The effect of rehabilitation support on male and female after intertrochanteric femoral fracture treatment

Abstract

Aim: The aim of our study is to investigate the effect of rehabilitation support after intertrochanteric femur fractures on men and women. The results of the groups consisting of male and female patients who received and did not receive rehabilitation support were compared both between the same sexes and between different sexes. Material and Method: One hundred twenty four patients were evaluated under two groups according to whether they received rehabilitation support or not. First group (no rehabilitation support) consists of 42 females, and 29 males, and second group (rehabilitation support) consists of 30 females, and 23 males. While the patients in the first group performed the exercises themselves at home, the patients in the second group received rehabilitation support under the guidance of a physiotherapist. The patients in both groups were also evaluated under 2 subgroups as male and female. Results: There was no significant differences between both groups in terms of mean age, female male ratio, fracture type, mean follow-up time, Harris hip score, Barthel life index, Parker and Palmer Mobility Scale before fracture. There was also no significant difference between the subgroups of the both groups. Harris hip score, Barthel life index, and Parker and Palmer Mobility Score of males were better than females at the final follow-up in the first group. The results of females were worse than pre-fracture, but there was no difference in males at the final follow-up. Harris hip score, Barthel life index, and Parker and Palmer Mobility Score of males were better than females at the final follow-up in the second group as first group. While the results of females were not different compared to pre-fracture, the results were better in males at the final follow-up. When the female and male subgroups of both groups were compared with each other, it was determined that the results in male and female subgroups in the 2nd group were significantly better. Conclusion: The continuity of rehabilitation support after hospital discharge is very important. Although rehabilitation support positively affects the results in male and female, it is much more important for female than male.

Keywords

• Intertrochanteric femur fracture
• Rehabilitation support
• Functional results.

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