Simultaneous Hip and Distal Radius Fractures—Does It Make a Difference with Respect to Rehabilitation?
Abstract
:1. Introduction
2. Methods
3. Results
4. Conclusions
Author Contributions
Funding
Conflicts of Interest
References
- Tow, B.P.; Chua, B.S.; Fook-Chong, S.; Howe, T.S. Concurrent fractures of the hip and wrist: A matched analysis of elderly patients. Injury 2009, 40, 385–387. [Google Scholar] [CrossRef] [PubMed]
- Uzoigwe, C.E.; Venkatesan, M.; Johnson, N.; Lee, K.; Magaji, S.; Cutler, L. Influence of coincident distal radius fracture in patients with hip fracture: Single-centre series and meta-analysis. J. Orthop. Traumatol. 2015, 16, 93–97. [Google Scholar] [PubMed]
- Shabat, S.; Gepstein, R.; Mann, G.; Stern, A.; Nyska, M. Simultaneous distal radius and hip fractures in elderly patients-implications to rehabilitation. Disabil. Rehabil. 2003, 25, 823–826. [Google Scholar] [CrossRef] [PubMed]
- Robinson, P.M.; Harrison, T.; Cook, A.; Parker, M.J. Orthopaedic injuries associated with hip fractures in those aged over 60 years: A study of patterns of injury and outcomes for 1971 patients. Injury 2012, 43, 1131–1134. [Google Scholar] [CrossRef] [PubMed]
- Di Monaco, M.; Castiglioni, C.; Vallero, F.; Di Monaco, R.; Tappero, R. Concomitant upper limb fractures and short-term functional recovery in hip fracture patients: Does the site of upper limb injury matter? Am. J. Phys. Med. Rehabil. 2015, 94, 366–372. [Google Scholar] [CrossRef] [PubMed]
- Thayer, M.K.; Kleweno, C.P.; Lyons, V.H.; Taitsman, L.A. Concomitant upper extremity fracture worsens outcomes in elderly patients with hip fracture. Geriatr. Orthop. Surg. Rehabil. 2018, 9, 2151459318776101. [Google Scholar] [CrossRef] [PubMed]
- Mulhall, K.J.; Ahmed, A.; Khan, Y.; Masterson, E. Simultaneous hip and upper limb fracture in the elderly: Incidence, features and management considerations. Injury 2002, 33, 29–31. [Google Scholar] [CrossRef]
- Pfeiffer, E. A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. J. Am. Geriatr. Soc. 1975, 23, 433–441. [Google Scholar] [CrossRef] [PubMed]
- Fiedler, R.C.; Granger, C.V.; Russell, C.F. UDSmrSM: Follow-Up Data on Patients Discharged in 1994–1996. Am. J. Phys. Med. Rehabil. 2000, 79, 184–192. [Google Scholar] [CrossRef] [PubMed]
- Lawton, M.P.; Brody, E.M. Assessment of older people: Self-maintaining and instrumental activities of daily living. Gerontologist 1969, 9, 179–186. [Google Scholar] [CrossRef] [PubMed]
- Owens, W.D.; Felts, J.A.; Spitznagel, E.L., Jr. ASA physical status classifications: A study of consistency of ratings. Anesthesiology 1978, 49, 239–243. [Google Scholar] [CrossRef] [PubMed]
- Dubljanin-Raspopovic, E.; Markovic-Denic, L.; Marinkovic, J.; Nedeljković, U.; Bumbaširević, M. Does early functional outcome predict 1-year mortality in elderly patients with hip fracture? Clin. Orthop. Relat. Res. 2013, 471, 2703–2710. [Google Scholar] [CrossRef]
- Dubljanin Raspopovic, E.; Maric, N.; Nedeljkovic, U.; Ilic, N.; Tomanović Vujadinović, S.; Bumbaširević, M. Do depressive symptoms on hospital admission impact early functional outcome in elderly patients with hip fracture? Psychogeriatrics 2014, 14, 118–123. [Google Scholar] [CrossRef]
- Inouye, S.K.; Bogardus, S.T., Jr.; Charpentier, P.A.; Leo-Summers, L.; Acampora, D.; Holford, T.R.; Cooney, L.M., Jr. A multicomponent intervention to prevent delirium in hospitalized older patients. N. Engl. J. Med. 1999, 340, 669–676. [Google Scholar] [CrossRef] [PubMed]
