Abstract:

BACKGROUND: 22%-75% of patients with hip fracture cannot obtain function before injury at 6 months following treatment. Operations for fracture have been reported, but rehabilitation guidance and functional training for patients are few.
OBJECTIVE: To investigate the effect of individualized rehabilitation and exercise prescription developed according to "Orthopedic Sports Rehabilitation Safety Assessment Scale" on hip function in patients following open reduction and internal fixation.
METHODS: A total of 90 elderly patients with proximal femoral fractures were treated with open reduction and internal fixation. Rehabilitation manner was divided into two groups: rehabilitation group (n=46), postoperative exercise prescription developed according to Orthopedic Sports Rehabilitation Safety Assessment; control group (n=44), conventional rehabilitation. The two groups were followed up 3 and 6 months following internal fixation, and the scores of Performance evaluation test for the body (PPT) and functional status questionnaire (FSQ) were compared between the groups.
RESULTS AND CONCLUSION: General condition of two groups was not significantly different (P > 0.05), so two groups were comparable. Rehabilitation group exhibited greater PPT and FSQ total scores after 6 month compared with the control group (P < 0.05). The increase rate of preoperative PPT score and FSQ score to 6 months after the internal fixation in rehabilitation group was significantly greater compared with the control group. Open reduction and internal fixation can obtain reliable fixation for elderly hip fracture. Systematic rehabilitation is an important measure to ensure the efficacy, help accelerate postoperative functional rehabilitation of patients, and improve the quality of life.