Paper Information

Journal:   IRANIAN RED CRESCENT MEDICAL JOURNAL (IRCMJ)   SEPTEMBER 2013 , Volume 15 , Number 9; Page(s) 873 To 874.
 
Paper: 

EFFECT OF BMI ON MOBILITY OF PATIENTS WITH PROXIMAL FEMORAL FRACTURE

 
 
Author(s):  YEGANEH ALI*, SHAHOSEINI GHOLAMREZA, GHAVAMI YASER
 
* ORTHOPEDIC DEPARTMENT, RASOOL-AKRAM HOSPITAL, TEHRAN, IR IRAN
 
Abstract: 

Proximal femoral fracture (PFF) is one of the most important etiologies of mortality and morbidity in elderly. Reported mortality rate is in a range of 1.3-16% pre-operatively up to 22-42% postoperatively (1, 2).Mortality rate in elderly patients with this problem is estimated about 30%.In Iran, and there are a relatively lower number of incidences for hip fracture than in western countries. Effective factors on mortality rate are aging, gender, intertrochanteric fractures and immobility before fracture (3). PFF usually requires a great amount of health care which causes patients to be hospitalized for a long time. Increased life expectancy leads to increased age and senescence. On the other hand, disorders such as cardiovascular diseases and diabetes result in additional concerns about complications caused by these fractures (4). Also increased rate of obesity in general population have worsened complications which have made treatments less effective (5). One of the most important therapeutic goals is to achieve movement ability after fracture in these patients. Walking with and without using crutch, and ability for mobility is expected in the cases (6). Established risk factors for decreased mobility in patients are osteoporosis, decreased bone density, prolonged consumption of corticosteroids, aging and central obesity. Several studies have shown direct relation between BMI and mortality rate in patients with the noted fractures (7, 8).

 
Keyword(s): BMI, MOBILITY, PROXIMAL FEMORAL FRACTURE
 
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