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Rehabilitation after Femoral Neck and Intertrochanteric Fractures in the Elderly Hitoshi KAGAYA 1 1Department of Rehabilitation Medicine, School of Medicine, Fujita Health University Keyword: リハビリテーション(rehabilitation) , 大腿骨頸部骨折(femoral neck fracture) , 大腿骨転子部骨折(intertrochanteric fracture) , 高齢者(elderly) pp.677-685
Published Date 2008/10/18
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Abstract : Femoral neck and intertrochanteric fractures are common in the elderly. These typesof fractures affect about 90,000 people each year in Japan. At present, most such fractures are operated on. Immediate unrestricted weight-bearing after surgery is usually allowed. Conservative treatment may be considered if a patient can bear long-term bed rest and accept the risk of having a less functional outcome. Isometric quadriceps muscles and ankle range of motion exercises are important therapies to use before surgery. The appropriate intensity for rehabilitation is still controversial. The majority of the functional recoveries occur within the first 6 months, but further outpatient rehabilitation is still effective in patients without severe physical or cognitive impairments. About half of all patients recover their prefracture activities of daily living. Patients who are older or who are disoriented after surgery recovered least in terms of instrumental activities of daily living. In this group, even patients with uneventful healing courses did not regain their prefracture health-related quality of life level. Deep vein thrombosis, pulmonary infarction, palsy of the common peroneal nerve, fall, avascular necrosis of the femoral head, screw dislodging and removal, dislocation and infection are all possible risks factors after femoral neck and intertrochanteric fractures.


Copyright © 2008, The Japanese Association of Rehabilitation Medicine. All rights reserved.

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電子版ISSN 印刷版ISSN 1881-3526 日本リハビリテーション医学会

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