Review Article

Physical Activity and Hip Fracture Disability: A Review

Table 1

Selected cases with a hip fracture history, their body mass indices, and their disability levels, showing only 25% of cases are underweight [48].

AgeGenderFracture historyFunctional status-2000Body mass indexSubsequent surgical history

**67FSustained Sept 1998, underwent surgery, but hardware was removed because of infection, Oct 1998.Nonambulatory for 12 months and in severe pain.25After various treatments in 1999 to reduce infection, the total hip arthroplasty previously inserted was removed and reimplanted.

***70FSustained L hip fracture 1990, and developed avascular necrosis requiring total hip replacementAmbulated min distance with crutch or cane.25Started to have pain in 2000, which progressed and was diagnosed as due to a loose L total hip replacement that required revision.

75FInitially sustained R hip fracture 1995.<1 block with cane.27Failed hemiarthroplasty required revision with total hip arthroplasty because arthroplasty had worn down cartilage.
Hospitalized for 14 days, then sent to rehabilitation center.

76FSustained fracture following fall 1990, required surgery, but developed problems requiring revision after 3 months.Min distance with cane due to pain.22Total hip replacement had failed and required revision.
After 5 days could walk a max distance of 70 foot with support and was discharged to a Rehabilitation Center.

***77
**
*
FSustained R hip fracture 1983 followed by surgery, and R total hip replacement in 1987, then had L hip surgery in 1999 following a fracture on L.Unable to walk due to pain.29L total hip replacement had failed and required conversion to total hip replacement.
After 6 days could walk approximately 50 foot with rolling walker and supervision and was discharged to a rehabilitation center.

*83FInitially sustained R femoral neck hip fracture 1999.Wheel chair bound.27Initially improved after surgical reduction, then deteriorated to point where she could not walk and required a total hip arthroplasty.
After 8 day could walk 25 foot with crutches and supervision and was discharged home with physical therapy.

***85
**
*
MInitially sustained a R hip fracture 1999 after a fall.Able to walk max of 1 block with walker.30Original hardware consisting of pinning of the original fracture site required removal and conversion to total hip replacement due to pain.
Was hospitalized for 8 days then sent to rehabilitation center.

90FSustained R hip fracture that was pinned April 2000, but experienced failure of pin 2 months later and underwent hemiarthroplasty.Unable to walk.21Diagnosed as having a malpositioned R hemiarthroplasty with a greater trochanteric fracture requiring removal and replacement with a new total hip replacement.
After 7 days could walk a min distance with a walker and was transferred to a Skilled Nursing Facility for rehabilitation.

*Also has prior history of hip fracture on opposite side.
**Evidence of strength deficit of affected leg.
***Diabetes.