大腿骨頸部骨折に対する骨接合術後訓練プログラムの進行遅延因子の検討 : 荷重・杖歩行開始時期及び入院期間について

概要

論文の詳細を見る
Femoral neck fracture is one of the most common fractures in the elderly, that often results in their functional deterioration of ambulation in spite of fracture treatment. Moreover, the cases of being bedridden and death were observed. In order to identify the factors affecting post operative rehabilitation program for femoral neck fracture in elderly patients, the post operative .rehabilitation records of 12 patients who underwent applied osteosynthesis with a compression hip screw were reviewed retrospectively. Walking exercise with partial weight bearing was started at a mean of 16.7 days postoperatively. Successful T-cane gait was attained in 8 patients at a mean of 65.4 days postoperatively. Although 8 patients discharged within 10 weeks, 4 patients of these 8 patients were unable to attain T-cane gait. The reasons for delayed starting of walking exercise with partial weight bearing were age (over 80 years old) and complication of dementia. Due to age and complication, we delayed the start of walking exercise and advised them to use walking aid in hospital. In spite of these modified program, 4 patients who had complication of dementia were transferred to nursing home without gaining the ability of ambulation by themselves. Decision of the rehabilitation goal is very difficult because it depends on not only the patients' condition but also social and economical conditions. It is, therefore, suggested that subsequent modification of exercise program and early setting of the life style after hospitalization are very important in the rehabilitation.
神戸大学の論文

大腿骨頸部骨折に対する骨接合術後訓練プログラムの進行遅延因子の検討 : 荷重・杖歩行開始時期及び入院期間について

スポンサーリンク

概要

著者

関連論文

スポンサーリンク