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Orthopaedic Proceedings
Vol. 94-B, Issue SUPP_XXXVII | Pages 301 - 301
1 Sep 2012
Gómez-Galván M Román S Quirós I Quiles M
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Hip fractures are common in the elderly. These people often had a history of multiple falls, and previous fractures. Fear of falling (FOF) have being reported in the follow-up of hip fractures. Aims. To evaluate the FOF in patients just after hip fracture and before surgical treatment. Material and methods. Prospective study of patients admitted in our hospital with hip fracture (subcapital, trochanteric and subtrochanteric). All patients were evaluated using the FES-I score for FOF before surgical treatment. Clinical and social data, previous history of falls, and fractures were recorded. Exclusion criteria were a score below 8 on the Minimental test on admission and previous hip fracture. Stadistical analysis were peformed using ANOVA, chi square and contingency tables. Results. During the 7 months that lasted this work 144 hip fracture were admitted to our hospital. Only 40 had a Minimental score of 8 or more, mean age was 82 years old, they were 33 female and 7 male, 18% of them were living at home, alone, 82% with their partners or other family members, 40% had no history of previous falls, 10 falls in the last year was reported by one patient. No or little FOF were reported by 52% of patients, while 48% had fear or too much fear. We have found a statistical significant relationship between FOF and patient age (p<0,001), fracture type (p<0,05), and previous history of falls (p<0,05). Conclusion. FOF prior to hip fracture is strongly related to of age, previous falls and fracture type


The Bone & Joint Journal
Vol. 104-B, Issue 8 | Pages 972 - 979
1 Aug 2022
Richardson C Bretherton CP Raza M Zargaran A Eardley WGP Trompeter AJ

Aims

The purpose of this study was to determine the weightbearing practice of operatively managed fragility fractures in the setting of publically funded health services in the UK and Ireland.

Methods

The Fragility Fracture Postoperative Mobilisation (FFPOM) multicentre audit included all patients aged 60 years and older undergoing surgery for a fragility fracture of the lower limb between 1 January 2019 and 30 June 2019, and 1 February 2021 and 14 March 2021. Fractures arising from high-energy transfer trauma, patients with multiple injuries, and those associated with metastatic deposits or infection were excluded. We analyzed this patient cohort to determine adherence to the British Orthopaedic Association Standard, “all surgery in the frail patient should be performed to allow full weight-bearing for activities required for daily living”.


The Bone & Joint Journal
Vol. 100-B, Issue 4 | Pages 522 - 526
1 Apr 2018
Tutton E Achten J Lamb SE Willett K Costa ML

Aims

The aim of this study was to explore the patients’ experience of recovery from open fracture of the lower limb in acute care.

Patients and Methods

A purposeful sample of 20 participants with a mean age of 40 years (20 to 82) (16 males, four females) were interviewed a mean of 12 days (five to 35) after their first surgical intervention took place between July 2012 and July 2013 in two National Health Service (NHS) trusts in England, United Kingdom. The qualitative interviews drew on phenomenology and analysis identified codes, which were drawn together into categories and themes.