Evaluation of Results from Rehabilitation of Patients with Pertrochanteric Fracture Treated Surgically

Abstract

Introduction: Adult population generally is more sensitive and exposed to various injuries, which means increased opportunity for the emergence of various kinds of geriatric trauma. By increasing average length of life, solving fractures of the upper end of the femur is a major problem for the modern surgery. Aim of the Study: Aim is to evaluate the effects of treatment and physical rehabilitation with kinesiotherapy and magnetic therapy versus kinesiotherapy and therapy with interference currents of patients with surgically treated pertrochanteric fracture with DHS type KYLE I, II, according to the protocol results monitoring. Materials and Methods: The study represents a prospective randomized clinical trial implemented at the Institute for Physical Medicine and Rehabilitation - Skopje. Include two cohorts, with 90 participants with pertrochanteric fracture treated surgically with DHS- type KYLE I, II. Respondents are divided into two groups: Examined group - 45 patients, treated with kinesiotherapy and magnetic therapy and control group - 45 patients treated with kinesiotherapy and therapy with interference currents. Respondents were followed for one year, during which were performed three examinations, the first control on the day of discharge of the hospital, than after 6 and 12 months, from the first review which is input for selected patients who meet the criteria for inclusion in research. Results: For p > 0.05, there is no statistically significant difference between the groups in terms of the gender of the respondents (Pearson Chi-square = 0.6527, df = 1, p = 0.4191. For p <0.05, a significant difference was found between the respondents from the two groups in terms of the status of formed callus (Pearson Chi-square = 10,181, df = 1, p = 0,0014). It is recognized that, kinesio therapy and magnetic therapy and kinesiotherapy and interference currents, for p < 0,05, increase Harris hip score (improve the condition of patients) in three time combinations. On physical examination after discharge, 6 and 12 months, Harris hip score for the group treated with magnetic therapy is significantly higher compared with the same in the group treated with interference currents, Conclusion: In the postoperative rehabilitation of pertrochanteric fractures, with dynamic fixation implant-DHS, therapy of choice is kinesiotherapy and magnetic therapy. It resulted with improvement in the functional status, the stimulation of osteogenesis and quality of life in elderly patients.