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Title: Ambulatory function at three months is not influenced by the type of hip fracture. A comparative study between subcapital and pertrochanteric fractures
Authors: Vera Vega, Miguel
Barroso Rosa, Sergio 
Hernández Flores, Carmen Nieves 
UNESCO Clasification: 321304 Cirugía de huesos
Keywords: Hip fracture
3 months
Issue Date: 2024
Journal: Journal of Orthopaedic Reports 
Abstract: Hip fractures are a significant socio-sanitary problem, representing one of the most frequent cause of admission in Orthopaedic Surgery Departments. To date there are no studies comparing the outcomes in terms of ambulatory function depending on the type of hip fracture (subcapital vs pertrochanteric). Moreover, there is no clear consensus about the most useful assessment scales for this particular purpose; the novel Maximum Ambulatory Ability (MAA) score is presented. Methods Cross-sectional observational study of ambispective nature. Participants were admitted after sustaining a hip fracture (pertrochanteric or subcapital) to the Orthopaedic Surgery Department of the Complejo Hospitalario Universitario Insular Materno Infantil and received surgical treatment, from September 2022, until the end of February 2023. Demographic and functional data was recorded at admission and after a follow-up period of 3 months. Results The study included 70 subcapital and 72 pertrochanteric fractures with age and baseline function distribution. Functionality at 3-months according to the Functional Ambulatory (FAC) scale remained unchanged for 66.2 % of the patients, with no significant different among fracture types. According to the MMA scale, only 52.8 % of patients reached baseline function, with no differences between groups. Conclusion Although a relevant proportion of patients lose ambulatory function after a hip fracture, at 3 months this is not influenced by fracture type. MAA scale revealed more sensitive than FAC in identifying ambulatory dependence for daily activities. The findings of this work add evidence to the recommendation of promoting the earliest possible functional recovery in hip fractured patients.
ISSN: 2773-157X
DOI: 10.1016/j.jorep.2023.100232
Source: Journal of Orthopaedic Reports [ISNN 2773-157X], v. 3(1), (March 2024).
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