- Dubljanin-Raspopovic, E.; Markovic, L.D.; Tulic, G.; Grajić, M.; Tomanović, S.; Kadija, M.; Bumbasirević, M. Missed opportunities for prevention of hip fracture in older patients. Vojn. Pregl. 2012, 69, 420–424. [Google Scholar] [CrossRef] [PubMed]
- Di Monaco, M.; Di Monaco, R.; Manca, M.; Cavanna, A. Functional Recovery and Length of Stay after Recurrent Hip Fracture. Am. J. Phys. Med. Rehabil. 2002, 81, 86–89. [Google Scholar] [CrossRef] [PubMed]
- Muir, S.W.; Yohannes, A.M. The impact of cognitive impairment on rehabilitation outcomes in elderly patients admitted with a femoral neck fracture: A systematic review. J. Geriatr. Phys. 2009, 32, 24–32. [Google Scholar] [CrossRef] [PubMed]
- Cummings, S.R.; Nevitt, M.C. A hypothesis: The causes of hip fractures. J. Gerontol. 1989, 44, M107–M111. [Google Scholar] [CrossRef] [PubMed]
- Castell, M.V.; Sanchez, M.; Julian, R.; Queipo, R.; Martín, S.; Otero, Á. Frailty prevalence and slow walking speed in persons age 65 and older: Implications for primary care. BMC Fam. Pract. 2013, 14, 86. [Google Scholar] [CrossRef] [PubMed]
- Downing, N.D.; Karantana, A. A revolution in the management of fractures of the distal radius? J. Bone Jt. Surg. 2008, 90, 1271–1275. [Google Scholar] [CrossRef] [PubMed]
Without Concomitant Wrist Fracture | With Concomitant Wrist Fracture | p Value | |
---|---|---|---|
Number of patients 341 | 325 (95.3%) | 16 (4.7%) | |
Gender ‡ | 0.749 | ||
Male | 67 (20.6%) | 2 (12.5%) | |
Female | 258 (79.4%) | 14 (87.5%) | |
Age (y.) † | 78.17 ± 7.54 | 78.05 ± 5.48 | 0.931 |
Residential status ‡ | 0.132 | ||
Home | 106 (31.1%) | 8 (50.0%) | |
Institution | 219 (68.9%) | 8 (50.0%) | |
SPMSQ † | 7.22 ± 2.97 | 7.38 ± 2.75 | 0.83 |
Operative risk ‡ | 0.605 | ||
ASA 1,2 | 192 (59.0%) | 8 (50.0%) | |
ASA 3,4 | 133 (41.0%) | 8 (50.0%) | |
Motor FIM preop † | 85.02 ± 10.23 | 83.81 ± 17.53 | 0.789 |
IADL preop † | 5.39 ± 2.75 | 5.38 ± 2.39 | 0.987 |
Type of fracture ‡ | 0.793 | ||
Intracapsular | 202 (62.2%) | 11 (68.8%) | |
Extracapsular | 123 (37.8%) | 5 (31.2%) |
Without Concomitant Wrist Fracture | With Concomitant Wrist Fracture | p Value | |
---|---|---|---|
Motor FIM † | 42.17 ± 17.89 | 40.67 ± 12.53 | 0.748 |
Complications ‡ | 0.317 | ||
Yes | 180 (55.4%) | 14 (87.5%) | |
No | 145 (44.6%) | 2 (12.5%) | |
In-hospital mortality ‡ | 0.332 | ||
No | 302 (92.9%) | 14 (87.5%) | |
Yes | 23 (7.1%) | 2 (12.5%) | |
Length of hospital stay † | 31.32 ± 18.26 | 29.44 ± 9.25 | 0.465 |
Without Concomitant Wrist Fracture | With Concomitant Wrist Fracture | p Value | |
---|---|---|---|
Motor FIM gain † | 19.34 ± 13.93 | 17.19 ± 9.31 | 0.527 |
IADL † | 3.33 ± 2.61 | 2.58 ± 2.10 | 0.334 |
Mortality ‡ | 0.71 | ||
No | 278 (85.5%) | 15 (93.8%) | |
Yes | 47 (14.5%) | 1 (6.2%) |
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Dubljanin-Raspopović, E.; Lj, M.-D.; Kadija, M.; Tomanović Vujadinović, S.; Tulić, G.; Selaković, I.; Aleksić, M. Simultaneous Hip and Distal Radius Fractures—Does It Make a Difference with Respect to Rehabilitation? Geriatrics 2019, 4, 66. https://doi.org/10.3390/geriatrics4040066
Dubljanin-Raspopović E, Lj M-D, Kadija M, Tomanović Vujadinović S, Tulić G, Selaković I, Aleksić M. Simultaneous Hip and Distal Radius Fractures—Does It Make a Difference with Respect to Rehabilitation? Geriatrics. 2019; 4(4):66. https://doi.org/10.3390/geriatrics4040066
Chicago/Turabian StyleDubljanin-Raspopović, Emilija, Marković-Denić Lj, Marko Kadija, Sanja Tomanović Vujadinović, Goran Tulić, Ivan Selaković, and Milica Aleksić. 2019. "Simultaneous Hip and Distal Radius Fractures—Does It Make a Difference with Respect to Rehabilitation?" Geriatrics 4, no. 4: 66. https://doi.org/10.3390/geriatrics4040066