The present study assessing the Postoperative Hip Abductor
Muscle Strength and Functional Outcomes. Extracapsular intertrochanteric femur
fractures occur between femoral neck and lesser trochanter of the femur.
Intertrochanteric fracture shows high rate of fracture union because
intertrochanteric femur area is made of cancelleous bone which is rich in blood
supply. All the patients with ≥ 18yrs of age and were operated for
intertrochanteric femur fracture between July 2022 to December 2022 were approached.
Any patients with history of surgery in the ipsilateral hip or contralateral
hip, polytrauma, unstable Intertrochanteric fracture or OA of hip joint were
excluded from the study. On the principles of deep venous thrombosis (DVT)
prevention, strengthening exercises, ROM exercises and gait training the
patients were given physiotherapy. Once weight bearing was allowed on 6 weeks,
their gait parameters (stride length, cadence), functional strength (Unilateral
stance test) and Harris Hip Score were measured. The same outcome measures
along with the strength of hip abductor muscle were repeated at 6 months as
femoral offset is important for restoring anatomy. The study findings revealed
that the muscle strength of the operated limb in the geriatric patients having ≥
70 yrs does not reach to its contralateral sound limb. In conclusion, patients
with unrestored femoral offset exhibited weak strength of hip abductor muscle.
Patients with Dynamic Hip Screw fixation showed better results than other
surgeries in young patients.
Author(s) Details:
Niketa Patel,
College of Physiotherapy, Sumandeep Vidyapeeth (Deemed to be
University), India.
Paresh
Golwala,
SBKS
& MIRC, Sumandeep Vidyapeeth (Deemed to be University), India.
Please see the link here: https://stm.bookpi.org/ANUMS-V7/article/view/13589
No comments:
Post a Comment