Acta Scientific Women's Health (ASWH)(ISSN: 2582-3205)

Research Article Volume 3 Issue 8

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: July 20, 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.

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

References

  1. Santora TA., et al. “Management of trauma in eldery patient”. Surgical Clinics of North America 74 (1994): 163-186.
  2. Schwab CW and Kauder DR. “Trauma in geriatric patient”. Archives of Surgery 127 (2002): 701-706.
  3. Jensen JS. “Classification of trochanteric fractures”. Acta Orthopedica Scandinavica 51 (1980): 1-6: 803-810.
  4. Taylor BC., et al. “Long term prediction of incident hip fracture risk in elderly white womwn: study of osteoporotic fractures”. Journal of the American Geriatrics Society9 (2004): 1479-1486.
  5. Dargent-Molina P., et al. “Fall-related factors and risk of hip fracture: the Epidos prospective study”. Lancet 9021 (1996): 145-149.
  6. DeMaria EJ., et al. “Survival after trauma in geriatric patients”. Annals of Surgery 206 (1987): 738-743.
  7. Moseley AM., et al. “Mobility training after hip fracture: a randomised controlled trial”. Age Ageing1 (2009): 74-80.
  8. Marottoli RC., et al. “Decline in physical function following hip fracture”. Journal of the American Geriatrics Society 40 (1992): 861-866.
  9. Seitz DP., et al. “Prevalence of dementia and cognitive impairment among older adults with hip fractures”. Journal of the American Medical Directors Association 8 (2011): 556-564.
  10. Huusko TM., et al. “Randomized, clinically controlled trial of intensive geriatric rehabilitation in patients with hip fracture: subgroup analysis of patients with dementia”. British Medical Journal 321 (2000): 1107-1111.
  11. Oldmeadow LB., et al. “No rest for the wounded: early ambulation after hip surgery accelerates recovery”. ANZ Journal of Surgery7 (2006): 607-611.
  12. Beaupre LA., et al. “Maximinising functional recovery following hip fracture in frail seniors”. Best Practice and Research: Clinical Rheumatology 6 (2013): 771-788.
  13. Portegijs E., et al. “Effects of resistance training on lower- extremity impairments in older people with hip fracture”. Archives of Physical Medicine and Rehabilitation9 (2008): 1667-1674.
  14. Liang C., et al. “Efficacies of surgical treatments based on harris hip score in eldery patients with femoral neck fracture”. International Journal of Clinical and Experimental Medicine5 (2015): 6784-6793.
  15. Zuh SG., et al. “Correlations between the Harris hip score and Visual Analogue Scale in the assessment of total hip replacement in hip dysplasia”. ARS Medica Tomitana76 (2004): 6-13.
  16. Hoeksma HL., et al. “Comparison of the responsiveness of the Harris Hip Score with generic measures for hip function in osteoarthritis of the hip”. Annals of the Rheumatic Diseases 62 (2003): 935-938.
  17. Mitrevska B., et al. “Rehabilitation and Harris hip score in patients with DHS surgically treated pertrochanteric Kyle fracture type I,II”. Physioacta 2 (2016): 1-12.

Citation

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

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.




Metrics

Acceptance rate35%
Acceptance to publication20-30 days

Indexed In





News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is February 15, 2023.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of “Best Article of the Issue”.
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.
  • Contact US