| Theme | Rehabilitation therapy in dialysis patients -- training and support | |
|---|---|---|
| Title | Rehabilitation for hip fracture | |
| Publish Date | 2018/02 | |
| Author | Naoshi Ogata | Department of Rehabilitation Medicine, Teikyo University School of Medicine |
| [ Summary ] | In Japan, nearly 100,000 hip fractures occur annually, and most of these hip fractures require operative treatment. Because of the osteopenia frequently observed in HD patients, CKD increases the risk of hip fractures, which are accompanied by high rates of complications and morbidities, resulting in high patient mortality and morbidity. Previous studies have reported high rates of nonunion, infection, and avascular necrosis in HD patients. In these patients, hip fractures occur even after minimal force, and the potential complications and required management strategies for each fracture type depend on the patient's age and physical condition. Rehabilitation for hip fractures in HD patients is performed immediately after surgery with transfer to a wheelchair, standing, and if possible, walking exercises. The programs for hip fracture rehabilitation are similar to those for ordinal hip fractures ; however, because of the various complications in HD patients, multidisciplinary rehabilitation is effective and highly recommended. Preventive management of hip fractures in HD patients is also important. Particularly, prevention of fall using physical, nutritional, and mental training decreases the rate of hip fractures. |
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