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Application of statistical analysis and functional assessment tests in patients after trochanteric fractures treated surgically in an individual rehabilitation programme

Treść / Zawartość
Identyfikatory
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Physiotherapeutic procedures after surgical treatment of trochanteric fractures of femurs are a very important element of a post-operative management because they have a significant influence on the final result of physiotherapy. This is due to the nature of the frac-ture and the frequency of its occurrence. The aim of the work is, in particular, to determine the relationship between functional assessment scales in patients after trochanteric fractures treated surgically using extended statistical analysis including regression equations. Statistical analysis included a group of patients, which participated in a specialized programme of a post-operative procedure, called the ‘Individual’ Group. The matrix of research results, calculations of basic statistical measures, such as position, variability, interdependence, asymmetry and concentration were presented for this group. Regression equations representing the relationships between the considered variables, in particular concerning the applied scales and post-operative tests, were presented. Their purpose, mathematical interpretation, results of calculations and statistical tests were discussed. Attention was paid to the high correlation between the Parker and Mobility tests. The extended statistical analysis makes it possible to create an own system for assessing the treatment results of patients after trochanter-ic fractures are treated surgically.
Rocznik
Strony
132--142
Opis fizyczny
Bibliogr. 43 poz., rys., tab., wykr.
Twórcy
  • Department of Traumatology and Orthopaedics, Military Medical Insitute, ul. Szaserów 128, 04-141 Warszawa, Poland
  • Warsaw University of Technology, Plac Politechniki 1, 00-661 Warszawa, Poland
  • Department of Traumatology and Orthopaedics, Military Medical Insitute, ul. Szaserów 128, 04-141 Warszawa, Poland
  • The Institute of Precision Mechanics, ul. Duchnicka 3, 01-796 Warszawa, Poland
Bibliografia
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  • 9. Bredbenner T.L, Mason R.L, Havill L.M, Orwoll E.S., Nicolella D.P (2015), Fracture risk predictions based on statistical shape and den-sity modeling of the proximal femur, J. Bone Miner. Res., 30(1), 197.
  • 10. Bryan R., Mohan P.S., Hopkins A., Galloway F., Taylor M., Nair P.B. (2010), Statistical modeling of the whole human femur incorporating geometric and material properties, Med. Eng. Phys., 32(1), 57-65.
  • 11. Carulli Ch F., Paoli T R M. (2017), A comparison of two fixation methods for femoral trochanteric fractures: a new generation in-tramedullary system vs sliding hip screw, Clin. Cases Miner. Bone. Metab., 14(1),40-47
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  • 15. Hao-Kuang W., Chao-Ming H., Sheng-Hsiang L., Yi-Cheng T., Kang L., Po-Chou L., Chi-Wei L., Yi-Che L, Pei-Hsuan F., Li-Ching Ch., Ying-Chun L. (2014), Increased risk of hip fractures in patients with dementia: a nationwide population-based study, BMC Neurol., 14, 175.
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  • 22. Mizrahi E.H., Fleissig Y., Arad M., Blumstein T., Adunsky A. (2008) Rehabilitation outcome of hip fracture patients: The im-portance of a positive albumin gain, Archives of Gerontology and Geriatrics, 47(3), 318-326.
  • 23. Moja L., Piatti A., Pecoraro V., Ricci C., Virgili G., Salanti G., Germagnoli L., Liberati A., Banfi G. (2012), Timing Matters in Hip Fracture Surgery: Patients Operated within 48 Hours Have Better Outcomes. A Meta-Analysis and Meta-Regression of over 190,000 Patients, PLoS One, 7(10)
  • 24. Nurul ‘Izzah I., Mohd Sharkawi A., Mohamed S.Z., Sharifah Nurul Aqilah Sayed Mohd Z., Zainal Abidin Nor A., Isa Naina M., Norazlina M., Sabarul Afian M., Ahmad Nazrun S. (2019), Physical function assessment of older adults with lower body frac-tures at 3 months post-discharge, Ther Clin Risk Manag., 15, 201–210.
