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Primary hemiarthrop...
Primary hemiarthroplasty for the elderly patient with cognitive dysfunction and a displaced femoral neck fracture : a prospective, observational cohort study
- Article/chapterEnglish2021
Publisher, publication year, extent ...
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2020-07-23
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Springer,2021
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electronicrdacarrier
Numbers
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LIBRIS-ID:oai:DiVA.org:umu-173773
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https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-173773URI
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https://doi.org/10.1007/s40520-020-01651-8DOI
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http://kipublications.ki.se/Default.aspx?queryparsed=id:144215612URI
Supplementary language notes
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Language:English
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Summary in:English
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
Notes
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Background: At least one-third of hip fracture patients have some degree of impaired cognitive status, which may complicate their postoperative rehabilitation.Aim: We aimed to describe the outcome for elderly patients with cognitive dysfunction operated with hemiarthroplasty (HA) for a femoral neck fracture and to study the impact postoperative geriatric rehabilitation has on functional outcome up to 1 year after surgery.Methods: 98 patients with a displaced femoral neck fracture with a mean age of 86 years were included and followed up to 1 year. The outcomes were hip-related complications and reoperations, the capacity to return to previous walking ability, health-related quality of life, hip function and mortality.Results: The prevalence of hip complications leading to a major reoperation was 6% and the 1-year mortality rate was 31%. The lack of geriatric rehabilitation was correlated with poorer outcomes overall and those who receive geriatric rehabilitation were less likely to be confined to a wheelchair or bedridden at the 1-year follow-up.Conclusions: Hemiarthroplasty is an acceptable option for elderly patients with a displaced femoral neck fracture and cognitive dysfunction. A lack of structured rehabilitation is associated with a significant deterioration in walking ability despite a well-functioning hip. However, the causality of this could be due to selection bias of healthier patients being sent to geriatric rehabilitation.
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Added entries (persons, corporate bodies, meetings, titles ...)
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Kelly-Pettersson, PaulaKarolinska Institutet
(author)
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Hedbeck, Carl-Johan
(author)
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Bodén, Henrik
(author)
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Stark, André
(author)
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Mukka, SebastianUmeå universitet,Ortopedi(Swepub:umu)semu0002
(author)
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Sköldenberg, OlofKarolinska Institutet
(author)
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Karolinska InstitutetOrtopedi
(creator_code:org_t)
Related titles
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In:Aging Clinical and Experimental Research: Springer33:5, s. 1275-12831594-06671720-8319
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