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01.10.2013 | main topic | Ausgabe 19-20/2013

Wiener Medizinische Wochenschrift 19-20/2013

Rehabilitation after hip fracture

Zeitschrift:
Wiener Medizinische Wochenschrift > Ausgabe 19-20/2013
Autoren:
Prim. Dr. Katharina Pils, MSc, MD OA Dr. Walter Müller, MD Prim. Univ. Prof. Dr. Rudolf Likar, MAS OA Mag. Dr. Markus Gosch, Prim. Univ. Prof. Dr. Bernhard Iglseder, Prim. Univ. Prof. Dr. Ernst J. Müller, OA Dr. Heinrich Thaler, OÄ Dr. Inge Gerstorfer, DGKS Michaela Zmaritz, Dr. Monique Weissenberger-Leduc, OA Univ. Doz. Dr. Peter Mikosch, Prim. Dr. Georg Pinter

Summary

Low-trauma hip fracture in old age leads to impairment, increased need of care and mortality. Rehabilitation should start in the department for traumatology and accompany the patient through different settings until the pretraumatic status is reached. Besides the surgical procedure and the medical management of an aged person with complex disease and polypharmacy, the multidisciplinary rehabilitation process is an important factor for regaining ability for self-care and autonomous decisions. Pain management supports the process. The ideal setting is not clear yet. Besides established rehabilitation facilities for elderly people, including the departments for ‘Akutgeriatrie/Remobilisation’, the ‘Outreach Geriatric Remobilisation’ project offers new perspectives. It was designed to remobilise patients with multimorbidity in their own homes.

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