Chiu K Y, Pun W K, Luk K D, Chow S P
Department of Orthopaedic Surgery, University of Hong Kong, Queen Mary Hospital.
Injury. 1992;23(5):297-9. doi: 10.1016/0020-1383(92)90171-n.
Of 1430 patients with proximal femoral fractures admitted into Queen Mary Hospital, Hong Kong from 1985 to 1990, 146 patients (10.2 per cent) had a history of previous cerebrovascular accidents. The fracture was on the hemiplegic side in 82 percent of patients. Most patients were treated by operation. Intensive physiotherapy was given to these patients for an average of 6 weeks. The prefracture walking ability was regained or even improved upon discharge in 60.9 per cent of patients. After an average follow-up of 21 months, 31 per cent had satisfactory walking and active daily activities. There was significant correlation of the performance upon discharge from the hospital with the walking ability at the final follow-up.
1985年至1990年期间，香港玛丽医院收治了1430例股骨近端骨折患者，其中146例（10.2%）有脑血管意外病史。82%的患者骨折发生在偏瘫侧。大多数患者接受了手术治疗。对这些患者进行了平均6周的强化物理治疗。60.9%的患者在出院时恢复了骨折前的行走能力，甚至有所改善。平均随访21个月后，31%的患者行走及日常活动良好。出院时的表现与最终随访时的行走能力之间存在显著相关性。
