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ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2018, Number 1

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Acta Ortop Mex 2018; 32 (1)

Rehabilitation of hip fractures. Systematic review

Izaguirre A, Delgado I, Mateo-Troncoso C, Sánchez-Nuncio HR, Sánchez-Márquez W, Luque-Ramos A

Language: Spanish
References: 31
Page: 28-35
PDF size: 216.13 Kb.


ABSTRACT

Introduction: Hip fractures are considered among one of the most disabling injuries in patients older than 60 years of age. This fractures are associated with a high incidence of mortality and it is the leading cause of hospital admission that requires surgical treatment in Orthopaedic Trauma Centers. Methods: This systematic review aimed to group, classify and report the best level of evidence of physical therapy and rehabilitation of patients that have been treated with osteostynthesis after trochanteric or subtrochanteric fracture. The outcomes of efficacy and safety were return to activities of daily living, independence and rate of complications. Results: We identified 3,889 abstracts from PubMed, and 1,567 abstracts from other sources, after eliminating duplicates, and posterior to a thorough screening 378 abstracts were read. From these, 316 abstracts were excluded, and 62 articles were considered eligible. After reading for relevant outcomes 41 articles were excluded. Synthesis was based in 21 studies. Conclusions: Long term results of specialized physical therapy, appear to be crucial in the first months after surgery, and not that important after the four months after surgery. Recent literature supports that the differences of daily activities and independence of the patients that survive a hip fracture tend to be similar with no difference in the type of physical therapy.


REFERENCES

  1. Intervenciones de enfermería en la atención del adulto mayor con fractura de cadera. México: Instituto Mexicano del Seguro Social, 2013.

  2. Guía de Práctica Clínica para la Valoración Geriátrica Integral en Unidades de Atención Médica. México: Instituto Mexicano del Seguro Social, 2011.

  3. Campos F, Girbes I, Canto M, Gonzales E: Fractura de cadera. Un problema que previsiblemente aumentará en los próximos años. Enfermería Integral. 2005; 71: 17-20.

  4. Kopp L, Edelmann K, Obruba P, Procházka B, Blstáková K, Dzupa V: Mortality risk factors in the elderly with proximal femoral fracture treated surgically. Acta Chir Orthop Traumatol Cech. 2009; 76(1): 41-6.

  5. Wiss DA: Fracturas-Master en cirugía ortopédica. Editorial Marban. España: 2003.

  6. Söderqvist A, Miedel R, Ponzer S, Tidermark J: The influence of cognitive function on outcome after a hip fracture. J Bone Joint Surg Am. 2006; 88A(10): 2115-23.

  7. Salpakoski A, Törmäkangas T, Edgren J, Kallinen M, Sihvonen SE, Pesola M, et al: Effects of a multicomponent home-based physical rehabilitation program on mobility recovery after hip fracture: a randomized controlled trial. J Am Med Dir Assoc. 2014; 15(5): 361-8.

  8. Taraldsen K, Sletvold O, Thingstad P, Saltvedt I, Granat MH, Lydersen S, et al: Physical behavior and function early after hip fracture surgery in patients receiving comprehensive geriatric care or orthopedic care- -a randomized controlled trial. J Gerontol A Biol Sci Med Sci. 2014; 69(3): 338-45.

  9. Portegijs E, Rantakokko M, Edgren J, Salpakoski A, Heinonen A, Arkela M, et al: Effects of a rehabilitation program on perceived environmental barriers in older patients recovering from hip fracture: a randomized controlled trial. BioMed Res Int. 2013; Article ID 769645.

  10. Van Ooijen MW, Roerdink M, Trekop M, Visschedijk J, Janssen TW, Beek PJ: Functional gait rehabilitation in elderly people following a fall-related hip fracture using a treadmill with visual context: design of a randomized controlled trial. BMC Geriatr. 2013; 13: 34.

  11. Burns A, Banerjee S, Morris J, Woodward Y, Baldwin R, Proctor R, et al: Treatment and prevention of depression after surgery for hip fracture in older people: randomized, controlled trials. J Am Geriatr Soc. 2007; 55(1): 75-80. [MEDLINE: 17233688]

  12. Hagsten B, Svensson O, Gardulf A: Early individualized postoperative occupational therapy training in 100 patients improves ADL after hip fracture: a randomized trial. Act Orthop Scan. 2004; 75(2): 177-83. [MEDLINE: 15180233]

  13. Strömberg L1, Ohlén G, Nordin C, Lindgren U, Svensson O: Postoperative mental impairment in hip fracture patients. A randomized study of reorientation measures in 223 patients. Act Orthop Scan. 1999; 70(3): 250-5. [MEDLINE: 10429599]

  14. Milte R, Miller MD, Crotty M, Mackintosh S, Thomas S, Cameron ID, et al: Cost-eff ectiveness of individualized nutrition and exercise therapy for rehabilitation following hip fracture. J Rehabil Med. 2016; 48(4): 378-85.

