Abductor weakness in intertrochantric fractures operated with PFN and its management
Journal Title: Indian Journal of Orthopaedics Surgery - Year 2018, Vol 4, Issue 3
Abstract
Introduction Intertrochanteric hip fractures are common with advancing age PFN is now increasingly used to fix unstable intertrochantric fractures however it does not fix greater trochanter Gluteus medius and gluteus minimus attach to greater trochanter hence abductor weakness is a likely consequence In this study we measured the incidence of post operative abductor weakness trendelenberg gait and result of targeted physiotherapy on itMaterials and Methods Between September 2014 and august 2016 45 patients with unstable intertrochanteric fractures underwent proximal femoral nailing in the Department of Orthopaedics Pt J N M Medical College and Dr BRAM Hospital Raipur CG The patients included in this study were more than 18 years of age with unstable fractures classified according to Modified Evans classification type 3 4 and 5 with the duration of trauma less than 3 weeks The functional assessment was made using Mckay criteria through analysis of abductor muscle strengthResult Immediate Postoperative muscle power was Grade 1 02 pt Grade 2 27 pt and Grade 3 14 pt At 6 months follow up only 02 patients had grade 4 power due to varus malunion rest all had muscle power Grade 5 In this study we found that only 2 out of 45 patients 44 had initial abductor power grade 1 grade 2 644 and rest had grade 3 muscle power Only 2 patient due to varus malunion had grade 4 power at 6 months followup rest all patients regained power grade 5Conclusion Abductor weakness and trendelenberg gait are fairly common in patients treated with PFN and this complaint is often overlooked Abductor muscle power should be properly assessed postoperatively and physiotherapy for abductor weakness is essential for complete rehabilitation of patientsKeywords Intertrochantric fracture femur Abductor weakness Proximal femoral nail
Authors and Affiliations
Atin Kundu, Nitin Wale, S Phuljhele, Rajat Banchhor
Keywords
Related Articles
- EP ID EP476635
- DOI 10.18231/2395-1362.2018.0046
- Views 100
- Downloads 0
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