Treatment ways after the fracture of upper part of femur in the aspect of early patient's function

• Autorzy: Konieczny G. , Wrzosek Z.
• Języki publikacji: EN

Abstrakty

EN

Proximal femoral fractures occur most often in people over 60 (mainly women), that is, people whose physical fitness is already somehow limited. That is why proper choice of therapeutic management (conservative therapy or surgical procedure) is so crucial. As conservative therapy is connected with long-term hypokinesis, management of surgical procedure seems to be justified - it mobilises the patient early. We analysed 24 cases of patients with fracture of proximal part of femur treated in 4 four different ways. The first two groups comprised patients with fracture of the neck of the femur. Some of them were treated by implantation of endoprosthesis (group I), others by functional therapy (group II). The next two groups comprised patients with trochanteric fracture. Some of these patients were treated using DHS system (group III) and others with the aid of tractor (group IV). Analysis of the above groups concerns movement and functional possibilities of the patients from the beginning of rehabilitation process to the second week of its realisation.

Słowa kluczowe

EN

thigh; biomechanics; fracture; rehabilitation

PL

udo; biomechanika; złamanie kości; rehabilitacja

• Wydawca: Oficyna Wydawnicza Politechniki Wrocławskiej
• Czasopismo: Acta of Bioengineering and Biomechanics
• Rocznik: 2002
• Tom: Vol. 4, nr 2
• Strony: 81--89
• Opis fizyczny: Bibliogr. 10 poz., rys., wykr.

Twórcy

autor

Konieczny G.

• University School of Physical Education, Department of Physiotherapy, ul. Rzeźbiarska 4, 51-629 Wrocław

autor

Wrzosek Z.

• University School of Physical Education, Department of Physiotherapy, ul. Rzeźbiarska 4, 51-629 Wrocław

Bibliografia

• [1] ALUSIO F., CHRISTENSEN C., URBANIAK J., Ortopedia, Uraban & Partner, Wrocław, 2000, 145–9.
• [2] CUMMING S.R., RUBIN S.M., B LACK D., The femur fracture of hip in the United States: numbers and cost and potential effects of postmenopaupaussal estrogen, Clin. Ortop., 1990, (252), 163–6.
• [3] E THANS K., MACKNIGHT K., Hip fracture in elderly, Postgraduate Med., 103, 1, 157–66.
• [4] GERBER C., STREHLE J., GANZ R., The treatment of fractures of the femoral neck, Clin. Orthop., 1993, (292), 77–86.
• [5] KYLE R.F., CABENELA M.E., RUSSELL T.A., Fractures of the proximal part of femur, J. Bone Joint Surg (Am), 1994, 76, 926–49.
• [6] L U-YAO G.L., BARON J.A., B ERRETT J.A., Treatment and survival among elderly American with hip fracture: a population-based study, Am. J. Public. Health, 1994, 8(4), 1287–91.
• [7] OCHS M., Surgical management of the hip in the elderly patient, Clin. Geriatr. Med., 1990, 6(3), 571–87.
• [8] PALCZEWSKI D., MARCZUK M., SZYMAŃSKI W., Własne doświadczenia w rehabilitacji chorych leczonych protezoplastyką połowiczą Austin–Moore’a z powodu złamań szyjki kości udowej, Chir. Narz. Ruch. Ortop. Pol., 1997, LXII, 5.
• [9] SIDOROWICZ J., GAŹDZIK T., JAWORSKI J.T., Leczenie zachowawcze złamań okołokrętarzowych u osób w podeszłym wieku, Wiad. Lek., 1998, 51, 9–10.
• [10] WĄSIKOWSKI A., KORSZYŃSKI M., GĘSICH R., Alloplastyka połowicza Moore’a w leczeniu złamań szyjki kości udowej, Chir. Narz. Ruch. Ortop. Pol., 1994, LIX, 1.