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Post-stroke hip fractures.

H C White1

  • 1Department of Medicine, Center for the Study of Aging and Human Development, Durham, NC.

Archives of Orthopaedic and Traumatic Surgery. Archiv Fur Orthopadische Und Unfall-Chirurgie
|January 1, 1988
PubMed
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Stroke survivors frequently experience proximal femur fractures due to falls, often in the bathroom or during transfers. These hip fractures significantly impair mobility and living arrangements post-injury.

Area of Science:

  • Orthopedic Surgery
  • Geriatric Medicine
  • Neurology

Background:

  • Stroke survivors are at increased risk for falls and subsequent injuries.
  • Proximal femur fractures pose significant challenges for recovery and rehabilitation in this population.

Purpose of the Study:

  • To analyze the characteristics and outcomes of proximal femur fractures in stroke survivors.
  • To identify risk factors and common circumstances leading to these fractures.

Main Methods:

  • Retrospective review of 56 proximal femur fractures in 53 stroke survivors.
  • Analysis of fracture side correlation with hemiparesis.
  • Documentation of fall circumstances and immediate post-discharge functional status.

Main Results:

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  • A positive correlation was observed between the side of fracture and the side of hemiparesis (P < 0.001).
  • Falls were the primary cause, frequently occurring in bathrooms or during transfers.
  • Only 40% regained ambulation and 39% could return home immediately post-discharge.

Conclusions:

  • Proximal femur fractures in stroke survivors are strongly linked to hemiparesis and falls.
  • These fractures lead to substantial functional decline, impacting ambulation and living situations.
  • Preventing falls during transfers and in bathrooms is crucial for this vulnerable group.