title: Hemiarthroplasty for displaced femoral neck fracture: good clinical outcome but uneven distribution of occupational therapy.
abstract: OBJECTIVE
  To assess rehabilitation, type of follow-up visits and outcome after bipolar hemiarthroplasty for femoral neck fracture.
  
  
  METHODS
  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).
  
  
  CONCLUSIONS
  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.
authors.affiliation: Department of Orthopaedic Surgery, Skane University Hospital Malmö, Malmö, SE-205 02, Sweden. inger.m.nilsson@skane.se
authors.forename: Inger
authors.initials: I
authors.lastname: Nilsson
authors.forename: Cecilia
authors.initials: C
authors.lastname: Rogmark
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects / Q000534:rehabilitation*; D003704:Dementia / Q000150:complications / Q000534:rehabilitation*; D005260:Female; D005265:Femoral Neck Fractures / Q000534:rehabilitation* / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009788:Occupational Therapy / Q000379:methods / Q000458:organization & administration; D010070:Oxalates; D010348:Patient Care Team; D059825:Physical Therapists; D011788:Quality of Life; D012086:Reoperation; D016896:Treatment Outcome
chemical_list: D010070:Oxalates; C121034:Pain-Free