摘要
Aim
<p>To determine the factors that affect functional recovery after a hip fracture.Methods
<p>A study was conducted on a cohort of 333 patients aged 65 years or over with hip fractures who were admitted to Carlos Haya hospital between February 2004 and February 2005. Epidemiological, clinical and functional activity data were recorded by applying generally used scales to determine the patients鈥?functionality before and after the fracture, by means of telephone interviews 6 months after the fracture.Results
<p>Prognostic factors of functional incapacity 6 months after the fracture were age, being institutionalised, having poor functionality before the fracture, being dependent for basic activities of daily living and having had an extracapsular fracture or undergoing osteosynthesis.Conclusions
<p>It is possible to determine the prognosis of a hip fracture patient on admission. The use of extramedullary fixation systems failed to show good results compared with arthroplasty. Intramedullary osteosynthesis (used only in 5 patients), and an early start of rehabilitation could improve the functional results of these patients. In fact, intramedullary nailing has demonstrated better outcomes in unstable trochanteric and subtrochanteric femoral fractures vs Dynamic Screw and Plate.
