Effects of early mobilization and weight bearing on postoperative walking ability and pain in geriatric patients operated due to hip fracture: a retrospective analysis

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dc.contributor.authorKuru, Tolgahan
dc.contributor.authorOlcar, Haci Ali
dc.date.accessioned2025-01-27T20:54:01Z
dc.date.available2025-01-27T20:54:01Z
dc.date.issued2020
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractBackground/aim: Hip fractures in older adults are associated with high morbidity, mortality, and subsequent hospital costs and decreased quality of life. The objective of this study was to evaluate geriatric patients who underwent partial prosthesis surgery following hip fracture and effects of early mobilization and weight bearing on postoperative walking ability and pain. Materials and methods: A total of 52 geriatric patients with intertrochanteric and femoral neck fractures were included in the study. Patients' service files, system records, pre- and postoperative X-rays were retrospectively reviewed. Results: There were 52 patients in the study group with 36 (69.2%) being female. The mean age of the patients was found as 82.9 +/- 6.5 years. The mean length of stay in hospital was found as 6.2 +/- 2.6 days. The mean length of stay in hospital was found as 5.3 +/- 1.7 days in male and 6.6 +/- 2.8 days in female patients, and the difference was statistically significant (P = 0.035). The mean length of stay in hospital was found as 5.4 +/- 1.8 days in early mobilization group and 6.9 +/- 2.9 days in late mobilization group, and the difference was statistically significant (P = 0.026). There was a significant difference between Harris and pain scores in terms of the time of first weight bearing at the postoperative 1st month follow-up. Harris score was found as 84.0 +/- 5.8 (median: 84.0, min-max: 73-94), and the main pain score as 36.8 +/- 6.8 in the group with the first weight bearing within the first 24 h, while Harris score was found as 71.10 +/- 2.8, and the main pain score as 24.4 +/- 6.4 in the group with the first weight bearing after the postoperative 24th hour. Conclusion: The results of our study indicated that early mobilization and full weight bearing in geriatric patients after hip fracture surgery shortened length of stay in hospital, reduced postoperative pain, and increased walking ability.
dc.identifier.doi10.3906/sag-1906-57
dc.identifier.endpage125
dc.identifier.issn1300-0144
dc.identifier.issn1303-6165
dc.identifier.issue1
dc.identifier.pmid31742370
dc.identifier.scopus2-s2.0-85079355482
dc.identifier.scopusqualityQ1
dc.identifier.startpage117
dc.identifier.trdizinid334251
dc.identifier.urihttps://doi.org/10.3906/sag-1906-57
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/334251
dc.identifier.urihttps://hdl.handle.net/20.500.12428/25947
dc.identifier.volume50
dc.identifier.wosWOS:000514283600016
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherTubitak Scientific & Technological Research Council Turkey
dc.relation.ispartofTurkish Journal of Medical Sciences
dc.relation.publicationcategoryinfo:eu-repo/semantics/openAccess
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WoS_20250125
dc.subjectGeriatric
dc.subjecthip fracture
dc.subjectpain
dc.subjectmobilization
dc.subjectweight bearing
dc.titleEffects of early mobilization and weight bearing on postoperative walking ability and pain in geriatric patients operated due to hip fracture: a retrospective analysis
dc.typeArticle

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