Recovery of pre-injury functional state following operative treatment of displaced femoral neck fractures; a prospective cohort study
Why is this work in the frame?
A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.
No Canadian affiliation. An affiliation-only frame — the usual design — would never have seen this work. It is one of the works that make the case for inverting the frame.
The three-model screen
all 1,000 screened works →All three models called this out of scope.
Prospective cohort study of functional recovery after femoral neck fracture surgery.
This is a clinical outcomes study of femoral fracture treatment, not research practice.
Clinical cohort study of hip-fracture functional recovery; object is patient outcomes, not research practice.
Abstract
The incidence of fracture neck of femur (FNF) has been projected to increase significantly. This study sought to determine the recovery of preinjury functional state following operative treatment of displaced FNF. A six-month prospective cohort study was conducted at Kenyatta National Hospital (KNH) and PCEA Kikuyu Mission Hospital (KMH) between November 2008 and May 2009. Sixty patients were enrolled using a pre-tested questionnaire. The Western Ontario and McMaster Universities Osteoarthritis index (WOMAC) scores were used. The functional outcome measures included pain, stiffness and activities of daily living (ADL). Stratification and subgroup analysis were done especially based on age. Student's t-test and χ2 test were used for comparison between variables as appropriate with a p < 0.05 being considered statistically significant. Majority of the patients recruited were males (68%) with a mean age of 51.6 years. Eighty eight percent of the patients had a mean negative early functional outcome score. Hemiarthroplasty (HA) and Total Hip Arthroplasty (THA) had comparable early post-operative functional outcome while Osteosynthesis (OS) had a poorer ADL outcome. Prolonged hospital stay was associated with a poor ADL outcome (p = 0.020). Use of the antero-lateral approach to the hip was associated with a better ADL outcome in patients older than 50 years (p = 0.007). At three months post-operatively, most patients have not fully recovered their pre-injury level of function and independence. Both HA and THA are associated with better early functional outcome compared to OS. Original research.
Stored with the screening record, where it is evidence for the labels above.
The record
- Venue
- Annals of Medicine and Surgery
- Topic
- Hip and Femur Fractures
- Field
- Medicine
- Canadian institutions
- —
- Funders
- —
- Keywords
- MedicineProspective cohort studyActivities of daily livingFemoral neckWOMACOsteoarthritisSurgeryCohort studyCohortIncidence (geometry)Harris Hip ScoreRehabilitationPhysical therapyHip fractureArthroplastyOsteoporosisInternal medicine
- Has abstract in OpenAlex
- yes