Staff View: Mobility and Hip Function Among Geriatric Patients With Displaced Neck of Femur Fractures Treated With Arthroplasty

Mobility and Hip Function Among Geriatric Patients With Displaced Neck of Femur Fractures Treated With Arthroplasty

Abstract Background: Neck of femur fractures result in impaired function for older people. Despite surgery, many patients experience a decrease in functional level and poorer health status after the injury. The objectives of this study were (1) to determine the short-term mobility and hip function...

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Main Authors:	Jade Pei Yuik, Ho, Amy Yoke Foong, Wong, Ong, Lik Han, Ankimtay, Rutel, Sabaruddin, Abdullah, Mohd Shahrul Azuan, Jaafar, Bong, Chun Haw, Tan, Kean Tee, Reuben Prashant, Rao, Faris, Kamaruddin
Format:	Article
Language:	English
Published:	SAGE Publications Inc. 2023
Subjects:	Q Science (General) QM Human anatomy R Medicine (General) RD Surgery
Online Access:	http://ir.unimas.my/id/eprint/41873/4/Mobility.pdf http://ir.unimas.my/id/eprint/41873/ https://journals.sagepub.com/doi/full/10.1177/21514593231164245
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spelling	my.unimas.ir.418732023-05-30T00:41:55Z http://ir.unimas.my/id/eprint/41873/ Mobility and Hip Function Among Geriatric Patients With Displaced Neck of Femur Fractures Treated With Arthroplasty Jade Pei Yuik, Ho Amy Yoke Foong, Wong Ong, Lik Han Ankimtay, Rutel Sabaruddin, Abdullah Mohd Shahrul Azuan, Jaafar Bong, Chun Haw Tan, Kean Tee Reuben Prashant, Rao Faris, Kamaruddin Q Science (General) QM Human anatomy R Medicine (General) RD Surgery Abstract Background: Neck of femur fractures result in impaired function for older people. Despite surgery, many patients experience a decrease in functional level and poorer health status after the injury. The objectives of this study were (1) to determine the short-term mobility and hip function of geriatric patients who underwent hip replacement surgery for a displaced neck of femur fracture in our local population and (2) to identify factors which affect the functional outcome of these patients. Methods: Patients aged 60 years and above, who were admitted for neck of femur fracture from January 2017 to December 2020, and treated surgically with arthroplasty, were included. Information on patient demography, comorbidities, perioperative data, mobility, hip function and complications were retrospectively collected. Outcome measures used were independent ambulation and recovery of pre-fracture mobility at 1 year after surgery while hip function was assessed using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) total, pain, stiffness, and physical function scores. Factors associated with these outcomes were analyzed. Results: 168 patients with a mean age of 75.2 (SD 8.4) years met the inclusion criteria. 32.1% of patients regained their pre-fracture mobility and 59.6% remained independent 1 year after surgery. Logistic regression analysis identified age, gender, surgical procedure, and time to surgery as significant contributors to recovery of pre-fracture mobility. Older age and increasing requirement for postoperative ambulatory aid resulted in worse WOMAC total and physical function scores. No significant differences were observed in patient-reported hip function between those who had a total hip arthroplasty and those who had a hemiarthroplasty. Conclusion: Most geriatric patients with displaced neck of femur fractures did not regain pre-fracture mobility despite surgical treatment with arthroplasty. Keywords: arthroplasty; geriatric; hip function; mobility; neck of femur fracture. SAGE Publications Inc. 2023 Article PeerReviewed text en http://ir.unimas.my/id/eprint/41873/4/Mobility.pdf Jade Pei Yuik, Ho and Amy Yoke Foong, Wong and Ong, Lik Han and Ankimtay, Rutel and Sabaruddin, Abdullah and Mohd Shahrul Azuan, Jaafar and Bong, Chun Haw and Tan, Kean Tee and Reuben Prashant, Rao and Faris, Kamaruddin (2023) Mobility and Hip Function Among Geriatric Patients With Displaced Neck of Femur Fractures Treated With Arthroplasty. Geriatric Orthopaedic Surgery & Rehabilitation, 14. pp. 1-9. ISSN 2151-4593 https://journals.sagepub.com/doi/full/10.1177/21514593231164245 DOI: 10.1177/21514593231164245
institution	Universiti Malaysia Sarawak
building	Centre for Academic Information Services (CAIS)
