摘要
Post-Stroke Proximal Femoral Fracture (PSPFF) is not uncommon. In the study, We had followed up 156 patients with Proximal Femoral Fracture (PFF) happened during Jul. 1987 and Dec. 1990 via OPD for 1 year to 4 and a half years. Some patients being unable to visit our clinic were followed up by phone or by the chart record. The focus was on the 28 cases with Stroke prior to the PFF. We found PSPFF is apt to happen in cases with motor status around Brunnstrom Stage III&IV. The PSPFF happened almost ipsilaterally to the side of hemiplegia or hemiparesis (84.6%). The study pointed out some rules to predict the prognosis of PSPFF patients and emphasize the importance of ””Rehabilitation””. By Analyzing the ability of ambulation, we concluded: PSPFF happen within 3 months since stroke, no definite trauma history and without receiving rehabilitation are correlated with the poor prognosis significantly. Whereas, the sex, laterality of stroke, site of PFF and ipsilaterality between stroke and PFF affect the prognosis non-significantly. The ambulation ability is significantly correlated with the one-year mortality in PSPFF patients. The high risk activities of PSPFF are bathing, walking and transferring. Understanding the high risk activities for prevention is the best policy. Once happened, proper treatment and rehabilitation will make it possible for patient to recover to equal or near the status prior to the PSPFF. The 13 PSPFF patients receiving rehabilitation all became ambulatory in the study.
並列摘要
Post-Stroke Proximal Femoral Fracture (PSPFF) is not uncommon. In the study, We had followed up 156 patients with Proximal Femoral Fracture (PFF) happened during Jul. 1987 and Dec. 1990 via OPD for 1 year to 4 and a half years. Some patients being unable to visit our clinic were followed up by phone or by the chart record. The focus was on the 28 cases with Stroke prior to the PFF. We found PSPFF is apt to happen in cases with motor status around Brunnstrom Stage III&IV. The PSPFF happened almost ipsilaterally to the side of hemiplegia or hemiparesis (84.6%). The study pointed out some rules to predict the prognosis of PSPFF patients and emphasize the importance of ””Rehabilitation””. By Analyzing the ability of ambulation, we concluded: PSPFF happen within 3 months since stroke, no definite trauma history and without receiving rehabilitation are correlated with the poor prognosis significantly. Whereas, the sex, laterality of stroke, site of PFF and ipsilaterality between stroke and PFF affect the prognosis non-significantly. The ambulation ability is significantly correlated with the one-year mortality in PSPFF patients. The high risk activities of PSPFF are bathing, walking and transferring. Understanding the high risk activities for prevention is the best policy. Once happened, proper treatment and rehabilitation will make it possible for patient to recover to equal or near the status prior to the PSPFF. The 13 PSPFF patients receiving rehabilitation all became ambulatory in the study.