  15. Lima CA, Sherrington C, Guaraldo A, Moraes SA, Varanda RD, Melo JA, et al: Eff ectiveness of a physical exercise intervention program in improving functional mobility in older adults after hip fracture in later stage rehabilitation: protocol of a randomized clinical trial (REATIVE Study). BMC Geriatr. 2016; 16(1): 198.

  16. Edgren J, Salpakoski A, Sihvonen SE, Portegijs E, Kallinen M, Arkela M, et al: Eff ects of a home-based physical rehabilitation program on physical disability after hip fracture: a randomized controlled trial. J Am Med Dir Assoc. 2015; 16(4): 350.e1-7.

  17. Hill KD, Hunter SW, Batchelor FA, Cavalheri V, Burton E: Individualized home-based exercise programs for older people to reduce falls and improve physical performance: a systematic review and meta-analysis. Maturitas. 2015; 82(1): 72-84.

  18. Beaupre LA, Carson JL, Noveck H, Magaziner J: Recovery of walking ability and return to community living within 60 days of hip fracture does not diff er between male and female survivors. J Am Geriatr Soc. 2015; 63(8): 1640-4.

  19. Lahtinen A, Leppilahti J, Harmainen S, Sipilä J, Antikainen R, Seppänen ML, et al: Geriatric and physically oriented rehabilitation improves the ability of independent living and physical rehabilitation reduces mortality: a randomised comparison of 538 patients. Clin Rehab. 2015; 29(9): 892-906. Epub 2014 Dec 1.

  20. Latham NK, Harris BA, Bean JF, Heeren T, Goodyear C, Zawacki S, et al: Eff ect of a home-based exercise program on functional recovery following rehabilitation after hip fracture: a randomized clinical trial. JAMA. 2014; 311(7): 700-8.

  21. Shyu YI, Liang J, Tseng MY, Li HJ, Wu CC, Cheng HS, et al: Comprehensive and subacute care interventions improve healthrelated quality of life for older patients after surgery for hip fracture: a randomised controlled trial. Int J Nurs Stud. 2013; 50(8): 1013-24.

  22. Allegrante JP, Peterson MG, Cornell CN, MacKenzie CR, Robbins L, Horton R, et al: Methodological challenges of multiple-component intervention: lessons learned from a randomized controlled trial of functional recovery following hip fracture. HSS J. 2007; 3(1): 63-70.

  23. Huang TT, Liang SH: A randomized clinical trial of the eff ectiveness of a discharge planning intervention in hospitalized elders with hip fracture due to falling. J Clin Nurs. 2005; 14(10): 1193-201. [MEDLINE: 16238765]

  24. Krichbaum K. GAPN postacute care coordination improves hip fracture outcomes. Western J Nur Res. 2007; 29(5): 523-44. [MEDLINE: 17526868]

  25. Resnick B, Orwig D, Yu-Yahiro J, Hawkes W, Shardell M, Hebel JR, et al: Testing the effectiveness of the exercise plus program in older women post-hip fracture. Ann Behav Med. 2007; 34(1): 67-76. [MEDLINE: 17688398]

  26. Elinge E, Lofgren B, Gagerman E, Nyberg L: A group learning programme for old people with hip fracture: a randomized study. Scandinavian Journal of Occupational Therapy. 2003; 10(1): 27-33. [EMBASE: 2003142277]

  27. Tinetti ME, Baker DI, Gottschalk M, Williams CS, Pollack D, Garrett P, et al: Home-based multicomponent rehabilitation program for persons after hip fracture: a randomized trial. Arch Phys Med Rehabil. 1999; 80(8): 916-22. [MEDLINE: 10453768]

  28. Handoll HH, Cameron ID, Mak JC, Finnegan TP. Multidisciplinary rehabilitation for older people with hip fractures. Cochrane Database Syst Rev. 2009; (4): CD007125.

  29. Skelly JM, Guyatt GH, Kalbfl eisch R, Singer J, Winter L. Management of urinary retention after surgical repair of hip fracture. CMAJ. 1992; 146(7): 1185-9. [MEDLINE: 1555145]

  30. Avenell A, Handoll HH. Nutritional supplementation for hip fracture aftercare in older people. Cochrane Database Syst Rev. 2006; 18(4): CD001880.

  31. Handoll HH, Sherrington C. Mobilisation strategies after hip fracture surgery in adults. Cochrane Database Syst Rev. 2007; (1): CD001704.




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