Clinical Profile of Patients with Hip-Hemi Arthoplasty Managed Between 2015 & 2020 in Pakistan

Abstract

This study was carried out as review on the hemi-arthoplasty patients admitted & treated in the Pakistan Institute of Medical sciences (PIMS), Pakistan. Patient’s information such as; name, age, gender, causes of the fracture, types of referral, assessment outcome/tools, treatment provided, duration of hospitalization & the discharge pattern were obtained from the physiotherapy’s department patients register, case- file & nursing register. The collected data was summarized & tabulated under the descriptive statistic heading as range, mean, standard deviation & percentages. A total of 45 cases (25female; 20 male) aged75.88± 12.58 years was reviewed. The majority of the patients (98.2%) had post-femoral neck fracture hip-arthoplasty while in one case femoral neck damage has been recorded secondary to the sickle cell disease. Fall is a cause of fracture was documented for 24 cases (53.33%), 30 patients (66 %) were referred by the orthopedic department for the ambulation post-surgery while 29% of patients were referred complete orthopedic rehabilitation. Pain & muscle strength were the 2 variable in the physiotherapy department for the assessment of the patients. 60 % of the patients were discharged with walking aids in order to attain optimal ambulation while 3% were deceased. 14 patients continued physiotherapy as an out-patients basis while 12 patients completed the complete physiotherapy rehab program. It was observed that women were then men in the prescribed period admitted for treatment for hip-arthoplasty. The majority of the patients was aged above 65 years (or above)& was not referred by the surgeon for the physiotherapy rehabilitation to the department. Poor documentation & the lack of systematic assessment were observed during the data collection period for the study.