Ceder L, Ekelund L, Inerot S, Lindberg L, Odberg E, Sjölin C
Acta Orthop Scand. 1979 Dec;50(6 Pt 1):681-8. doi: 10.3109/17453677908991293.
Sixty-eight patients with hip fracture, mean age 79 years, from the city of Lund, were studied with special reference to functional and social rehabilitation at follow-up 1 year later. As compared with patients coming from institutions for permanent care, patients coming from their own homes had a significantly better prognosis in terms of survival, mobility and ability to cope with activities of daily living (ADL). However, patients returning home needed increased domestic help. Patients living with someone returned home sooner than those living alone. Although many of the patients who returned home could walk without support or with a walking-stick, more than one half did not go out shopping. More active measures, e.g. early home visits by a rehabilitation team, might give the patients more self-confidence and independence. Immediate weight-bearing did not appear to impair healing of the hip fracture or increase the risk of necrosis of the femoral head.
对来自隆德市的68例平均年龄为79岁的髋部骨折患者进行了研究，特别关注1年后随访时的功能和社会康复情况。与来自长期护理机构的患者相比，来自自己家中的患者在生存、活动能力和日常生活活动（ADL）应对能力方面预后明显更好。然而，回家的患者需要更多的家庭帮助。与独居患者相比，与他人同住的患者回家更早。虽然许多回家的患者无需支撑或使用拐杖就能行走，但超过一半的患者没有外出购物。采取更积极的措施，如康复团队早期家访，可能会让患者更有自信和独立性。立即负重似乎不会影响髋部骨折的愈合，也不会增加股骨头坏死的风险。
