Predicting factors for walking ability of postoperative patients with hemiarthroplasty at Wahidin Sudirohusodo Hospital in Makassar

Muhammad Sakti, Ruksal Saleh, Khrisna Yudha, Taufiq Akbar

Muhammad Sakti
Staff of Orthopaedic and Traumatology Department, Universitas Hasanuddin, Makassar

Ruksal Saleh
Staff of Orthopaedic and Traumatology Department, Universitas Hasanuddin, Makassar

Khrisna Yudha
Resident of Orthopaedic and Traumatology Department, Universitas Hasanuddin, Makassar

Taufiq Akbar
Resident of Orthopaedic and Traumatology Department, Universitas Hasanuddin, Makassar. Email: tafq.akbar@gmail.com
Online First: April 30, 2021 | Cite this Article
Sakti, M., Saleh, R., Yudha, K., Akbar, T. 2021. Predicting factors for walking ability of postoperative patients with hemiarthroplasty at Wahidin Sudirohusodo Hospital in Makassar. Bali Medical Journal 10(1): 249-255. DOI:10.15562/bmj.v10i1.2256

Background: The ability to make early predictors in post-surgery includes health workers preparing patients for outpatient care. The purpose of this study is to determine the factors that influence the ability to walk postoperative hemiarthroplasty patients when patients are admitted. We hypnotized that age, sex, preoperative walking status, time interval between injury to surgery, preoperative hemoglobin level, muscle weakness, muscle atrophy, anxiety level and body mass index would be predictive factors for walking ability post hemiarthroplasty surgery.

Method: An descriptive-analytic study with a cross sectional retrospective approach was conducted at the Wahidin Sudirohusodo Hospital in Makassar 2020. Patients with fractures of the proximal femur had undergone hemiarthroplasty surgery and were over 50 years of age at admission from September 2019 to October 2020. Bivariate and multivariate with logistic regression was used

Result: 39 samples according to inclusion criteria were analyzed. Muscle atrophy has a significant correlation with p = 0,04 (p<0,05). Body mass index and muscle atrophy have the most dominant factors for predict walking ability post hemiarthroplasty (EXP (B) 7,282 & EXP (B) 0,083) eventhough not significant statistically (p = 0,116 & p = 0,073)

Conclusion: The muscle atrophy variable in this study was the most significant factor in prediction walking ability post hemiarthroplasty surgery. Also, patient with normal BMI will encourage early walk after surgery better than abnormal BMI in the same muscle-wasting condition


Ono NK, de Andrade Lima GD, Honda EK, Polesello GC, Guimarães RP, Júnior WR, et al. Hemiarthroplasty in the treatment fractures of the femoral neck. Rev Bras Ortop (English Ed. 2010;45(4):382–8.

de Abreu EL, de Oliveira MHA. Evaluation of the quality of patients undergoing hemiarthroplasty of the hip. Rev Bras Ortop. 2015;50(5):530–6.

Baba T, Shitoto K, Kaneko K. Bipolar hemiarthroplasty for femoral neck fracture using the direct anterior approach. World J Orthop. 2013;4(2):85–9. Available from: https://pubmed.ncbi.nlm.nih.gov/23610757

Robertson GA, Wood AM. Hip hemi-arthroplasty for neck of femur fracture: What is the current evidence? World J Orthop. 2018;9(11):235–44. Available from: https://pubmed.ncbi.nlm.nih.gov/30479970

Yurdakul E, Karaaslan F, Korkmaz M, Duygulu F, Baktır A. Is cemented bipolar hemiarthroplasty a safe treatment for femoral neck fracture in elderly patients? Clin Interv Aging. 2015;10:1063–7. Available from: https://pubmed.ncbi.nlm.nih.gov/26170644

Moretti VM, Post ZD. Surgical approaches for total hip arthroplasty. Indian J Orthop. 2017;51:368–76.

Nilsson LT, Jalovaara P, Franzén H, Niinimäki T, Strömqvist B. Function after primary hemiarthroplasty and secondary total hip arthroplasty in femoral neck fracture. J Arthroplasty. 1994;9(4):369–74. Available from: http://dx.doi.org/10.1016/0883-5403(94)90046-9

Noda M, Saegusa Y, Takahashi M, Noguchi C, Yoshikawa C, Mikami H, et al. Comparison of Postoperative Muscular Strength Between Gamma Nailing and Hemiarthroplasty System in Femoral Intertrochanteric Fractures. Open Orthop J. 2017;11:255–62. Available from: https://pubmed.ncbi.nlm.nih.gov/28567153

Nagai T, Okawa A. Risk Factors Affecting Postoperative Walking Ability Following Hip Fracture Surgery in the Elderly. Orthop Muscular Syst. 2016;05(02). Available from: http://dx.doi.org/10.4172/2161-0533.1000209

