Assessment of Postoperative Hip Abductor Muscle Strength and Functional Outcomes: A Comparative Study between Dynamic Hip Screw and Proximal Femoral Nail for Intertrochanteric Fractures | Chapter 13 | Advancement and New Understanding in Medical Science Vol. 7

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

Evaluation of Intertrochanteric Femur Fractures Treated with Trochanteric Fixation Nails in the Elderly | Chapter 11 | Current Innovations in Disease and Health Research Vol. 1

 This unit assess the working outcome of intertrochanteric fractures femur governed by trochanteric fixation fasten (TFN) in the elderly population. Intertrochanteric fractures are usually encountered for one orthopaedic surgeons especially in the elderly populace with osteoporotic cartilages.A retrospective study was carried out accompanying 40 patients (30 men and 10 females) of intertrochanteric fracture leg part that were managed accompanying TFN from September 2018 to May 2019 at Yashoda Superspeciality Hospital, Nehrunagar, Ghaziabad. The sample size was captured as per the availability of the patients and in accordance with the operating surgeon’s choice.The mean age of patients was 64 age. The mean duration of surgery was 48±10 brief time period. The Harris hip score was 96.90±4.60, that is better than scores from other implants used for intertrochanteric fractures leg part.TFN is more preferred for intertrochanteric break fixation since it demands less time immobilised, admits for early weight bearing, and has less complications.

Author(s) Details:

Amit Dwivedi,
Department of Orthopaedics, Santosh Medical College and Hospital, Ghaziabad, Uttar Pradesh, India.

Veerendra Mannan,
Department of Orthopaedics, Santosh Medical College and Hospital, Ghaziabad, Uttar Pradesh, India.

Ashishdeep Singh,
Department of Orthopaedics, Santosh Medical College and Hospital, Ghaziabad, Uttar Pradesh, India.

Rakesh Kumar,
Department of Orthopaedics, Santosh Medical College and Hospital, Ghaziabad, Uttar Pradesh, India

Please see the link here: https://stm.bookpi.org/CIDHR-V1/article/view/11068