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  • Loss of Independence After Operative Management of Femoral Neck Fractures

    Author(s)
    Schemitsch, Emil H
    Sprague, Sheila
    Heetveld, Martin J
    Bzovsky, Sofia
    Heels-Ansdell, Diane
    Zhou, Qi
    Swiontkowski, Marc
    Bhandari, Mohit
    Bhandari, M
    Swiontkowski, M
    Devereaux, PJ
    Guyatt, Gordon
    Heetveld, MJ
    Weinrauch, Patrick
    et al.
    Griffith University Author(s)
    Weinrauch, Patrick C.
    Year published
    2019
    Metadata
    Show full item record
    Abstract
    OBJECTIVES: The FAITH trial evaluated effects of sliding hip screws versus cancellous screws in femoral neck fracture patients. Using FAITH trial data, we quantified changes in living status, use of aids, and investigated factors associated with living and walking independently 12 months after fracture. METHODS: We conducted a descriptive analysis to quantify patients' changes in living status, use of aids, and used multivariable Cox regression analyses to determine factors associated with living and walking independently after fracture. RESULTS: Of patients who lived independently before hip fracture, 3.07% (50-80 years ...
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    OBJECTIVES: The FAITH trial evaluated effects of sliding hip screws versus cancellous screws in femoral neck fracture patients. Using FAITH trial data, we quantified changes in living status, use of aids, and investigated factors associated with living and walking independently 12 months after fracture. METHODS: We conducted a descriptive analysis to quantify patients' changes in living status, use of aids, and used multivariable Cox regression analyses to determine factors associated with living and walking independently after fracture. RESULTS: Of patients who lived independently before hip fracture, 3.07% (50-80 years old) and 19.81% (>80 years old) were institutionalized 12 months after injury. Of patients who were walking independently before injury, 33.62% (50-80 years old) and 69.34% (>80 years old) required a walking aid 12 months after injury. Factors associated with higher chances of living independently included the following: being between 50 and 80 years, having 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. Factors associated with higher chances of walking without an aid included the following: 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. CONCLUSIONS: Femoral neck fracture patients suffer great losses of independence. Identifying factors associated with living and walking independently after hip fracture may help surgeons better identify which patients are at risk and optimize care of patients with this injury. LEVEL OF EVIDENCE: Prognostic Level II. See Instructions for Authors for a complete description of levels of evidence.
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    Journal Title
    Journal of Orthopaedic Trauma
    Volume
    33
    Issue
    6
    DOI
    https://doi.org/10.1097/BOT.0000000000001444
    Subject
    Clinical sciences
    Science & Technology
    Life Sciences & Biomedicine
    Orthopedics
    Sport Sciences
    femoral neck fractures
    Publication URI
    http://hdl.handle.net/10072/396394
    Collection
    • Journal articles

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