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Treating physical disability with mental disorder is often difficult in hospitals where the cooperation of psychiatrists is not available, and reports on such cases are few. We studied the postoperative course of patients with femoral neck fracture injured while in a mental hospital and treated at our hospital.Of the 35 patients injured while in a mental hospital, treated at our hospital and returned to the mental hospital from January 1998 to November 200, 25.7% underwent rehabilitation after having returned to the mental hospital.In general patients, the percentage of walking without aid/walking with a cane decreased from 70.6% before injury to 39.9% at the time of investigation. In patients with mental disorder, on the other hand, the rate was 42.8% before injury and 45.7% at the time of investigation, indicating that their walking capability is maintained relotively well. It appears that the prognosis of femoral neck fracture complicated with mental diseases is by no means poorer than that of general patients.

Patients with femoral neck fracture injured while in a mental hospital and treated at our hospital.