hip fractures in a geriatric rehabilitation hospital.
A comparative study between 53 non-operated and 170 operated hip fractures was conducted in a geriatric rehabilitation hospital. The non-operated fractures were mainly of the trochanteric type. Time interval between the fracture and admission date to rehabilitation was shorter than 1 month for both groups. At the end of the rehabilitation treatment, 39.6% of the non-operated cases and 64.1% of the operated regained full walking independence. Fifteen per cent of the non-operated patients and 12.3% of the operated were able to walk with assistance, and 35% of non-operated cases versus 17.6% of operated cases remained unable to walk. Mortality rate was greater among the non-operated patients. Despite significant between-group difference in ambulatory capacity in favour of the operated group, the results support the view that a substantial percentage of non-operated patients can regain ambulation. Extraneous factors to the fracture itself such as mental status and motivation probably play a role in successful rehabilitation of the latter.
Pillar
T
T
Flieman Geriatric-Rehabilitation Hospital, Ramot-Remez, Haifa, Israel.
Gaspar
E
E
Poplingher
A R
AR
Dickstein
R
R
D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D005190:Family; D005260:Female; D006620:Hip Fractures / Q000401:mortality / Q000534:rehabilitation* / Q000601:surgery; D006801:Humans; D007902:Length of Stay; D008124:Locomotion; D008297:Male; D008603:Mental Health; D008875:Middle Aged; D009042:Motivation; D012047:Rehabilitation Centers; D012944:Social Support