Author/Editor     Smrke, Dragica; Biščević, Mirza
Title     Prijelom kuka - osobni, obiteljski i društveni problem treće životne dobi
Translated title     Hip fracture - personal, family and social problem of the third age
Type     članek
Source     Acta Med Croatica
Vol. and No.     Letnik 62, št. 3
Publication year     2008
Volume     str. 257-62
Language     cro
Abstract     Aim: The percentage of elderly people increases in societies today and so does the number of specific conditions, illnesses and injuries, with hip fracture as the most important one. The aim of the study was to point to hip fracture as a medical and social problem by objectively quantifying functional abilities of geriatric patients after hip fracture. Patienfs and Methods: The study included 414 (63 male and 351 female) with femoral neck hacture and hip endoprosthesis implanted at University Department of Traumatology in Ljubljana during the 1988-2004 period. Data on sez distribution, concomitant diseases, complications, estimation of functionality before injury, and dynamic and final level of functional recovery were collected. Results: The patient mean age was 77+-7.3 (range 28-96) years. Excellent mobility before injury, according to personal report, was recorded in 322 (77.78%), good mobility in 78 (18.84%) and poor mobility in only 14 (3.38%) patients. The mean dynamics of functional recovery was as follows: independent sitting at 2 days, standing at 3.6 days, and walking at 7 days of the surgery. Atthe end of rehabilitation, an average patient felt periodic pain that did not affect his/her activities, could walk without problems at least one kilometer, limped to a certain degree, used a cane, could climb stairs holding a handrail, sat in the chair for a long time, put on shoes and socks wiih minor difficulties, used public transportation and had no significant deformity of the hip. With that level of functionality, our patients were independent in daily activities, able to stay socially integrated, and other people's help was reduced to the minimum. (Abstract truncated at 2000 characters)
Descriptors     FEMORAL NECK FRACTURES
HIP PROSTHESIS
BIOMECHANICS
TREATMENT OUTCOME
AGED