Outcome after hemi-arthroplasty for displaced intracapsular femoral neck fracture related to mental state

Dortmont, L.M.C. van; Douw, C. M.; Breukelen, A.M.A. van; Laurens, Denis; Mulder, Paul; Wereldsma, J.C.J.; Vugt, A.B. van

doi:10.1016/s0020-1383(99)00304-6

Cited by 58 publications

(51 citation statements)

References 13 publications

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“…[9,21] In our study, similar to the literature, we found no significant difference between the groups in terms of postoperative medical complications and length of hospital stay as shown in Table 3. Yet, our length of hospital stay was shorter than other studies.…”

Section: Discussionsupporting

confidence: 88%

Comparison of femur intertrochanteric fracture fixation with hemiarthroplasty and proximal femoral nail systems

Görmeli

Korkmaz

Görmeli

et al. 2015

Ulus Travma Acil Cerrahi Derg

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Section: Discussionsupporting

confidence: 88%

Comparison of femur intertrochanteric fracture fixation with hemiarthroplasty and proximal femoral nail systems

Görmeli

Korkmaz

Görmeli

et al. 2015

Ulus Travma Acil Cerrahi Derg

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“…Of these 26 articles, 13 met the inclusion criteria: five randomized clinical trials (RCTs), seven prospective cohort series, and one retrospective cohort study. Articles carried forward to full-text review were excluded for having unclear methods, 17,21,30,31 using heterogeneous populations, 21,30-32 not reporting data specifically for dementia patients, [33][34][35] not describing a rehabilitation intervention, [36][37][38] or not reporting sufficient outcome data related to our patient population of interest. 39 Agreement between reviewers at the abstract level was moderate for pair 1 (k ¼ 0.53) and fair for pair 2 (k ¼ 0.31).…”

Section: Resultsmentioning

confidence: 99%

Rehabilitation in Patients with Dementia Following Hip Fracture: A Systematic Review

Allen

Koziak

Buddingh

et al. 2012

Physiotherapy Canada

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Purpose: Best rehabilitation practices after hip fracture for people with dementia have not been established. A systematic review was conducted to determine current evidence for rehabilitation in this population, including residents in continuing care. Methods: Standardized review methodology was used to search eight databases for literature on hip-fracture rehabilitation for people with dementia. Eligible studies included participants with dementia who had a hip fracture; performed a rehabilitation intervention; and evaluated one or more of function, ambulation, discharge location, or falls. The Newcastle-Ottawa Scale was used to assess validity. Results: A total of 13 studies were included: five randomized controlled trials (RCTs), seven prospective cohort series, and one retrospective cohort study. Average quality ratings for RCTs and cohort studies were good and fair respectively. Participants with mild to moderate dementia receiving rehabilitation showed similar relative gains in function to those without dementia. Only one study examined the effect of rehabilitation among residents in continuing care. Conclusions: People with mild or moderate dementia may show improved function and ambulation and decreased fall risk after rehabilitation post hip fracture, similar to gains achieved by those without dementia. More research is required to ascertain the effect of rehabilitation in people with moderate to severe dementia, including those residing in continuing-care settings.Key Words: dementia; geriatrics; hip fractures; rehabilitation. RÉ SUMÉObjectif : Il n'y a pas de pratiques exemplaires d'é tablies pour la ré adaptation aprè s une fracture de la hanche chez les personnes aux prises avec la dé mence. Nous avons procé dé à une revue systé matique en vue de recueillir les faits cliniques relatifs à la ré adaptation chez ce segment de la population, y compris les personnes en soins prolongé s. Mé thode : Une mé thodologie d'examen de documents normalisé e a é té utilisé e pour effectuer une recherche dans huit bases de donné es afin de recueillir de la documentation sur la ré adaptation aprè s une fracture de la hanche chez les personnes souffrant de dé mence. Les é tudes admissibles traitaient de patients avec dé mence qui avaient subi une fracture de la hanche; auprè s de qui on avait procé dé à une intervention en ré adaptation; et où au moins une fonction, la marche, le site du congé ou les risques de chutes avaient é té é valué s. L'é chelle de Newcastle-Ottawa a é té utilisé e aux fins d'é valuation de la validité de ces é tudes. Ré sultats : Au total, 13 é tudes ont é té ré pertorié es; cinq essais contrô lé s randomisé s (ECR), sept é tudes de cohorte prospective et une é tude de cohorte ré trospective. La qualité moyenne des ECR et des é tudes de cohortes é taient respectivement bonne à moyenne. Les participants avec dé mence lé gè re à modé ré e qui recevaient des traitements de ré adaptation ont dé montré des gains relatifs de fonction similaires à ceux qui ne souffraient pas de dé mence. Un...

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“…The demented patient with a displaced femoral neck fracture poses a special problem because of the higher risk of dislocation of the prosthesis (Khan et al 1981, Woolson andRahimtoola 1999) and higher mortality after a femoral neck fracture (Ions andStevens 1987, Clayer andBauze 1989). van Dortmont et al (2000) considered internal fixation safer in this patient group, since they had a higher mortality after hemiarthroplasty than lucid patients.…”

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confidence: 92%

Primary hemiarthroplasty in old patients with displaced femoral neck fracture

Rogmark

Carlsson

Johnell

et al. 2002

Acta Orthopaedica Scandinavica

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Outcome after hemi-arthroplasty for displaced intracapsular femoral neck fracture related to mental state

Cited by 58 publications

References 13 publications

Comparison of femur intertrochanteric fracture fixation with hemiarthroplasty and proximal femoral nail systems

Comparison of femur intertrochanteric fracture fixation with hemiarthroplasty and proximal femoral nail systems

Rehabilitation in Patients with Dementia Following Hip Fracture: A Systematic Review

Primary hemiarthroplasty in old patients with displaced femoral neck fracture

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