Perioperative characteristics of hip fractures and effects of early rehabilitation in elderly patients
10.3760/cma.j.issn.0254-9026.2018.12.010
- VernacularTitle:老年髋部骨折患者围术期特点及术后早期康复的疗效
- Author:
Sihai LIU
1
;
Fei WANG
;
Xinzuo HAN
;
Zhigang CUI
;
Anqing WANG
;
Kemin LIU
Author Information
1. 首都医科大学骨外科学系中国康复研究中心北京博爱医院骨科
- Keywords:
Hip fractures;
Rehabilitation;
Intraoperative periool
- From:
Chinese Journal of Geriatrics
2018;37(12):1337-1339
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the perioperative characteristics of hip fractures and the effects of early rehabilitation in elderly patients. Methods Clinical data of 123 elderly patients admitted to our department from January 2012 to January 2014 were retrospectively analyzed. Patients were divided into a rehabilitation group and a control group ,based on whether rehabilitation therapy was offered.Comparison was made between the two groups on postoperative mortality and postoperative complications. Results Of 123 patients ,there were 51 males and 72 females ,with a mean age of (83.5 ± 4.8)years(aged 67~96 years).Femoral fractures were seen in 32 patients and femoral intertrochanteric fractures in 91 patients.Before operation ,112 (91.1% ) patients had concomitant diseases. There were significant differences in postoperative complications and one-year mortality after operation between patients receiving early rehabilitation and controls (5/60 or 8.3% vs.14/63 or 22.2% ,4/60 or 6.7% vs.13/63 or 20.6% ,χ2=4.539 and 5.034 ,P=0.033 and 0.025 , respectively ). Conclusions Elderly hip fracture patients have many concomitant diseases before operation.With appropriate perioperative management ,well-chosen methods of anesthesia and surgery ,and early postoperative rehabilitation measures ,the incidence of perioperative complications and one-year mortality can be decreased ,and desirable surgical outcomes can be attained.
