Chen C-Y1,2, Tsauo J-Y1,2, Yang R-S3
1National Taiwan University Hospital, Physical Therapy Center, Taipei, Taiwan, 2National Taiwan University, School of Physical Therapy, Taipei, Taiwan, 3National Taiwan University Hospital, Department of Orthopedic Surgery, Taipei, Taiwan
Background: A hip fracture deteriorates the quality of life of the victims and increase 3-fold mortality risk than general population.
Purpose: This retrospective study intended to evaluate hip refracture rate in fragility hip fracture patient with and without acute physical therapy (PT).
Methods: Physical therapy center (PTC) of National Taiwan University Hospital (NTUH) set up at July 2008. Routine acute PT care for orthopedic patients in NTUH was started after PTC set-up. This study attempted to analyze the difference of the subsequent fracture rate after fragility hip fracture between this two care models: with or without routine acute PT care.
Results: There were 1175 and 1778 cases of fragility hip fracture from 2003 to 2006 (group A: without acute PT) and 2009 to 2012 (Group B: with acute PT) at NTUH. There were 48 (group A) and 55 cases (group B) suffered from subsequent hip fracture respectively within 5 years (5-year) after the first episode. The 5-year refracture rate of group A was 2.7%. There were 19 (40%), 7 (15%) and 22 cases (46%) of the subsequent hip fracture occurred within 6 months( 6-month), 6 months to 1 year (1-year) and more than 2 years (2-year) from the last fracture in group A respectively. The refracture rate was 3.1% in group B. There were 9 (16%), 15 (27%) and 31 cases (56%) of subsequent hip fracture occurred at 6-month, 1-year, and 2-year in group B respectively. There was no significant difference of the 5-year refracture rate between both groups. However, the difference of refracture rate was shown with the timing of refracture (p=0.023). Higher 6-month refracture rate was observed in Group A.
Conclusion(s): This study compared the refracture rate between two care models. There was no difference between 5-year refracture rates. More subsequent hip fracture events was observed in post-fracture 6 months in Group A. Routine acute PT care could reduce the refracture rate in 6 months, but no long-term effect was found.
Implications: Acute PT care could reduce the 6-months refracture rate. Since more morbidity occurred within the first year after fracture, a lower refracture rate implicates a lower complication rate.
Keywords: fragility fracture, acute physical therapy, hip fracture
Funding acknowledgements: National Taiwan University Hospital
Purpose: This retrospective study intended to evaluate hip refracture rate in fragility hip fracture patient with and without acute physical therapy (PT).
Methods: Physical therapy center (PTC) of National Taiwan University Hospital (NTUH) set up at July 2008. Routine acute PT care for orthopedic patients in NTUH was started after PTC set-up. This study attempted to analyze the difference of the subsequent fracture rate after fragility hip fracture between this two care models: with or without routine acute PT care.
Results: There were 1175 and 1778 cases of fragility hip fracture from 2003 to 2006 (group A: without acute PT) and 2009 to 2012 (Group B: with acute PT) at NTUH. There were 48 (group A) and 55 cases (group B) suffered from subsequent hip fracture respectively within 5 years (5-year) after the first episode. The 5-year refracture rate of group A was 2.7%. There were 19 (40%), 7 (15%) and 22 cases (46%) of the subsequent hip fracture occurred within 6 months( 6-month), 6 months to 1 year (1-year) and more than 2 years (2-year) from the last fracture in group A respectively. The refracture rate was 3.1% in group B. There were 9 (16%), 15 (27%) and 31 cases (56%) of subsequent hip fracture occurred at 6-month, 1-year, and 2-year in group B respectively. There was no significant difference of the 5-year refracture rate between both groups. However, the difference of refracture rate was shown with the timing of refracture (p=0.023). Higher 6-month refracture rate was observed in Group A.
Conclusion(s): This study compared the refracture rate between two care models. There was no difference between 5-year refracture rates. More subsequent hip fracture events was observed in post-fracture 6 months in Group A. Routine acute PT care could reduce the refracture rate in 6 months, but no long-term effect was found.
Implications: Acute PT care could reduce the 6-months refracture rate. Since more morbidity occurred within the first year after fracture, a lower refracture rate implicates a lower complication rate.
Keywords: fragility fracture, acute physical therapy, hip fracture
Funding acknowledgements: National Taiwan University Hospital
Topic: Orthopaedics; Musculoskeletal: lower limb; Older people
Ethics approval required: Yes
Institution: National Taiwan University Hospital
Ethics committee: National Taiwan University Hospital Ethics Committee
Ethics number: 201603098RINA
All authors, affiliations and abstracts have been published as submitted.
