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Geriatric rehabilitation: program of care after orthopedic surgery for proximal femoral fractures


MOJ Gerontology & Geriatrics
Ivet Koleva,1,2 Borislav Yoshinov,Julieta Gerenova,1 Radoslav R Yoshinov4

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Abstract

Current opinion article underlines the importance of geriatric rehabilitation in clinical practice.We explain the potential of physical modalities for prevention of frequent problems in geriatric population: instability, falls, osteoporosis.

We present a detailed program of care of patients after proximal femoral fractures (diaphyseal or intertrochanteric), with subsequent orthopedic surgery (different interventions – hip replacement, re-arthroplasty, metallic osteosynthesis with plaque, intra medullary nailing, etc.). We emphasize on possible complications after these orthopedic interventions in geriatric patients with osteoporosis and postural instability (luxation of the head of the arthroplasty, luxation of the metallic osteosynthesis, formation of a false joint, peri-prosthetic fractures).

We consider that geriatric orthopedic rehabilitation can be very useful for the patients’ autonomy and quality of life.

Keywords

geriatric rehabilitation, postural instability, imbalance, falls, osteoporosis, intertrochanteric fracture, hip replacement, periprosthetic fracture, teaching, training and educational, medico-technical steps, physiotherapy, ergo-therapy, electrotherapy, physical modalities, traction, mobilization, manipulation

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