• P Bovy, S Jolly, S Dropsy, and F Sacre.
• Service de médecine physique, CHR Citadelle, boulevard du XIIe de Ligne, B-4000, Liége, Belgique, France.
• Ann Readapt Med Phys. 2002 Jan 1;45(1):19-25.

ObjectivesTo examine effects of coordinated multidisciplinary inpatient rehabilitation for older patients with hip fractures.Material And Method187 (42 men and 147 women: mean age 80.9 +/- 8.4 years) admitted with a diagnosis of fracture neck of femur. Before fracture 183 patients were living in their own house. We examine medical state before fracture, type of fracture, type of surgery, walking performance at hospital discharge and at one year, destination at this discharge, living location and quality of life at one year.ResultsThe length stay after intracapsular fracture and prosthesis is significatively lower (p<0.01). At discharge 28% were walking alone, 38% with stick, 17% with technical aid, 8% with human aid, 2% were bedridden and 7% were dead. After hospitalisation 7% were dead, 70% were living in their own homes, 18% were in old people's homes and 6% in another hospital. One year after fracture, 19% were dead, 65% were living in their own homes, 16% were in old people's homes. Older age, medical state before fracture and male gender was found to increase mortality risk following hip fracture (p<0.01).ConclusionsHip fracture is a major cause of morbidity in older people and its impact, both on the individual and to society is substantial. Many people do not return to their pre-fracture life style. Coordinated multidisciplinary care of patients with fractured neck of femur seems essential.

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