A case series of patients change in mobility following a hip fracture
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Hip fractures are common in the elderly population. It is currently believed that patients can expect to lose a level of mobility following a hip fracture. The aim of this study was to compare the pre- and post-treatment mobility of patients treated in our institution who had suffered a fracture neck of femur and identify the factors that could predict pre-operatively those patients who would suffer a deterioration in mobility after treatment.
Patients admitted to a large UK teaching hospital with a surgically treated neck of femur fracture were included between 2 April 2011 and 31 March 2014. Patient’s mobility was assessed on admission and at 1 year following surgery.
There were a total of 615 patients alive at 1 year. There were 142 males and 473 females with a mean age of 82.1 (range 47–100). On admission, 338 (55.0%) mobilised independently 52.2% had no change in their pre-fracture mobility at 1 year following their treatment. Age, a lower AMTS, a higher ASA and living in residential care were significant risk factors for not regaining their pre-fracture mobility. Sex and type of fracture were not associated with change in mobility.
It is commonly stated that patients lose one level of mobility following a hip fracture. This case series demonstrates that over 50% of patients can expect to have the same level of mobility at 1 year post-surgery as they did previously.
KeywordsHip fracture Mobility Hemiarthroplasty Dynamic hip screw
Compliance with ethical standards
Conflict of interest
Toby Jennison and Rathan Yarlagadda declare that they have no conflict of interest.
- 1.National Institute for Health and Care Excellence (2011) The management of hip fracture in adults. Clinical guideline (CG124). London NICE. 2011: www.nice.org.uk/guidance/cg124
- 2.National Institute for Health and Care Excellence (2012) Hip fracture quality standard (QS16). London NICE. 2012: www.nice.org.uk/guidance/qs16
- 10.Kristensen MT (2011) Factors affecting functional prognosis of patients with hip fracture. Eur J Phys Rehabil Med 47(2):257–264Google Scholar
- 11.Kristensen MT, Kehlet H (2012) Most patients regain prefracture basic mobility after hip fracture surgery in a fast-track programme. Dan Med J 59(6):A4447Google Scholar
- 14.Haentjens P, Autier P, Barette M, Venken K, Vanderschueren D, Boonen S, Hip Fracture Study Group (2007) Survival and functional outcome according to hip fracture type: a one-year prospective cohort study in elderly women with an intertrochanteric or femoral neck fracture. Bone 41(6):958–964CrossRefGoogle Scholar
- 15.Beaupre LA, Cinats JG, Jones CA, Scharfenberger AV, William C, Johnston D, Senthilselvan A, Saunders LD (2007) Does functional recovery in elderly hip fracture patients differ between patients admitted from long-term care and the community? J Gerontol A Biol Sci Med Sci 62(10):1127–1133CrossRefGoogle Scholar