REABILITAÇÃO DA PESSOA IDOSA PÓS CIRURGIA DE FRATURA EXTRACAPSULAR DO COLO DO FÊMUR
Keywords:
Pessoa idosa; Fratura do fêmur; Reabilitação; CirurgiaAbstract
Femoral neck fractures in elderly people are prevalent injuries, often resulting from falls and having a high impact on the patient’s functionality and quality of life. They represent a serious public health problem due to the high economic costs of treatment and its consequences, in addition to the elevated morbidity and mortality rates. Guidelines for femoral fracture management recommend that surgeries be performed as soon as possible, taking into account the health condition of the elderly patient. The objective was to analyze the effects of rehabilitation in elderly patients who underwent surgery for extracapsular femoral neck fracture, considering the biopsychosocial aspects and the individuality of each patient in the context of aging. This is an Integrative Literature Review (ILR), descriptive in nature, with a qualitative approach, based on searches in the Virtual Health Library (VHL), Scielo, PubMed, and Scopus databases, covering publications from 2020 to 2025. The results indicate that rehabilitation is essential to restore mobility, muscle strength, and independence in elderly patients, reducing the risks of complications such as muscle loss, physical deconditioning, and dependence on long-term care. It is concluded that early and continuous rehabilitation is fundamental for the recovery of elderly patients after extracapsular femoral neck fracture, proving effective in both conservative and surgical approaches. This process not only accelerates functional recovery but also makes it more efficient and less painful, promoting healthy and dignified aging.
References
¹SILVA, J.T; MORAIS FILHO, L.C. Intervenção fisioterapêutica no pós-operatório de cirurgia de colo de fêmur em idosos – uma revisão bibliográfica. Revista Científica Multidisciplinar Núcleo do Conhecimento, n.6, v. 16, p. 192-204, 2024.
CHE, YJ; QIAN, Z., CHEN, Q et al. Efeitos da terapia de reabilitação baseada na prescrição de exercícios na função motora e complicações após cirurgia de fratura de quadril em pacientes idosos. BMC Musculoskelet Disord, vol. 24, n.817, 2023.
CARVALHO, Cesar Junior Aparecido et al. Recursos psicossociais do idoso para reabilitar marcha e dignidade do autocuidado após fratura de fêmur. Revista Nursing, vol.26, n.301, p. 9729-9735, 2023.
SOFIATTI, S.L et al. A importância da fisioterapia na capacidade funcional de idosos com risco de quedas. Revista Brasileira Militar de Ciências, V. 7, N. 17, 2021. Disponível em: https://rbmc.org.br/rbmc/article/view/87. Acesso em: 17 de mar.2025.
TONETO, M.A.S ET AL. Characterization of the occurrence of fractures in the elderly: na epidemiological study in a public hospital. Cogitare Enferm, v29: e90955, 2024.
CHEN, XinxinMM et al. O treinamento de equilíbrio pode aumentar a independência de pacientes com fratura de quadril nas atividades da vida diária. Medicine, Systematic Review and Meta-Analysis, vol. 99, n.16, p e19641, abril de 2020.
PETERLE, V.C.U. Indicators of morbidity and mortality by femur fractures in older people: a decade-long study in brazilian hospitals. Acta Ortop Bras, v. 28, nº 3, p.:142-8, 2020.
PURUSHE, D et al. Physiotherapy Rehabilitation in elderly patients with postoperative femoral neck fracture. Journal of medical pharmaceutical and allied sciences, Volume 10 - Issue 6, 1243, November - December 2021.
CAMPOS, R.S et al. Fratura exposta do colo do fêmur em adulto: Relato de caso e solução cirúrgica. Rev Bras Ortop, Vol. 58 No. 4/2023.
HUANG, Z. et al. Improved radiographic outcomes and decreased complications rate on the femoral side can be achieved by a novel designed whole-process robotic assisted hip system for total hip arthroplasty: a prospective randomized controlled trial. Journal of Robotic Surgery, v. 18, n. 1, p. 79, 16 fev. 2024.
SILVA, J.T; MORAIS FILHO, L.C. Intervenção fisioterapêutica no pós-operatório de cirurgia de colo de fêmur em idosos – uma revisão bibliográfica. Revista Científica Multidisciplinar Núcleo do Conhecimento, n.6, v. 16, p. 192-204, 2024.
SU, S.F et al. Self-Efficacy Care Program for Older Adults Receiving Hip-Fracture Surgery. Clin Nurs Res. Jul; vol.30, p.6, p.911-920, 2021.
GAO Y et al. Postoperative rehabilitation exercise experiences of geriatric patients with femoral neck fractures based on the perspective of medical staff: a qualitative study. BMC Geriatr. Aug vol. 8, n. 24, (1): 667, 2024.
TANG, W et al. Effect of early rehabilitation on hospital stay and postoperative complications in elderly hip fracture patients: a prospective cohort study. J Orthop Surg Res, vol 20, n.84, jan, 2025.
O'CONNOR, M.I, SWITZER, J.A. AAOS Clinical Practice Guideline Summary: Management of Hip Fractures in Older Adults. J Am Acad Orthop Surg, Oct vol.15, n.30, e1291-e1296, 2022.
