Postoperative Walking Ability Research Articles

Post-operative walking ability of the patients suffered from femoral neck fractures

Post-operative walking ability of the patients suffered from femoral neck fractures

Postoperative walking ability and mortality in older patient who have a fracture of the hip

Postoperative walking ability and mortality in older patient who have a fracture of the hip

高齢者大腿骨頚部骨折手術症例の日常生活能力の検討

Our study population consisted of 116 patients aged over 70 years who had been operated on for hip fractures at this hospital and were followed up for 7-70 months. We investigated complications at discharge and postoperative walking ability. Patients who were unable to walk at discharge were older, and had complicated dementia (45.5%) with a poor prognosis.We speculate that early prevention and treatment for dementia produce smooth postoperative rehabilitation and an improved prognosis.

Outcome after limited posterior surgery for thoracic and lumbar spine metastases.

The efficacy of 'limited posterior surgery' for metastases in the thoracic and lumbar spine was studied prospectively in 51 patients (32 men and 19 women, mean age 64 years). The most common primary tumors were prostate, breast, and renal carcinoma, 37 patients had metastases in the thoracic spine and 14 in the lumbar spine. Indications for surgery were severe pain or neurologic deficit. Of the 46 patients with neurologic symptoms, 25 were unable to walk. Surgery was confined to direct or indirect decompression and stabilization with a pedicle screw fixator over few segments as possible. Pain, as well as a variety of functional performance parameters and residential status were registered preoperatively and after surgery at 3, 6, 9, and 12 months, and at 6-monthly intervals thereafter. Pain was rated by the patient on a Visual Analog Scale, and functional performance was assessed with the Eastern Co-operative Oncology Group (ECOG) Performance Status Scale. We had no perioperative neurologic deterioration or death. Nineteen of the 25 nonambulatory patients regained their walking ability. Postoperative pain relief was significant and lasting over time. Nearly half of the patients attained improvement in functional performance. The median survival was 8 months. Older age and intact postoperative walking ability were positive factors for survival.