2018 Volume 30 Issue 1 Pages 29-34
The periprosthetic femoral fractures have been increasing along with a rise in the cases of total hip arthroplasty (THA) and bipolar hemiarthroplasty (BHA) during recent years. In this study, we evaluated ADL before the injury (pre-injury) and at 4 months after the surgery (4M post-op) using Barthel Index (BI) for periprosthetic femoral fractures following THA and BHA. The study consists of 9 patients (9 hips). BI at 4M postop significantly decreased from pre-injury, however, 8 cases were able to be back theirs home within 4 months follow-up. There was no significant difference in the mobility score between pre-injury and 4M post-op, although the grooming, bathing, stairs, and dressing scores at 4M post-op became significantly lower compared with pre-injury. The age, hospitalization period, and timing of surgery following the injury showed a negative correlation at 4M post-op. Furthermore, the level of - independence in daily activities of the patients had declined after the surgery. It should be recognized that BI would decline after the treatment of periprosthetic femoral fracture.
