Tolo E T, Bostrom M P, Simic P M, Lyden J P, Cornell C M, Thorngren K G
The New York Hospital-Cornell Medical Center, NY, USA.
Int Orthop. 1999;23(5):279-82. doi: 10.1007/s002640050371.
A prospective outcome study was performed of 100 hip fracture patients at an urban medical center in the United States. After hospitalization 19% were discharged to a rehabilitation facility and 59% were discharged home. At a mean follow-up of 8 months, 81% of patients lived at home, compared to 89% who lived at home prior to the fracture. At follow-up 71% of the patients were able to walk outside with one cane or no aids at all, and 81% were able to perform basic activities of daily living. Half of all patients did not require any home assistance at follow-up. Ten patients had died at follow-up. The goal of operatively treating the patient with a hip fracture is fixation of the fracture with a return to the patient's pre-fracture functional ability. This study illustrates that patients with hip fractures can be effectively treated and discharged home or to a short-term rehabilitation facility with restoration of their pre-fracture functional status.
在美国一家城市医疗中心，对100例髋部骨折患者进行了一项前瞻性结局研究。住院后，19%的患者出院前往康复机构，59%的患者出院回家。平均随访8个月时，81%的患者居家生活，而骨折前居家生活的患者比例为89%。随访时，71%的患者能够借助一根拐杖或完全无需辅助器具在户外行走，81%的患者能够进行基本的日常生活活动。所有患者中有一半在随访时不需要任何家庭协助。随访时有10例患者死亡。手术治疗髋部骨折患者的目标是通过固定骨折使患者恢复到骨折前的功能能力。这项研究表明，髋部骨折患者可以得到有效治疗，并在恢复骨折前功能状态后出院回家或前往短期康复机构。
