Objective: To determine the effects of Fragility Fracture Integrated Rehabilitation Management approach in fractures of hip in elders

Study Design: Pre, Post control study design

Place and Duration: Seoul National University, Bundang Hospital Korea

Methodology: Total 20 patients were conveniently sampled and enrolled in group of patients having treatment protocol of FIRM for hip fractures. Patients with diagnosed femoral neck fractures, intertrochanteric and sub-trochanteric fractures, bipolar hemi-arthroplasty, total hip replacement, reduction and internal fixation with age above 55 were included. Data was collected through the following questionnaires Functional ambulatory scale (FAC), Quality of life QOL, EQ-50 and Modified barthal index.

Results: Table 1.1 shows that before treatment 2 (10%) patients were having total dependence, 8 (40%) severe, 9 (45%) moderate, 1 (5%) in slight dependence. After FIRM protocol no patient was totally dependent, 4 (20%) lies in severe, 14 (70%) in moderate and 2 (10%) in slight independence. Graph 1.2 shows that before treatment mean value of EQ-50 was 0.33 (level III- ambulatory dependent was physical assistance level -1) and after treatment mean was 0.61 (ambulatory independent). Graph 1.3 shows that before enrolling in FIRM group, patients were at level 1 (nonfunctional ambulatory), 6 were in level II and III (Ambulator – dependent for physical assistance), 5 were in level 4 (Ambulator – dependent for supervision) and no patient was independent. After treatment 1 was in level 1, 4 in level II, 13 in III and 2 were in level IV.

Conclusion: Patients of hip fractures have improved in terms of mobility barthal index, Quality of life (EQ-5D) and Functional ambulatory category (FAC) after taking fragility fracture integrated rehab management (FIRM).

Keywords: Fragility Fracture Integrated Rehabilitation Management, Hip fractures, Elders