European Journal of Molecular & Clinical Medicine

Abstract

Studies have correlated the results from treating femoral neck fractures with the surgical    technique used, the type of prosthesis used or with the radiological outcomes. However, little   has been defined about quality of life after hemiarthroplasty in elderly patients.
Purposive sampling method was adopted and Pre-injury and Post-operative Observational analysis was done after hemiarthroplasty in elderly patients in relation to physical, psychological, social relationships and environment domains of quality of life. After Exclusion of neurologically ill and grievous comorbid individuals 100 patients with an average age of 70.8 years who underwent hemiarthroplasty in a tertiary care hospital were studied. Patients with Mini Mental Status Examination score more than 24 inferring good cognitive function were only included. Health related quality of life was rated by the WHOQOL-BREF applied before surgery and 6 months after surgery.
The comparison of pre-injury and post-surgery ambulation showed that 30% of them used a walker for ambulation due to fear of fall. WHO Quality of Life BREF score assessment showed that elderly patients didn’t return to their previous pre-surgery quality of life status, where psychological domain being the most affected followed by environmental and social domains. Results showed the need for improvisation of various aspects of post-operative care like designated rehabilitation protocols, fall clinics, psychotherapy, geriatric care for associated comorbidities with implementation of comprehensive speciality care approach apart from good surgical and implant outcome.