Predictive factors of return to activity in elderly patients operated on for a fracture of the lower limb: a study of 113 patients

Oswald Goukodadja; Adébola Padonou; Ivanne Akpamoli; Daniel Adendjingué; Cédric Dossou; Pascal Chigblo; Aristote Hans-Moévi

doi:10.18203/2349-2902.isj20233332

Authors

Oswald Goukodadja Department of Orthopaedic and Trauma, National teaching hospital, Cotonou, Benin
Adébola Padonou Department of Orthopaedic and Trauma, National teaching hospital, Cotonou, Benin
Ivanne Akpamoli Department of Orthopaedic and Trauma, National teaching hospital, Cotonou, Benin
Daniel Adendjingué Department of Orthopaedic and Trauma, National teaching hospital, Cotonou, Benin
Cédric Dossou Department of Orthopaedic and Trauma, National teaching hospital, Cotonou, Benin
Pascal Chigblo Department of Orthopaedic and Trauma, National teaching hospital, Cotonou, Benin
Aristote Hans-Moévi Department of Orthopaedic and Trauma, National teaching hospital, Cotonou, Benin

DOI:

https://doi.org/10.18203/2349-2902.isj20233332

Keywords:

Elderly subject, Return to activity, Lower limb

Abstract

Background: The aim of this study was to determine the factors predictive of resumption of activity in elderly subjects operated on for a fracture of the lower limb.

Methods: This was a cross-sectional study with retrospective data collection in subjects aged 56 and over who had undergone lower-limb surgery with a minimum follow-up period of six months. Patients' walking autonomy was assessed using the Parker score. The modular integrated household survey on living conditions was used to assess patients' socio-economic status. Bivariate analysis was performed using the chi-square test and the calculation of measures of association.

Results: The series included 113 patients with a mean age of 70±9.54 years and a sex ratio of 1.09. Fractures of the upper end of the femur predominated in 67.6% of cases. The most common surgical procedure was intermediate hip replacement in 30 patients (26.5%). Rehabilitation sessions were performed in 95 patients (84.1%). The postoperative Parker score at the last follow-up was 9/9 in 41 patients (36.3%). Resumption of educational and productive activities and interpersonal responsibilities was achieved in 90 patients (79%). Significant associations (p<0.05) were found between resumption of activities and age, sex, marital status, history of arterial hypertension, psychiatric history, preoperative Parker score, postoperative Parker score and return to a private residence.

Conclusions: Older age, female gender, absence of a partner, high blood pressure, non-personal residence and poor Parker score are factors with a poor prognosis for return to activity.

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