Are we Really Improving the Quality of Life after Hemiarthroplasty of the Hip in the Elderly? An Observational Study
Introduction: Hip fractures are the major cause of disability and functional impairment in the elderly. Studies have correlated the results from treating femoral neck fractures; however, little has been described the quality of life (QOL) after hemiarthroplasty in these patients. Objective: An asses...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Journal of Orthopedics, Traumatology and Rehabilitation |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/jotr.jotr_32_22 |
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| _version_ | 1823868440316739584 |
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| author | T. Adarsh Mruthyunjaya C. S. Likhit Nawab Akthar Khan |
| author_facet | T. Adarsh Mruthyunjaya C. S. Likhit Nawab Akthar Khan |
| author_sort | T. Adarsh |
| collection | DOAJ |
| description | Introduction:
Hip fractures are the major cause of disability and functional impairment in the elderly. Studies have correlated the results from treating femoral neck fractures; however, little has been described the quality of life (QOL) after hemiarthroplasty in these patients.
Objective:
An assessment of physical, psychological, social relationships, and environmental domains of QOL after hemiarthroplasty in elderly patients and to analyze the postsurgical impact on the activity of daily living and functional outcome of the hip.
Methods:
Prospective observational study was conducted on 100 elderly patients who underwent hemiarthroplasty. The hip function was scored with the Harris Hip Score (HHS) and activities of daily living were rated by the Barthel Index. Health-related QOL was rated by the World Health Organization QOL: Brief version applied before and 6 months after surgery.
Results:
There was fair to good HHS and decreased dependency in the activities of daily living with preserved function by the end of 6 months. Postsurgery ambulation showed that 30% of them used a walker for ambulation due to fear of falls. QOL improved but did not return to presurgery levels. The psychological domain was the most affected, followed by the environmental and social domains.
Conclusion:
Results showed the need for improvisation of various aspects of postoperative care such as designated rehabilitation protocols, fall clinics, psychotherapy and relaxation, and geriatric care for associated comorbidities. Implementing such a comprehensive specialty care approach along with good surgery will improve the QOL to presurgical level. |
| format | Article |
| id | doaj-art-d4b57e8f0d8a47c89707bc26a849a409 |
| institution | Kabale University |
| issn | 0975-7341 2347-3746 |
| language | English |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Orthopedics, Traumatology and Rehabilitation |
| spelling | doaj-art-d4b57e8f0d8a47c89707bc26a849a4092025-02-08T05:52:28ZengWolters Kluwer Medknow PublicationsJournal of Orthopedics, Traumatology and Rehabilitation0975-73412347-37462023-01-01151636710.4103/jotr.jotr_32_22Are we Really Improving the Quality of Life after Hemiarthroplasty of the Hip in the Elderly? An Observational StudyT. AdarshMruthyunjayaC. S. LikhitNawab Akthar KhanIntroduction: Hip fractures are the major cause of disability and functional impairment in the elderly. Studies have correlated the results from treating femoral neck fractures; however, little has been described the quality of life (QOL) after hemiarthroplasty in these patients. Objective: An assessment of physical, psychological, social relationships, and environmental domains of QOL after hemiarthroplasty in elderly patients and to analyze the postsurgical impact on the activity of daily living and functional outcome of the hip. Methods: Prospective observational study was conducted on 100 elderly patients who underwent hemiarthroplasty. The hip function was scored with the Harris Hip Score (HHS) and activities of daily living were rated by the Barthel Index. Health-related QOL was rated by the World Health Organization QOL: Brief version applied before and 6 months after surgery. Results: There was fair to good HHS and decreased dependency in the activities of daily living with preserved function by the end of 6 months. Postsurgery ambulation showed that 30% of them used a walker for ambulation due to fear of falls. QOL improved but did not return to presurgery levels. The psychological domain was the most affected, followed by the environmental and social domains. Conclusion: Results showed the need for improvisation of various aspects of postoperative care such as designated rehabilitation protocols, fall clinics, psychotherapy and relaxation, and geriatric care for associated comorbidities. Implementing such a comprehensive specialty care approach along with good surgery will improve the QOL to presurgical level.https://journals.lww.com/10.4103/jotr.jotr_32_22activities of daily livingelderlyhemiarthroplastyquality of lifeworld health organization quality of life-brief version |
| spellingShingle | T. Adarsh Mruthyunjaya C. S. Likhit Nawab Akthar Khan Are we Really Improving the Quality of Life after Hemiarthroplasty of the Hip in the Elderly? An Observational Study Journal of Orthopedics, Traumatology and Rehabilitation activities of daily living elderly hemiarthroplasty quality of life world health organization quality of life-brief version |
| title | Are we Really Improving the Quality of Life after Hemiarthroplasty of the Hip in the Elderly? An Observational Study |
| title_full | Are we Really Improving the Quality of Life after Hemiarthroplasty of the Hip in the Elderly? An Observational Study |
| title_fullStr | Are we Really Improving the Quality of Life after Hemiarthroplasty of the Hip in the Elderly? An Observational Study |
| title_full_unstemmed | Are we Really Improving the Quality of Life after Hemiarthroplasty of the Hip in the Elderly? An Observational Study |
| title_short | Are we Really Improving the Quality of Life after Hemiarthroplasty of the Hip in the Elderly? An Observational Study |
| title_sort | are we really improving the quality of life after hemiarthroplasty of the hip in the elderly an observational study |
| topic | activities of daily living elderly hemiarthroplasty quality of life world health organization quality of life-brief version |
| url | https://journals.lww.com/10.4103/jotr.jotr_32_22 |
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