Early rehabilitation following osteosynthesis with the sliding hip screw for trochanteric fractures.
A prospective study of 104 patients with throchanteric hip fractures was undertaken with particular regard to postoperative complications and rehabilitation at the follow-up 3 months later. The mortality was 20%, depended more on the social function prior to the fracture than on the patient's age. Osteosynthesis was performed with the Richards sliding screw-plate system. The most frequent clinical complications were of a cardiovascular and pulmonary nature. Technical failure was encountered in 10%. Hip function was excellent or good in 69%. In 40% the ability to walk remained unchanged after the operation. Seventy-five per cent of the patients returned to their own homes, although 51% were more dependent on the social welfare system than before the fracture. The social function prior to the fracture determined the social function after the fracture to a greater extent than did the patient's age.
D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D001860:Bone Plates; D001863:Bone Screws; D004434:Early Ambulation; D005260:Female; D006620:Hip Fractures / Q000534:rehabilitation* / Q000601:surgery; D006801:Humans; D008124:Locomotion; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011446:Prospective Studies