Ambulatory function at three months is not influenced by the type of hip fracture. A comparative study between subcapital and pertrochanteric fractures
Purpose: Hip fractures are a significant socio-sanitary problem, representing one of the most frequent cause of admission in Orthopaedic Surgery Departments. To date there are no studies comparing the outcomes in terms of ambulatory function depending on the type of hip fracture (subcapital vs pertr...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-03-01
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| Series: | Journal of Orthopaedic Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2773157X23001042 |
| _version_ | 1797261787107688448 |
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| author | Miguel Vera Vega, MD Sergio Barroso Rosa, FEBOT PhD Carmen Nieves Hernández Flores, PhD |
| author_facet | Miguel Vera Vega, MD Sergio Barroso Rosa, FEBOT PhD Carmen Nieves Hernández Flores, PhD |
| author_sort | Miguel Vera Vega, MD |
| collection | DOAJ |
| description | Purpose: Hip fractures are a significant socio-sanitary problem, representing one of the most frequent cause of admission in Orthopaedic Surgery Departments. To date there are no studies comparing the outcomes in terms of ambulatory function depending on the type of hip fracture (subcapital vs pertrochanteric). Moreover, there is no clear consensus about the most useful assessment scales for this particular purpose; the novel Maximum Ambulatory Ability (MAA) score is presented. Methods: Cross-sectional observational study of ambispective nature. Participants were admitted after sustaining a hip fracture (pertrochanteric or subcapital) to the Orthopaedic Surgery Department of the Complejo Hospitalario Universitario Insular Materno Infantil and received surgical treatment, from September 2022, until the end of February 2023. Demographic and functional data was recorded at admission and after a follow-up period of 3 months. Results: The study included 70 subcapital and 72 pertrochanteric fractures with age and baseline function distribution. Functionality at 3-months according to the Functional Ambulatory (FAC) scale remained unchanged for 66.2 % of the patients, with no significant different among fracture types. According to the MMA scale, only 52.8 % of patients reached baseline function, with no differences between groups. Conclusion: Although a relevant proportion of patients lose ambulatory function after a hip fracture, at 3 months this is not influenced by fracture type. MAA scale revealed more sensitive than FAC in identifying ambulatory dependence for daily activities. The findings of this work add evidence to the recommendation of promoting the earliest possible functional recovery in hip fractured patients. |
| first_indexed | 2024-03-11T11:09:38Z |
| format | Article |
| id | doaj.art-9856a6e37b11460ea88e2a60bb8f7613 |
| institution | Directory Open Access Journal |
| issn | 2773-157X |
| language | English |
| last_indexed | 2024-04-24T23:46:46Z |
| publishDate | 2024-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Orthopaedic Reports |
| spelling | doaj.art-9856a6e37b11460ea88e2a60bb8f76132024-03-15T04:45:00ZengElsevierJournal of Orthopaedic Reports2773-157X2024-03-0131100232Ambulatory function at three months is not influenced by the type of hip fracture. A comparative study between subcapital and pertrochanteric fracturesMiguel Vera Vega, MD0Sergio Barroso Rosa, FEBOT PhD1Carmen Nieves Hernández Flores, PhD2Clinical and Surgical Sciences Department, Universidad de Las Palmas de Gran Canaria, SpainClinical and Surgical Sciences Department, Universidad de Las Palmas de Gran Canaria, Spain; Orthopaedics Department, Complejo Hospitalario Universitario Insular Materno Infantil de Gran Canaria, Spain; The Orthopaedic Research Institute of Queensland, Australia; Corresponding author. Clinical and Surgical Sciences Department, Universidad de Las Palmas de Gran Canaria, Spain.Mathematics Department, Universidad de Las Palmas de Gran Canaria, SpainPurpose: Hip fractures are a significant socio-sanitary problem, representing one of the most frequent cause of admission in Orthopaedic Surgery Departments. To date there are no studies comparing the outcomes in terms of ambulatory function depending on the type of hip fracture (subcapital vs pertrochanteric). Moreover, there is no clear consensus about the most useful assessment scales for this particular purpose; the novel Maximum Ambulatory Ability (MAA) score is presented. Methods: Cross-sectional observational study of ambispective nature. Participants were admitted after sustaining a hip fracture (pertrochanteric or subcapital) to the Orthopaedic Surgery Department of the Complejo Hospitalario Universitario Insular Materno Infantil and received surgical treatment, from September 2022, until the end of February 2023. Demographic and functional data was recorded at admission and after a follow-up period of 3 months. Results: The study included 70 subcapital and 72 pertrochanteric fractures with age and baseline function distribution. Functionality at 3-months according to the Functional Ambulatory (FAC) scale remained unchanged for 66.2 % of the patients, with no significant different among fracture types. According to the MMA scale, only 52.8 % of patients reached baseline function, with no differences between groups. Conclusion: Although a relevant proportion of patients lose ambulatory function after a hip fracture, at 3 months this is not influenced by fracture type. MAA scale revealed more sensitive than FAC in identifying ambulatory dependence for daily activities. The findings of this work add evidence to the recommendation of promoting the earliest possible functional recovery in hip fractured patients.http://www.sciencedirect.com/science/article/pii/S2773157X23001042Hip fractureFunctionOutcomesAmbulation3 months |
| spellingShingle | Miguel Vera Vega, MD Sergio Barroso Rosa, FEBOT PhD Carmen Nieves Hernández Flores, PhD Ambulatory function at three months is not influenced by the type of hip fracture. A comparative study between subcapital and pertrochanteric fractures Journal of Orthopaedic Reports Hip fracture Function Outcomes Ambulation 3 months |
| title | Ambulatory function at three months is not influenced by the type of hip fracture. A comparative study between subcapital and pertrochanteric fractures |
| title_full | Ambulatory function at three months is not influenced by the type of hip fracture. A comparative study between subcapital and pertrochanteric fractures |
| title_fullStr | Ambulatory function at three months is not influenced by the type of hip fracture. A comparative study between subcapital and pertrochanteric fractures |
| title_full_unstemmed | Ambulatory function at three months is not influenced by the type of hip fracture. A comparative study between subcapital and pertrochanteric fractures |
| title_short | Ambulatory function at three months is not influenced by the type of hip fracture. A comparative study between subcapital and pertrochanteric fractures |
| title_sort | ambulatory function at three months is not influenced by the type of hip fracture a comparative study between subcapital and pertrochanteric fractures |
| topic | Hip fracture Function Outcomes Ambulation 3 months |
| url | http://www.sciencedirect.com/science/article/pii/S2773157X23001042 |
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