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: July 20, 2021
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.
Objectives: 1. To evaluate the effects of treatment and physical rehabilitation kinesitherapy and magnetic therapy versus kinesitherapy and therapy with interference currents of patients with surgically treated pertrochanteric fracture with DHS- type KYLE I, II, according to the protocol results monitoring.
Material 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 surgically treated pertrochanteric fracture with DHS- type KYLE I, II. Respondents are divided into two groups: Examined cohort - 45 patients is treated with kinesitherapy and magnetic therapy and control group - which has 45 patients treated with kinesitherapy 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, 6 and 12 months, from the first review which is input for selected patients who meet the criteria for inclusion in research.
Results: It is recognized that, kinesitherapy and magnetic therapy for p < 0,05, increase Harris hip score (improve the condition of patients) in three time combinations. For p < 0,05, significant difference with Wilcoxon signed rank test was perceived between Harris hip score at: a) outs/6 months Z = 5,712 p = 0,0001 in addition to 6 months; b) discharge/12 months Z = 5,842 p = 0,0001 in addition to 12 months; c) 6 months/12 months Z = 5,844 p = 0,0001 in addition to 12 months. It is recognized that, kinesitherapy and interference currents, for p < 0,05, increase Harris hip score (improve the condition of patients) in three time combinations. For p < 0,05, significant difference with Wilcoxon signed rank test was perceived between Harris hip score: a) discharge/6 months Z = 5,842 p = 0,0001 in addition to 6 months; b) discharge/12 months Z = 5,842 p = 0,0001 in addition to 12 months; c) 6 months/12 months Z = 5,778 p = 0,0001 in addition to 12 months.
Conclusion: In the postoperative rehabilitation of pertochanteric fractures, with dynamic fixation implant- DHS, therapy of choice is kinesitherapy 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; Kinesitherapy
Citation: Mitrevska B., et al. “Evaluation the Results from Rehabilitation of Patients with Surgically Treated Pertrochanteric Fracture”. Acta Scientific Women's Health 3.8 (2021): 32-38.
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.