摘要:

The best method of fixation between the implant and host bone in total hip arthroplasty (THA) remains controversial. Many factors such as patient activity level and bone quality are important in determining the method that best meets the individual patient's needs. This review examines the historical reasoning behind these methods of fixation and reviews several clinical studies that evaluate long-term care outcomes of THA with respect to implant fixation.

ISSN:0882-7524    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

A comprehensive, patient-focused rehabilitation program following total hip arthroplastry (THA), which is currently being followed at Vanderbilt University Medical Center in Nashville, Tennessee, is presented in this article. The overall purpose of this program is to enable patients to become functionally independent following surgery. The rehabilitation program, with its basis on patient knowledge of precautions and restrictions, begins in the preoperative setting and continues beyond hospital discharge.

ISSN:0882-7524    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

This article addresses acute and subacute occupational therapy treatment techniques for older adults status-post total hip replacement and repair. Emphasis is on stimulating musculoskeletal, postural, sensory, cognitive, and psychosocial human components to maximize independence in activities of daily living and mobility. The focus is on designing client-specific treatment plans within orthopaedic preacautions. Interdisciplinary treatment for addressing and preventing bowel, bladder, and skin integrity complications is stressed. Efficiency in design and implementation of treatment plans is highlighted.

ISSN:0882-7524    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

The need to treat patients over 60 years of age with proximal femoral fractures (intertrochanteric or neck) is becoming more frequent as the population ages. Most of the associated complications are related to the age of the patient. Immediate consideration must be given to preventing the life-threatening complications of pulmonary emboli and pneumonia related to recumbency. Next, treatment failures may occur as mobilization and weight bearing begin. Most of these failures are related to either surgical technique or the same neuromusculoskeletal problems of osteoporosis and loss of balance and coordination that likely contributed to the fracture. Finally, complications related to the fracture itself may arise, such as femoral head osteonecrosis or fracture nonunion. The likelihood and the effect of these complications must be weighted when determining the best treatment for patients whose activity level and life span are frequently limited.

ISSN:0882-7524    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Hip surgery is the most common orthopaedic surgery in the older person. Physical therapy, as part of the interdisciplinary rehabilitation team, plays an important role in assisting hip fracture patients in returning to their prefracture level of functioning as well as decreasing the incidence of complications via early mobilization. With the trend in the increasing number of aging Americans and the changes in the delivery of services in the American health care system, physical therapy will continue to be an important factor.

ISSN:0882-7524    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

This article focuses on providing care to hip fracture patients in a home environment. The role of the home care therapist, details to the home evaluation, and appropriate adaptive equipment and treatment approaches are discussed. In addition, innovative interventions in the “Be HIP!” program are presented. The components of the “Be HIP!” program, in addition to a through safety evaluation, include strengthening, gait training, scar mobilization, fall risk education, home exercises, and balance training.

ISSN:0882-7524    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Hip fractures can have devastating effects on older persons often leading to poorer quality of life, tremendous health care costs, and often permanent institutionalization. It is therefore important to take appropriate measures to properly rehabilitate an older person with a hip fracture in the institutional setting. This article discusses the etiology of hip fractures, surgical interventions, and team rehabilitation strategies in both the institutional acute and sub-acute phases. Specific hip protocols are given with an emphasis on the interdisciplinary team approach.

ISSN:0882-7524    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

The purpose of this study was to determine if the diminution of ankle dorsiflexion range of motion versus flexibility is a causative factor in falls in older women (age > 59 years). A sample of 20 women over the age of 59 years was used. Ten of the women had fallen more than two times in the past 12 months (F), the remaining 10 had no history of recent falls (NF). Both groups had passive ankle joint dorsiflexion range of motion (D) and passive ankle dorsiflexion flexibility (DF) measured with a goniometer. DR was measured with the knee flexed to 90°. DF was measured with the knee fully extended. Statistical comparison of the two groups showed no significant difference in the degrees of movement of DR between the groups. DF degrees of movement, for the two groups, showed a significant decreased in the group of fallers. The findings in this study suggest a link between decreased DF and falls in the older women.

ISSN:0882-7524    

出版商:OVID    

年代:1996

数据来源: OVID

ISSN:0882-7524    

出版商:OVID    

年代:1996

数据来源: OVID

ISSN:0882-7524    

出版商:OVID    

年代:1996

数据来源: OVID