BRAIN. Broad Research in Artificial Intelligence and Neuroscience

Volume: 10 | Issue: 3

Postoperative Weight-Bearing after Uncemented Bipolar Hemiarthroplasty for Femoral Neck Fractures in Geriatric Patients with Dementia

Paul Dan Sîrbu - Grigore T. Popa University of Medicine and Pharmacy (RO), Norin Forna - Grigore T. Popa University of Medicine and Pharmacy (RO), Dragoș Cristian Popescu - Grigore T. Popa University of Medicine and Pharmacy (RO), Razvan Tudor - Vaslui County Hospital (RO), Wilhelm Friedl - Wertheim Hospital (DE), Anamaria Ciubara - Dunărea de Jos University of Galați (RO), Bogdan Mihnea Ciuntu - Grigore T. Popa University of Medicine and Pharmacy (RO), Grigore Berea - Emergency County Hospital Piatra Neamț, Department of Orthopedics and Traumatology (RO),

Abstract

Dementia and hip fractures are two crucial problems in the elderly and the associations of these pathologies increase substantial morbidity and mortality. 178 patients with dementia (average age 81.5 years) were operated with an uncemented bipolar prosthesis for a displaced femoral neck fracture. They started rehabilitation sessions in the immediate postoperative period and were divided into two groups: group 1 — partial weight-bearing for 72 cases — and group 2 — total weight-bearing for 106 cases. 17 patients were unable to walk and 6 died during hospitalization. 172 patients were discharged to a rehabilitation department (46.6%) or to their home with (31.9%) or without (21.5%) rehabilitation facilities. During follow-up, 103 out of 172 patients accepted a phone interview. After three months 55 patients had regained the pre-fracture level of independence (6 patients from group 1 and 49 patients from group 2; 81% were included in a rehabilitation program). The mortality at one year postoperative period was 26.21%; the majorities of these patients were included in group 1, were more than 80 years old and had more than 4 comorbidities (except dementia).

The authors concluded that, for patients undergoing uncemented bipolar HA, immediate total weight-bearing and discharging to a rehabilitation facility showed a better recovery and return to the pre-fracture level, as well as a better one-year survival rate.

This abstract has been viewed 574 times.

Full Text:

PDF


DOI: http://dx.doi.org/10.70594/brain/v10.s1/9

(C) 2010-2025 EduSoft