Physical Behavior and Function Early After Hip Fracture Surgery in Patients Receiving Comprehensive Geriatric Care or Orthopedic Care--A Randomized Controlled Trial

Abstract

When treated with CGC, compared with OC, older persons suffering a hip fracture spent more time in upright, had more upright events, and had better lower limb function early after surgery despite no difference in their need for assistance during ambulation.

The long-term effect of comprehensive geriatric care on gait after hip fracture: the Trondheim Hip Fracture Trial—a randomised controlled trial

“…CGC is a complex multicomponent intervention and a combination of factors can possibly explain the effects. Results from activity monitoring on day 4 post-surgery in the Trondheim Hip Fracture Trial have been published earlier and show higher activity level and activity being more spread throughout the day in the geriatric ward [41]. These findings suggest that mobilisation strategies were more successful for the CGC group.…”

Internal fixation of fragility fracturesof the femoral neck

“…20,000 cycles simulate the average number of steps during one week in patients who have undergone total hip arthroplasty (Morlock et al 2001). During the fourth postoperative day, hip fracture patients stand up or walk for approximately 50 minutes (Taraldsen et al 2014). Even though it must be assumed that that patients with a femoral neck fracture walk considerably less than patients with total hip replacements, we believe that fracture healing, in the sense of considerable bone strengthening, is not likely to have occurred during the first 20,000 steps in mobilized hip fracture patients.…”

Management of Postoperative Complications

“…17,18 The addition of comprehensive geriatric care with a particular focus on mobilization has shown to increase the amount of time that patients spend in upright positions and has improved lower limb function scores, when compared with standard orthopedic care. [19][20][21][22] It is best to emphasize early mobility and initiation of physical therapy beginning day one following surgery. Effective pain management is critical to achieving early optimal mobility.…”