collection	Institutional Repository
continent	Asia
country	Malaysia
content_provider	Universiti Malaysia Sarawak
content_source	UNIMAS Institutional Repository
url_provider	http://ir.unimas.my/
language	English
topic	Q Science (General) QM Human anatomy R Medicine (General) RD Surgery
spellingShingle	Q Science (General) QM Human anatomy R Medicine (General) RD Surgery Jade Pei Yuik, Ho Amy Yoke Foong, Wong Ong, Lik Han Ankimtay, Rutel Sabaruddin, Abdullah Mohd Shahrul Azuan, Jaafar Bong, Chun Haw Tan, Kean Tee Reuben Prashant, Rao Faris, Kamaruddin Mobility and Hip Function Among Geriatric Patients With Displaced Neck of Femur Fractures Treated With Arthroplasty
description	Abstract Background: Neck of femur fractures result in impaired function for older people. Despite surgery, many patients experience a decrease in functional level and poorer health status after the injury. The objectives of this study were (1) to determine the short-term mobility and hip function of geriatric patients who underwent hip replacement surgery for a displaced neck of femur fracture in our local population and (2) to identify factors which affect the functional outcome of these patients. Methods: Patients aged 60 years and above, who were admitted for neck of femur fracture from January 2017 to December 2020, and treated surgically with arthroplasty, were included. Information on patient demography, comorbidities, perioperative data, mobility, hip function and complications were retrospectively collected. Outcome measures used were independent ambulation and recovery of pre-fracture mobility at 1 year after surgery while hip function was assessed using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) total, pain, stiffness, and physical function scores. Factors associated with these outcomes were analyzed. Results: 168 patients with a mean age of 75.2 (SD 8.4) years met the inclusion criteria. 32.1% of patients regained their pre-fracture mobility and 59.6% remained independent 1 year after surgery. Logistic regression analysis identified age, gender, surgical procedure, and time to surgery as significant contributors to recovery of pre-fracture mobility. Older age and increasing requirement for postoperative ambulatory aid resulted in worse WOMAC total and physical function scores. No significant differences were observed in patient-reported hip function between those who had a total hip arthroplasty and those who had a hemiarthroplasty. Conclusion: Most geriatric patients with displaced neck of femur fractures did not regain pre-fracture mobility despite surgical treatment with arthroplasty. Keywords: arthroplasty; geriatric; hip function; mobility; neck of femur fracture.
format	Article
author	Jade Pei Yuik, Ho Amy Yoke Foong, Wong Ong, Lik Han Ankimtay, Rutel Sabaruddin, Abdullah Mohd Shahrul Azuan, Jaafar Bong, Chun Haw Tan, Kean Tee Reuben Prashant, Rao Faris, Kamaruddin
author_facet	Jade Pei Yuik, Ho Amy Yoke Foong, Wong Ong, Lik Han Ankimtay, Rutel Sabaruddin, Abdullah Mohd Shahrul Azuan, Jaafar Bong, Chun Haw Tan, Kean Tee Reuben Prashant, Rao Faris, Kamaruddin
author_sort	Jade Pei Yuik, Ho
title	Mobility and Hip Function Among Geriatric Patients With Displaced Neck of Femur Fractures Treated With Arthroplasty
title_short	Mobility and Hip Function Among Geriatric Patients With Displaced Neck of Femur Fractures Treated With Arthroplasty
title_full	Mobility and Hip Function Among Geriatric Patients With Displaced Neck of Femur Fractures Treated With Arthroplasty
title_fullStr	Mobility and Hip Function Among Geriatric Patients With Displaced Neck of Femur Fractures Treated With Arthroplasty
title_full_unstemmed	Mobility and Hip Function Among Geriatric Patients With Displaced Neck of Femur Fractures Treated With Arthroplasty
title_sort	mobility and hip function among geriatric patients with displaced neck of femur fractures treated with arthroplasty
publisher	SAGE Publications Inc.
publishDate	2023
url	http://ir.unimas.my/id/eprint/41873/4/Mobility.pdf http://ir.unimas.my/id/eprint/41873/ https://journals.sagepub.com/doi/full/10.1177/21514593231164245
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score	13.211869

Mobility and Hip Function Among Geriatric Patients With Displaced Neck of Femur Fractures Treated With Arthroplasty

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