Sunday , April 2 2023

New study helps predict functional recovery time and return to activity after hip fracture surgery


According to the American Academy of Orthopedic Surgeons (AAOS), each year more than 300,000 people are in United States to support a hip fracture, most of which occur in patients aged 65 years or older who are injured in households or in the community. In addition, there is a mortality rate of 20% in the first year after a hip fracture.

In order to give patients clearer expectations about the ongoing recovery process, lead author, Timothy Bhattacharyya, MD, FAAOS, used the National Study of Health and Aging Trends (NHATS), a large longitudinal study on aging, to perform an analysis of trends after a hip fracture. Dr. Bhattacharyya and his team extracted data for patients aged 65 and over who suffered a hip fracture between 2011 and 2016 and were still driving and leaving the house regularly at the time of the fracture. These data were compared with an older national control group with similar demographics and comorbidities.

“We wanted to look more closely at the results, including mobility, driving frequency, depression and the ability to participate in activities outside the home, such as shopping, work and volunteering, as these are important factors in maintaining independence and returning to normalcy. hip fracture, “said Dr. Bhattacharyya, an orthopedic surgeon and head of orthopedic clinical research at the National Institute of Arthritis and Musculoskeletal and Skin Diseases in Bethesda, MD.

The study found that one year after the fracture, hip fracture patients are less likely to drive (76% of hip fracture patients vs. 95% of the control group), less likely to leave the home (86% face 99%), less likely to work and volunteer (17% vs. 44%) and more likely to feel depressed most days (20% vs. 10%). Patients with hip fractures were also more likely to report that they are kept from their favorite activity due to their health for up to two years after the fracture.

The long-term prognosis for patients demonstrates measurable gains in function and well-being, as no statistically significant differences were observed in terms of driving frequency, regular discharge or work / volunteering between subjects two to three years after fracture. .

Dr. Bhattacharyya emphasizes the important role that large social networks play in recovery and encourages patients to push themselves to interact with friends and family. The study found that patients with large social networks were more likely to work or volunteer compared to those with small social networks (30% vs. 12%). Patients with large social networks also tended to have fewer comorbidities.

“There is a natural tendency not to want to share the burden of others; however, you need to do the opposite to avoid isolation,” said Dr. Bhattacharyya. “With a better understanding of how socialization helps recovery, I now proactively encourage my patients to contact friends and family to interact. Given the pandemic, patients can participate in activities with a few selected people and can prioritize online social interaction with larger groups. . ”

This research was supported by the National Institute of Arthritis and Musculoskeletal and Skin Diseases at the National Institute of Health under project number ZIAAR041153.

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SOURCE American Academy of Orthopedic Surgeons

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