Loss of independence after operative management of femoral neck fractures
Journal of Orthopaedic Trauma Jun 02, 2019
Schemitsch EH, et al. - Researchers utilized data from FAITH trial that assessed impacts of sliding hip screws vs cancellous screws in femoral neck fracture patients, to perform this descriptive analysis to quantify alterations in living status, use of aids, and to identify factors related to living and walking independently 12 months post-fracture. They found great losses of independence were experienced by patients. Age between 50 and 80 years, a class I American Society of Anesthesiologists classification, not using a walking aid before fracture, being a nonsmoker or former smoker, and having an acceptable quality of implant placement were related to higher chances of living independently. Being between 50 and 80 years, having a class I American Society of Anesthesiologists classification, living independently before fracture, being a nonsmoker or former smoker, having an undisplaced fracture, and not requiring revision surgery were all related to higher chances of walking without aid.
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