Postoperative Weight-Bearing after Uncemented Bipolar Hemiarthroplasty for Femoral Neck Fractures in Geriatric Patients with Dementia

Authors

  • Paul Dan Sirbu Grigore T. Popa University of Medicine and Pharmacy
  • Norin Forna Grigore T. Popa University of Medicine and Pharmacy
  • Dragos Cristian Popescu Grigore T. Popa University of Medicine and Pharmacy
  • Razvan Tudor Vaslui County Hospital
  • Wilhelm Friedl Wertheim Hospital
  • Anamaria Ciubara Dunarea de Jos University of Galati
  • Bogdan Mihnea Ciuntu Grigore T. Popa University of Medicine and Pharmacy
  • Grigore Berea Emergency County Hospital Piatra Neamt, Department of Orthopedics and Traumatology

Keywords:

Dementia, Femoral Neck Fractures, Hemiarthroplasty, Weight-bearing, Rehabilitation

Abstract

Dementia and hip fractures are two crucial problems in the elderly and the associations of these pathologies increase substantial morbidity and mortality. 178 patients with dementia (average age 81.5 years) were operated with an uncemented bipolar prosthesis for a displaced femoral neck fracture. They started rehabilitation sessions in the immediate postoperative period and were divided into two groups: group 1 – partial weight-bearing for 72 cases – and group 2 – total weight-bearing for 106 cases. 17 patients were unable to walk and 6 died during hospitalization. 172 patients were discharged to a rehabilitation department (46.6%) or to their home with (31.9%) or without (21.5%) rehabilitation facilities. During follow-up, 103 out of 172 patients accepted a phone interview. After three months 55 patients had regained the pre-fracture level of independence (6 patients from group 1 and 49 patients from group 2; 81% were included in a rehabilitation program). The mortality at one year postoperative period was 26.21%; the majorities of these patients were included in group 1, were more than 80 years old and had more than 4 comorbidities (except dementia).

The authors concluded that, for patients undergoing uncemented bipolar HA, immediate total weight-bearing and discharging to a rehabilitation facility showed a better recovery and return to the pre-fracture level, as well as a better one-year survival rate.

Author Biographies

Norin Forna, Grigore T. Popa University of Medicine and Pharmacy

Norin Forna
Faculty of Medicine
Grigore T. Popa University of Medicine and Pharmacy
Strada Universitatii 16, Iasi 700115, Romania
Phone: 0232 301 600
norin.forna@gmail.com

Dragos Cristian Popescu, Grigore T. Popa University of Medicine and Pharmacy

Dragos Cristian Popescu
Faculty of Medicine
Grigore T. Popa University of Medicine and Pharmacy
Strada Universitatii 16, Iasi 700115, Romania
Phone: 0232 301 600
dragospopescu1975@yahoo.com

Razvan Tudor, Vaslui County Hospital

Razvan Tudor
Vaslui County Hospital, Department of Orthopaedics and Traumatology
233 Stefan cel Mare St. 730006 Vaslui, Romania
Phone: 0235312120
rc_tudor@yahoo.com

Anamaria Ciubara, Dunarea de Jos University of Galati

Anamaria Ciubara
Dunarea de Jos University of Galati
Strada Domneasca 47, Galati, Romania
Phone: 0336 130 108
anamburlea@yahoo.com

Bogdan Mihnea Ciuntu, Grigore T. Popa University of Medicine and Pharmacy

Bogdan Mihnea Ciuntu
Faculty of Medicine
Grigore T. Popa University of Medicine and Pharmacy
Strada Universitatii 16, Iasi 700115, Romania
Phone: 0232 301 600
bogdanmciuntu@yahoo.com

Grigore Berea, Emergency County Hospital Piatra Neamt, Department of Orthopedics and Traumatology

Grigore Berea
Emergency County Hospital Piatra Neamt, Department of Orthopedics and Traumatology
1 Traian Blvd., 611003 Piatra Neamt, Romania
Phone: 0233.21.94.40
grigberea@yahoo.com

Downloads

Published

2019-06-21

How to Cite

Sirbu, P. D., Forna, N., Popescu, D. C., Tudor, R., Friedl, W., Ciubara, A., Ciuntu, B. M., & Berea, G. (2019). Postoperative Weight-Bearing after Uncemented Bipolar Hemiarthroplasty for Femoral Neck Fractures in Geriatric Patients with Dementia. BRAIN. Broad Research in Artificial Intelligence and Neuroscience, 10(3 (Special issue), 66-71. Retrieved from https://lumenpublishing.com/journals/index.php/brain/article/view/2167

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