Abstract
Aim: Ourgoal in this study was to evaluate patient’s independence and returning to home life in 152 patients (101 women-mean age 73,9 years and 51 men- mean age 68,2 years) with femoralneck fractures treated operatively (80%) or non- operatively (20%)in our ward. We compared with the prefracture functional status. The mean follow- up time was 4,4 years. Mortality of this populationwas 30%. Method: We examined 86 (57%) patientsusing Iselin scale in our modification. Hip pain, walking distance, ability of a patient to perform daily living activities: basic andinstrumental activities, using assistive devices to walk, patient’s subjective opinion about theoutcome were included to subjective assessment. Hip function, Trendelenburg sign, lower extremity equality, hip contracture, x-ray examination were included to clinical assessment. Results: Patients ability to walking after treatment was 50% less than before-fracture. After operative treatment the least hip pain was perceptedin patients between 75–85 years. Basic and instrumental activitieswere done best by patients to 85 years, treated operatively. In deadpopulation 53% patients died in the first year. Patients treatedoperatively lived 1.32 year longer than patients treatednon-operatively. Conclusion: Patients treated operatively received larger independence andadapted to home life better.
Theses abstracts were prepared by Professor Dr. Frantz Langlais. Correspondence should be addressed to him at EFORT Central Office, Freihofstrasse 22, CH-8700 Küsnacht, Switzerland.
