Acta Scientific Orthopaedics (ASOR)(ISSN: 2581-8635)

Research Article Volume 4 Issue 10

Evaluation the Results from Rehabilitation of Patients with Surgically Treated Pertrochanteric Fracture

Mitrevska B1*, Koevska V1 and Grkova-Miskovska E2

1Medical Faculty, University Clinic of Physical Medicine and Rehabilitation, University Ss. Cyril and Methodius - Skopje, Republic of North Macedonia
2Department of Physical Medicine and Rehabilitation, City Hospital, Skopje, Republic of North Macedonia

*Corresponding Author: Mitrevska B, Medical Faculty, University Clinic of Physical Medicine and Rehabilitation, University Ss. Cyril and Methodius - Skopje, Republic of North Macedonia.

Received: July 13, 2021; Published: September 23, 2021

Abstract

Introduction: Adult population generally is more sensitive and exposed to various injuries, which means increased opportunity for the emergence of various kinds of geriatric trauma. By increasing average length of life, solving fractures of the upper end of the femur is a major problem for the modern surgery.

Aim of the Study: Aim is to evaluate the effects of treatment and physical rehabilitation with kinesiotherapy and magnetic therapy versus kinesiotherapy and therapy with interference currents of patients with surgically treated pertrochanteric fracture with DHS- type KYLE I, II, according to the protocol results monitoring.

Materials and Methods: The study represents a prospective randomized clinical trial implemented at the Institute for Physical Medicine and Rehabilitation - Skopje. Include two cohorts, with 90 participants with pertrochanteric fracture treated surgically with DHS- type KYLE I, II. Respondents are divided into two groups: Examined group - 45 patients, treated with kinesiotherapy and magnetic therapy and control group - 45 patients treated with kinesiotherapy and therapy with interference currents. Respondents were followed for one year, during which were performed three examinations, the first control on the day of discharge of the hospital, than after 6 and 12 months, from the first review which is input for selected patients who meet the criteria for inclusion in research.

Results: For p > 0.05, there is no statistically significant difference between the groups in terms of the gender of the respondents (Pearson Chi-square = 0.6527, df = 1, p = 0.4191. For p <0.05, a significant difference was found between the respondents from the two groups in terms of the status of formed callus (Pearson Chi-square = 10,181, df = 1, p = 0,0014). It is recognized that, kinesiotherapy and magnetic therapy and kinesiotherapy and interference currents, for p < 0,05, increase Harris hip score (improve the condition of patients) in three time combinations. On physical examination after discharge, 6 and 12 months, Harris hip score for the group treated with magnetic therapy is significantly higher compared with the same in the group treated with interference currents,

Conclusion: In the postoperative rehabilitation of pertrochanteric fractures, with dynamic fixation implant-DHS, therapy of choice is kinesiotherapy and magnetic therapy. It resulted with improvement in the functional status, the stimulation of osteogenesis and quality of life in elderly patients.

Keywords: Pertrochanteric Fracture; DHS-dynamic Hip Screw; Magnetic Therapy; Interference Currents; Kinesiotherapy

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Citation

Citation: Mitrevska B., et al. “Mitrevska B”. Acta Scientific Orthopaedics 4.10 (2021): 67-74.

Copyright

Copyright: © 2021 Mitrevska B., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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Acceptance rate35%
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Impact Factor0.742

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