Is gluteus medius injured in patients treated with a trochanter tip entry intramedullary nail? Clinical, electrophysiological and functional outcomes
| Autor: | Erdem Demir, Muhammet Baybars Ataoğlu, Nihan Kafa, Erdem Aras Sezgin, Zeynep Hazar Kanik, Mehmet Ali Tokgöz, Yılmaz Ergişi |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male electromyography medicine.medical_specialty femoral fractures Electromyography Bone Nails law.invention Intramedullary rod Postoperative Complications Spatio-Temporal Analysis law Outcome Assessment Health Care Fracture fixation medicine Humans Orthopedics and Sports Medicine Muscle Strength Muscle Skeletal Gait Postural Balance Retrospective Studies Balance (ability) Femur fracture integumentary system Trochanter medicine.diagnostic_test Hip Fractures business.industry postural balance Rehabilitation Physical Functional Performance Fracture Fixation Intramedullary Surgery Gait analysis Antegrade femoral nail gait analysis Buttocks Female Original Article business |
| Zdroj: | Joint Diseases and Related Surgery |
| ISSN: | 2687-4792 2687-4784 |
| DOI: | 10.5606/ehc.2020.74801 |
| Popis: | Objectives This study aims to assess the functional outcomes, static-dynamic postural stability of patients and evaluate electromyographic activity of gluteus medius (GMed) muscle during gait and spatiotemporal parameters of gait in patients after antegrade intramedullary nailing (IMN) of femoral shaft fractures with trochanter tip entry. Patients and methods Sixteen patients (15 males, 1 female; mean age 34.8±15.2 years; range, 18 to 58 years) who were treated with an antegrade trochanteric IMN between January 2009 and July 2013 and eight healthy male controls (mean age 39.3±9.8 years; range, 27 to 57 years) were included in this retrospective study. Muscle strength, static and dynamic postural stability and fall risk were evaluated. In addition, spatiotemporal parameters of gait were assessed using a validated wireless inertial sensing device and a wireless electromyography (EMG) device was used to measure electromyographic activity of GMed muscle in both groups. Results There were significant differences in muscle strength, functional and dynamic balance test scores between operated and intact sides (one-leg hop test score p=0.009, balance test scores p0.05). Conclusion After isolated femur fracture, patients treated with antegrade trochanteric IMN demonstrated good static and dynamic stability and poor functional outcomes compared to controls. In conclusion, patients with antegrade trochanteric IMN have good balance but poor functional performance; however, further studies are needed to find out the primary reason for these results. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|