ABSTRACT
Objective:
To analyze the influence of comprehensive
rehabilitation on postoperative functions in the
elderly patients with femoral intertrochanteric fracture.
Methods:
From June 2015 to June 2019, 144
elderly patients were treated at Department of
Orthopedics,
China-
Japan Friendship Hospital for femoral
intertrochanteric fractures by internal fixation with proximal femoral
nail anti-
rotation (PFNA). Of them, 65 received comprehensive
rehabilitation, including intervention
measures for details, prevention and management of comorbidities and
complications and active
exercise of the injured
limb, while 79 conventional
rehabilitation. In the comprehensive
rehabilitation group, there were 22
males and 43
females with an age of (76.6±6.7) years, and 18 cases of type 31-A1, 35 cases of type 31-A2 and 12 cases of type 31-A3 by the AO type. In the
control group, there were 23
males and 56
females with an age of (75.2±7.0) years, and 25 cases of type 31-A1, 39 cases of type 31-A2 and 15 cases of type 31-A3 by the AO type. The 2 groups were compared in terms of
visual analog scale (VAS), Harris
hip score, Barthel index, postoperative
ambulation time and
complications at 6 months after operation.
Results:
The 2 groups were comparable because there was no significant difference between them in the preoperative or intraoperative general data ( P>0.05). The comprehensive
rehabilitation group had a significantly lower VAS score (1.5±1.0), a significantly higher Harris
hip score(83.9±5.4), a significantly higher Barthel index (81.6±5.4), significantly shorter postoperative
ambulation time [(2.6±1.0) d], and a significantly lower
incidence of
complications [4.6% (3/65)] than the
control group did [1.9±1.2, 80.2±7.9, 78.2±7.9, (3.2±1.4) d, 16.5%(13/79), respectively] (all P< 0.05).
Conclusion:
For
elderly patients with femoral intertrochanteric fracture, comprehensive
rehabilitation can significantly reduce
complications, promote functional recovery of the
hip, and speed up recovery of capabilities of daily living compared with conventional
rehabilitation.