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Rehabilitation Practice and Science

Translated Title

腦中風病人之外傷性骨折

Abstract

CVA patients with traumatic bone fracture admitted to Chang Gung Memorial Hospital from September 1982 to September 1988 were analysed. There were 45 patients. Among them, 29 cases were female (64.4%), 16 cases were male (35.6%). The age ranged from 49 to 90 year old. The age distributions of them were old in majority, 31 cases were over 65 year old (68.8%). Fracture happened after stroke for 2 months to 20 years. There were no significant difference at side of lesion. Most of them were hemiplegic patients. The fractures usually occurred on the weakness side (77.8%), with femoral fracture in majority (95.6%), especially common at intertrochanteric or femoral neck area.Thirty-two cases were ambulatory with (51.3%) or without device (30.8%) Fracture usually developed by fallen down to the ground accidently during walking because most of them never received any rehabilitation program after stroke, but applied the walking aids by themselves. Most of them should receive rehabilitation for ambulation training after fracture management. Therefore, it is very important for every CVA patient who has more weakness to receive proper rehabilitation program and select adequate walking aid by well trained personnels. Otherwise, they are high risk for bone fracture, should pay more medical expenses whenever fracture developed.

Language

Traditional Chinese

First Page

34

Last Page

37

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