Safety of Immediate Weight-Bearing as Tolerated After Well-Reduced Geriatric Hip

N/ACompletedNCT06199739

Far Eastern Memorial Hospital14 enrolled

Overview

Purpose: Proximal femur fracture is a major traumatic injury in elderly populations; however, practical postoperative weight-bearing protocols are lacking. Therefore, the purpose of the present study was to investigate whether early weight-bearing status after proximal femur nail fixation is associated with any loss of reduction and evaluate the clinical outcomes of this intervention. Patients and methods: For this prospective single center clinical trial study, we recruited 14 proximal femur fracture cases, classified by AO/OTA 2018, receiving intramedullary nail fixation. Clinical outcomes included the Harris functional hip score and VAS pain score. Additionally, demographic data, radiological parameters, time to weight-bearing, mortality rate, medical and surgical complications, and final ambulation status were recorded.

Study Type

INTERVENTIONAL

Allocation

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Bony Weight Bearing Disorder

Interventions

The patients began early weight bearing under attending physician and physiotherapist surveillance within 48 hours after surgery. Patients were instructed to stand up near the bed, and muscle power, gait stability, and pain tolerance were recorded. The physiotherapist instructed the patients to perform early mobilization and weight bearing as tolerable by self-adjustment of body weight distribution over the bilateral lower extremities, and walking assistance was used to prevent repeat falling accidents.

Eligibility

Sex: ALLHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Patients with AO/OTA type 31 fractures were included, and all fractures were classified using intraoperative fluoroscopy with traction on the fracture table. Exclusion Criteria: * Patients with pathological fractures, neurovascular insufficiency, ipsilateral lower extremity musculoskeletal injury, multiple fractures, or high risk of falling, including frequent falling accidents within 6 months, unsteady gait, ipsilateral neuropathy, limb weakness, and urinary incontinence were excluded.

Outcomes

Primary Outcomes

Harris Hip Functional score

The questionaire to patient. (HHS score 0-100,\<60 poor,\>80 good)

Time frame: Functional and radiographic evaluations was performed at months 1 postoperatively

Harris Hip Functional score

The questionaire to patient(HHS score 0-100,\<60 poor,\>80 good)

Time frame: Functional and radiographic evaluations was performed at months 3 postoperatively

Harris Hip Functional score

The questionaire to patient(HHS score 0-100,\<60 poor,\>80 good)

Time frame: Functional and radiographic evaluations was performed at months 6 postoperatively

Harris Hip Functional score

The questionaire to patient(HHS score 0-100,\<60 poor,\>80 good)

Time frame: Functional and radiographic evaluations was performed at months 12 postoperatively

Secondary Outcomes

visual analog pain score

Independent assessor (VAS:0-10)

Time frame: Record at months 1 postoperatively

visual analog pain score

Independent assessor(VAS:0-10)

Time frame: Record at months 3 postoperatively

visual analog pain score

Independent assessor(VAS:0-10)

Time frame: Record at months 6 postoperatively

visual analog pain score

Independent assessor(VAS:0-10)

Time frame: Record at months 12 postoperatively

Complication

Loss of reduction, malunion or nonunion

Time frame: Functional and radiographic evaluations were performed at months 1, 3, 6, and 12 postoperatively

Safety of Immediate Weight-Bearing as Tolerated After Well-Reduced Geriatric Hip

Overview

Conditions

Interventions

Eligibility

Locations (1)

Outcomes

Primary Outcomes

Secondary Outcomes