Key result
Dynamic Hip Screw fixation links to better functional outcomes versus proximal femoral nails in younger patients.
Why the study?
This study aimed to evaluate the influence of femoral offset restoration on hip abductor muscle strength and functional outcomes in patients operated for intertrochanteric fracture.
Does Dynamic Hip Screw fixation improve post-operative hip abductor muscle strength and functional outcome compared to proximal femoral nail in patients with intertrochanteric fracture?
Population
Patients ≥18 years of age operated for intertrochanteric fracture and referred for physiotherapy
Comparison
Dynamic hip screw vs proximal femoral nail
Design
Prospective cohort study
Follow-up
6 months
Authors
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May support offset restoration to preserve abductor strength after intertrochanteric fixation; hypothesis-generating for functional gains, needing randomized trials.
Cohort (n=30)
No
Does Dynamic Hip Screw fixation improve post-operative hip abductor muscle strength and functional outcome compared to proximal femoral nail in patients with intertrochanteric fracture?
Dynamic Hip Screw fixation may provide better functional outcomes and hip abductor strength compared to other surgeries in young patients with intertrochanteric fractures.
Patel et al. (2023) conducted a cohort in Intertrochanteric femur fracture (n=30). Restoration of femoral offset vs. Unrestored femoral offset was evaluated on Hip abductor muscle strength and functional outcome (Harris Hip Score) at 6 months. Patients with restored femoral offset following intertrochanteric fracture surgery exhibited improved hip abductor muscle strength, with Dynamic Hip Screw fixation showing better functional outcomes in younger patients.
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