Validation of the Fracture Mobility Score against the Parker Mobility Score in hip fracture patients

Voeten, Stijn C.; Nijmeijer, Wieke S; Vermeer, Marloes; Schipper, I.B.; Hegeman, J.H.; Klerk, Gijsbert de; Stevens, Christopher J.; Snoek, J. W.; Luning, H.A.F.; Velde, Detlef van der; Verleisdonk, E.J.M.M.; Niggebrugge, Arthur H.P.; Regtuijt, M.; Würdemann, Franka S

doi:10.1016/j.injury.2019.10.035

Cited by 39 publications

(30 citation statements)

References 26 publications

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“…The Parker Mobility Score consists of three situations (able to get about the house, get out of the house, go shopping), each rated from 0 to 3 points. The total score ranges from 0 to 9, with 9 indicating the best possible mobility [ 33 , 34 ].…”

Section: Methodsmentioning

confidence: 99%

Radiographic and clinical outcome of tibial plateau fractures treated with bone allograft

Meiser

Arora

Petersen

et al. 2022

Arch Orthop Trauma Surg

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Background To determine the clinical outcome of patients who had been treated with bone allografts during open reduction and internal fixation (ORIF) of tibial head fractures. Methods Patients who suffered a medial, lateral, or bicondylar fracture of the tibial plateau and underwent surgical treatment by open reduction and internal fixation (ORIF) using human femoral head bone allografts were included. Patients were invited to provide information for the following: Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), EuroQol Five Dimension score (EQ-5D), Lower Extremity Functional Scale (LEFS) and Parker Mobility Score. Bone mineral density (BMD) of the allograft area and the healthy human bone tissue were measured by quantitative computed tomography. Results A total of 22 patients with a mean follow-up time of 2.88 ± 2.46 years were included in our study. The most common fractures observed in this study were classified as Schatzker II (11 patients, 50.0%) or AO/OTA 41.B3 (12 patients, 54.5%) fractures. Postoperative WOMAC total was 13.0 (IQR = 16.3, range 0–33). Median quality of life (EQ-5D) score was 0.887 ± 0.121 (range 0.361–1.000). Median Lower Extremity Functional Scale (LEFS) score was 57.5 ± 19.0 (range 33–79). Mean Parker Mobility Score was 9 (range 6–9). Median bone mineral density (BMD) for the whole group was 300.04 ± 226.02 mg/cm3 (range − 88.68 to 555.06 mg/cm3) for region of interest (ROI 5) (central), 214.80 ± 167.45 mg/cm3 (range − 7.16 to 597.21 mg/cm3) for ROI 1–4 (marginal zones: medial, lateral, ventral, dorsal) and 168.14 ± 65.54 mg/cm3 (range 17.47–208.97 mg/cm3) for healthy bone tissue (femur and tibia). Conclusion Based on WOMAC scores, LEFS, ambulatory status, and quality of life findings, it can be concluded that following tibial head ORIF with allograft bone patients has promising results.

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Section: Methodsmentioning

confidence: 99%

Radiographic and clinical outcome of tibial plateau fractures treated with bone allograft

Meiser

Arora

Petersen

et al. 2022

Arch Orthop Trauma Surg

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“…The PFMS and FMS measure the mobility of a patient and range from 1 (free mobility without any aids) to 5 (no functional mobility). 28 Patients were classified into 3 groups, depending on their score: fully mobile (1), mobile with aids (2-3), and indoor confined (4-5). The Katz-ADL scored the independence in activities of daily living (ADL) and ranges from 0 (completely independent) to 6 (completely dependent).…”

Section: Data Collectionmentioning

confidence: 99%

Early Predictors for Discharge to Geriatric Rehabilitation after Hip Fracture Treatment of Older Patients

Dartel

Vermeer

Folbert

et al. 2021

Journal of the American Medical Directors Association

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“…In some studies, the PPI has proven to be a valid measurement of hip fracture patient mobility and a predictor of mortality with high inter-test reliability [ 12 , 13 ]. The index is a measurement of the patient’s mobility indoors, outdoors and during shopping that can be easy to investigate at hospital admission and follow-up controls [ 14 , 15 ]. Furthermore, Pedersen et al demonstrated a strong correlation of the Parker-Palmer Index with other functional scores (Barthel-20 and Barthel-100) concerning gait function prediction [ 16 ].…”

Section: Introductionmentioning

confidence: 99%

Contralateral non-simultaneous proximal femoral fractures in patients over 65 years old

Bosco

Vittori

Grosso

et al. 2021

Eur J Orthop Surg Traumatol

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Purpose Epidemiological and clinical parameters according to the Parker-Palmer Index (PPI) have not been specifically studied as predictors of re-fracture time in patients over 65 years old with contralateral hip fracture. The main purpose of this study was to assess whether these parameters could represent a prognostic factor in this population. Methods This retrospective study included all consecutive patients older than 65 years that suffered from a proximal femoral fracture, 31 according to Association for Osteosynthesis/Orthopaedic Trauma Association classification, treated at our unit between Feb 1st 2019 and Feb 1st 2020. Results This study enrolled 387 patients. Thirty-seven of them had already incurred a contralateral hip fracture: seven males and 30 females. The median time between the first and second hip fractures was 3.5 years. This study revealed that increasing age (p = 0.003), male sex (p = 0.029) and a PPI value ≥ 5 between the first and second hip fracture (p = 0.015) are risk factors associated with a contralateral hip fracture in the first three years after the first episode. There were no statistically significant differences regarding anti-osteoporotic therapy and the anatomic site of the first hip fracture episode. Conclusion The results of the present study suggest that several risk factors have a crucial role in hip re-fracture time in patients over 65 years old.

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Validation of the Fracture Mobility Score against the Parker Mobility Score in hip fracture patients

Cited by 39 publications

References 26 publications

Radiographic and clinical outcome of tibial plateau fractures treated with bone allograft

Radiographic and clinical outcome of tibial plateau fractures treated with bone allograft

Early Predictors for Discharge to Geriatric Rehabilitation after Hip Fracture Treatment of Older Patients

Contralateral non-simultaneous proximal femoral fractures in patients over 65 years old

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