Physiotherapeutic proceedings with patient after petrochanteric fracture
DOI:
https://doi.org/10.12775/JEHS.2021.11.08.019Keywords
fracture, therapy, hip-jointAbstract
Introduction: The elderly are often affected by hip fractures. A trochanteric fracture is defined as when the fracture fissure is between the capsule and 3 cm below the lesser trochanter. The most common cause of these fractures is osteoporosis in the elderly. Treatment of a trochanteric fracture may be operative or conservative. The aim of this study was to define a plan of physiotherapeutic treatment in a patient after fixation of a trochanteric fracture with an intramedullary nail.
Materials and methods: The work was written based on the medical history of a patient with a trochanteric fracture. The entire treatment procedure was carried out at the Department of Orthopedics, Traumatology and Oncology of the Musculoskeletal System, located at Unii Lubelskiej 1 in Szczecin.
Results: Rehabilitation is an indispensable element in the treatment process of patients after a trochanteric fracture. It is implemented already from 1 day after the surgery in order to activate the patient as soon as possible. Such a procedure is to ensure faster activation of the patient and to avoid adverse changes resulting from too long immobilization.
Conclusion: Rehabilitation is an indispensable element in the treatment of patients after a trochanteric fracture. Early patient activation reduces the risk of postoperative complications.
References
Górecki A, Marczyński W, Czerwiński E, Chmielewski D. Zasady profilaktyki, rozpoznawania i leczenia osteoporotycznych złamań Terapia. 2008;209:15-8.
Czerwinski E, Kanis JA, Trybulec B, Johansson H, Borowy P, Osieleniec J. The incidence and risk of hip fracture in Poland. Osteoporos Int. 2009;20:1363-7.
Epstein S. Postmenopausal osteoporosis: fracture consequences and treatment efficacy vary by skeletal site. Aging (Milano). 2000;12:330-41.
Benetos IS, Babis GC, Zoubos AB, Benetou V, Soucacos PN. Factors affecting the risk of hip fractures. Injury. 2007;38:735-44.
Trojan G, Panek A, Dziuba W. Fizjoterapia szpitalna pacjentów leczonych operacyjnie metodą Endera z powodu złamań krętarzowych kości udowej Przegląd Medyczny Uniwersytetu Rzeszowskiego. 2006;4:271-274.
Bednarenko M, Kotela I, Zieńczuk W. Korzec A.: Osteosynteza śródszpikowa w leczeniu złamań przezkrętarzowych na podstawie własnych doświadczeń w stosowaniu gwoździ Gamma i prętów Endera Przegląd Lekarski. 2008;65(1):37-41.
McRae R, Esser M, Gaździk TSZ. Leczenie złamań. Wydaw. Elsevier Urban&Partner. 2010. ISBN 83-7609-213-3.
Tylman D, Dzik A. Traumatologia narządu ruchu. Wydaw. Lekarskie PZWL; 2012. ISBN 83-200-4661-8 Tom II.
Gaździk TS. Zespolenia śródszpikowe. Wydaw. Lekarskie PZWL. 2006. ISBN 83-200-3094-3.
Tedesco D, Gibertoni D, Rucci P, Hernandez-Boussard T, Rosa S, Bianciardi L, Rolli M, Fantini MP. Impact of rehabilitation on mortality and readmissions after surgery for hip fracture. BMC Health Serv Res. 2018 Sep 10;18(1):701. doi: 10.1186/s12913-018-3523-x.
Braithwaite RS, Col NF, Wong JB. Estimating hip fracture morbidity, mortality and costs. J Am Geriatr Soc. 2003;51:364–370. doi: 10.1046/j.1532-5415.2003.51110.x.
Lahtinen A, Leppilahti J, Vähänikkilä H, Harmainen S, Koistinen P, Rissanen P, et al. Costs after hip fracture in independently living patients: a randomised comparison of three rehabilitation modalities. Clin Rehabil. 2017;31:672–685. doi: 10.1177/0269215516651480.
Cheng SY, Levy AR, Lefaivre KA, Guy P, Kuramoto L, Sobolev B. Geographic trends in incidence of hip fractures: a comprehensive literature review. Osteoporos Int. 2011;22:2575–2586. doi: 10.1007/s00198-011-1596-z.
Ireland AW, Kelly PJ, Cumming RG. Associations between hospital-based rehabilitation for hip fracture and two-year outcomes for mortality and independent living: an Australian database study of 1,724 elderly community-dwelling patients. J Rehabil Med. 2016;48:625–631. doi: 10.2340/16501977-2108.
Pfeufer D, Grabmann C, Mehaffey S, Keppler A, Böcker W, Kammerlander C, Neuerburg C. Weight bearing in patients with femoral neck fractures compared to pertrochanteric fractures: A postoperative gait analysis. Injury. 2019;50(7):1324-1328. doi: 10.1016/j.injury.2019.05.008.
Maciejuk-Płońska A, Nasiłowska-Barud A, Kostecka P, Fedorovich V. Psychological aspects of rehabilitation of the elderly people after femoral neck fracture. Pol Merkur Lekarski. 2012;32(187):79-81.
Downloads
Published
How to Cite
Issue
Section
License
The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0
Stats
Number of views and downloads: 502
Number of citations: 0