  • 25. Pincus D., Ravi B., Wasserstein D., Huang A., Paterson J.M., Nathens A.B., Kreder H.J., Jenkinson R.J., Wodchis W.P. (2017), Association Between Wait Time and 30-Day Mortality in Adults Undergoing Hip Fracture Surgery, JAMA, 318(20),1994-2003
  • 26. Pottecher P., Engelke K., Duchemin L., Museyko O., Moser T., Mitton D., Vicaut E., Adams J., Skalli W., Laredo J.D., Bousson V.( 2016), Prediction of Hip Failure Load: In Vitro Study of 80 Femurs Using Three Imaging Methods and Finite Element Models - The Eu-ropean Fracture Study (EFFECT), Radiology, 280(3), 837-47.
  • 27. Research project Military Medical Institute (2015), Comparative assessment of the effectiveness of physiotherapy in patients after surgical treatment of trochanterian fractures depending on the psy-chomotor state, MMI 14/MMI/.
  • 28. Rizk P., Morris W., Oladeji P., Huo M. (2016), Review of postopera-tive delirium in geriatric patients undergoing surgery, Geriatr. Orthop. Surg. Rehabil., 7(2), 100-105.
  • 29. Saarenpää I., Heikkinen T., Ristiniemi J., Hyvönen P., Leppilahti J., Jalovaara P.(2009), Functional comparison of the dynamic hip screw and the Gamma locking nail in trochanteric hip fractures: a matched-pair study of 268 patients, Int. Orthop., 33(1), 255-60.
  • 30. Seitz D.P., Gill S.S., Austin P.C., Bell C.M., Anderson G.M., Gruneir A., Rochon P.A. (2016), Rehaition of Older Adults with De-mentia After Hip Fracture, J. Am. Geriatr. Soc., 64(1), 47-54.
  • 31. Shibasaki K., Asahi T., Mizobuchi K., Akishita M., Ogawa S. (2018), Rehabilitation strategy for hip fracture, focused on behavioral psychological symptoms of dementia for older people with cognitive impairment: A nationwide Japan rehabilitation database, PLoS One., 13(7)
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  • 36. Tan S.T., Tan W.P., Jaipaul J., Chan S.P., Sathappan S.S. (2017), Clinical outcomes and hospital length of stay in 2,756 elderly patients with hip fractures: a comparison of surgical and non-surgical man-agement., Singapore Med. J., 58(5), 253-257.
  • 37. Tjun Huat Chua I., Naidu Rajamoney G., Beng Kee Kwek E. (2013), Cephalomedullary nail versus sliding hip screw for unsTab. intertrochanteric fractures in elderly patients, Journal of Orthopedic Surgery, 21(3), 308-12.
  • 38. Wamper K., Sierevelt I., Poolman R., Bhandari M, Haverkamp D. (2010), The Harris hip score: Do ceiling effects limit its usefulness in orthopedics?, Acta Orthop., 81(6), 703–707.
  • 39. Yli-Kyyny T.T., Sund R., Heinänen M., Malmivaara A., Kröger H. (2019 ), Risk factors for early readmission due to surgical complica-tions after treatment of proximal femoral fractures – A Finnish Na-tional Database study of 68,800 patients, Injury, 50(2), 403-408.
  • 40. Yousry A.H., Chotai P.N., Ghazaly S.E., Fayyad T.A., Abdel-gawad A.A. ( 2015), Outcomes of trochanteric external fixation for geriatric inter-trochanteric hip fractures, J. Orthop., 12(4), 174–178.
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  • 42. Zhengan H., Xifeng W., Xingqun (2018), Comparing surgical inter-ventions for intertrochanteric hip fracture by blood loss and operation time: a network meta-analysis, J. Orthop. Surg. Res., 13(1), 157.
  • 43. Zu-Sheng H., Xian-Ling L., Ying-Ze Z. (2018), Comparison of Proximal Femoral Geometry and Risk Factors between Femoral Neck Fractures and Femoral Intertrochanteric Fractures in an Elder-ly Chinese Population, Chin. Med. J. (Engl)., 131(21), 2524–2530.
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-cfdd281a-efcf-4bf5-8305-60cca44c5e78
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