Salpakoski A, Törmäkangas T, Edgren J, Sihvonen S, Pekkonen M, Heinonen A, et al. Walking recovery after a hip fracture: a prospective follow-up study among community-dwelling over 60-year old men and women. Biomed Res Int. 2014/01/06. 2014;2014:289549. Available from: https://pubmed.ncbi.nlm.nih.gov/24511530

Snyder CK, Lapidus JA, Cawthon PM, Dam T-TL, Sakai LY, Marshall LM, et al. Serum albumin in relation to change in muscle mass, muscle strength, and muscle power in older men. J Am Geriatr Soc. 2012/08/20. 2012;60(9):1663–72. Available from: https://pubmed.ncbi.nlm.nih.gov/22905696

Bower ES, Wetherell JL, Petkus AJ, Rawson KS, Lenze EJ. Fear of Falling after Hip Fracture: Prevalence, Course, and Relationship with One-Year Functional Recovery. Am J Geriatr Psychiatry. 2016/08/17. 2016;24(12):1228–36. Available from: https://pubmed.ncbi.nlm.nih.gov/27726939

Kamel HK, Iqbal MA, Mogallapu R, Maas D, Hoffmann RG. Time to Ambulation After Hip Fracture Surgery: Relation to Hospitalization Outcomes. Journals Gerontol Ser A Biol Sci Med Sci. 2003;58(11):M1042–5. Available from: http://dx.doi.org/10.1093/gerona/58.11.m1042

Kuru T, Olçar H. Effects of early mobilization and weight bearing on postoperative walking ability and pain in geriatric patients operated due to hip fracture: a retrospective analysis. TURKISH J Med Sci. 2020; Available from: http://dx.doi.org/10.3906/sag-1906-57

Horikawa A, Miyakoshi N, Shimada Y, Kodama H. Comparison of activities of daily living after osteoporotic hip fracture surgery in patients admitted from home and from geriatric health service facilities. Clin Interv Aging. 2014;9:1847–51. Available from: https://pubmed.ncbi.nlm.nih.gov/25378917

Hagino T, Ochiai S, Wako M, Sato E, Maekawa S, Senga S, et al. A simple scoring system to predict ambulation prognosis after hip fracture in the elderly. Arch Orthop Trauma Surg. 2007;127(7):607. Available from: http://dx.doi.org/10.1007/s00402-007-0376-x

Sicard-Rosenbaum L, Light KE, Behrman AL. Gait, Lower Extremity Strength, and Self-Assessed Mobility After Hip Arthroplasty. Journals Gerontol Ser A Biol Sci Med Sci. 2002;57(1):M47–51. Available from: http://dx.doi.org/10.1093/gerona/57.1.m47

Mukka S, Knutsson B, Krupic F, Sayed-Noor AS. The influence of cognitive status on outcome and walking ability after hemiarthroplasty for femoral neck fracture: a prospective cohort study. Eur J Orthop Surg Traumatol. 2016/10/31. 2017;27(5):653–8. Available from: https://pubmed.ncbi.nlm.nih.gov/27796582

Rasch A, Dalén N, Berg HE. Muscle strength, gait, and balance in 20 patients with hip osteoarthritis followed for 2 years after THA. Acta Orthop. 2010;81(2):183–8. Available from: https://pubmed.ncbi.nlm.nih.gov/20367414

Holstege MS, Lindeboom R, Lucas C. Preoperative Quadriceps Strength as a Predictor for Short-Term Functional Outcome After Total Hip Replacement. Arch Phys Med Rehabil. 2011;92(2):236–41. Available from: http://dx.doi.org/10.1016/j.apmr.2010.10.015

Shim D-G, Kwon T-Y, Lee K-B. Rectus femoris muscle atrophy and recovery caused by preoperative pretibial traction in femoral shaft fractures-comparison between traction period. Orthop Traumatol Surg Res. 2017;103(5):691–5. Available from: http://dx.doi.org/10.1016/j.otsr.2017.05.006

Nankaku PhD Pt M, Tsuboyama PhD Md T, Aoyama PhD Md T, Kuroda PhD Md Y, Ikeguchi PhD Md R, Matsuda PhD Md S. Preoperative gluteus medius muscle atrophy as a predictor of walking ability after total hip arthroplasty. Phys Ther Res. 2016;19(1):8–12. Available from: https://pubmed.ncbi.nlm.nih.gov/28289576

Kamimura A, Sakakima H, Tsutsumi F, Sunahara N. Preoperative predictors of ambulation ability at different time points after total hip arthroplasty in patients with osteoarthritis. Rehabil Res Pract. 2014/08/10. 2014;2014:861268. Available from: https://pubmed.ncbi.nlm.nih.gov/25180097

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