Expert evaluation of the lower limb function of hip fracture outcomes.

Authors

DOI:

https://doi.org/10.26641/1997-9665.2018.4.84-89

Keywords:

fracture of the femur, residual deformity of the femur diaphysis, function of the lower limbs, statography

Abstract

Background. In patients with fractures of the femur in 4-26% of the cases develop complications (nonunion or delayed consolidation of the fracture, preservation of residual deformities of the femur, the formation of persistent post-traumatic contractures of adjacent joints), which can lead to prolonged temporary or permanent disability. Objective. To evaluate the function of the lower extremities in patients with outcome of fractures of the femur using the method of statography. Methods. The material of the study was protocols of clinical and radiological examination of 33 patients with fused fracture and residual deformities of the femoral diaphysis. Research methods: orthopedic (measuring the length of both lower limbs and the strength of their muscles, and circumference of soft tissues of thighs and shins), radiologic (plain radiography in two standard projections), biomechanical (using the platform statograph), statistical. Results. Closed (90.9%) oblique (78.7%) fractures of the femur prevailed, most often (63.8%) located in the middle third of the diaphysis. All patients underwent surgical treatment, the most frequent complication of which was delayed consolidation of fragments of the femur (54.5%), shortening of the lower limb on the fracture side (69.7%). Results. Closed (90.9%) oblique (78.7%) fractures of the femur prevailed, most often (63.8%) located in the middle third of the diaphysis. All patients underwent surgical treatment, the most frequent complication of which was delayed consolidation of fragments of the femur (54.5%), shortening of the lower limb on the fracture side (69.7%). The results of the statography made it possible to establish that in the case of a unilateral standing on the damaged leg compared to a healthy leg, a significant (p <0.05) increase in the body swing amplitude, a decrease in load and stability factors (p <0.05), and a displacement of the projection of the gravity line in the sagittal and frontal planes. Conclusion. The data obtained in combination with the detected hypotrophy and reduced muscle strength of the injured lower limb indirectly indicate a decrease in the support function of the leg with residual post-traumatic deformity of the shaft of the femur.

References

  1. Korzh NA, Gerasimenko SI, Klimovitsky VG. [The prevalence of bone fractures and the results of their treatment in Ukraine (clinical and epidemiological study)]. Orthopedics, Traumatology and Prosthetics. 2010;3:5-14. Russian. DOI:https://doi.org/10.15674/0030-5987201035-14.
  2. Fan CHJ. One-stage femoral osteotomy and computer-assisted navigation total knee arthroplasty for osteoarthritis in a patient with femoral subtrochanteric fracture malunion. Case Rep. Orthop. 2014;2014:645927. DOI:10.1155/2014/645927. PMID: 25276454
  3. Kulikov SN. [The outcomes of the non-life threatening local traumas of the locomotor apparatus]. Forensic Medicine. 2017;3:12-5. Russian.
  4. Sanders DW, MacLeod M, Charyk-Stewart T, Lydestad J, Domonkos A, Tieszer Ch. Functional outcome and persistent disability after isolated fracture of the femur. J. Can. Chir. 2008;51:366-70. PMID: 18841213.
  5. Sullivan MP, Taylor RM, Donegan DJ, Mehta S, Ahn J. Length, alignment, and rotation: operative techniques for intramedullary nailing of the comminuted, diaphyseal femur fracture. UPOJ. 2014;24:31-5.
  6. Sabharwal S, Nelson SC, Sontich JK. What’s new in limb lengthening and deformity correction. JBJS. 2017;99(16):1408-14. DOI:10.2106/JBJS.17.00464
  7. Lastovetsky AG, Deineko DA, Lebedev MV. [Identifying some mechanisms of damaging factor at auto-pedestrian accident during forensic examination]. Social Aspects of Public Health. 2013;3. Russian.

Downloads

How to Cite

Sokol, V. K. (2018). Expert evaluation of the lower limb function of hip fracture outcomes. Морфологія / Morphologia / Morfologìâ, 12(4), 84–89. https://doi.org/10.26641/1997-9665.2018.4.84-89

Issue

Vol. 12 No. 4 (2018)

Section

Статті

License

Copyright (c) 2018 Sokol V.K., Morphologia

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

 The authors reserve the right to authorship of their work and transfer to the Journal the right to the first publication of this work under the terms of a license Creative commons Attribution 4.0 International (CC BY 4.0), which allows other people to freely distribute the published work with a mandatory reference to the authors of the original work and the first publication of the work in this journal.
        By submitting a manuscript to the editorial office of the Journal ‘Morphologia’ authors agree to transfer the rights to protect and use the manuscript (all supplemental materials, particularly protected objects such as photos, drawings, diagrams, tables, etc.), including the reproduction in the press and distribution via the Internet; translation of the manuscript into any language; export and import of journal copies with the Authors’ article in order to make it available for public. Authors convey the rights mentioned above to the editorial office without any temporal or territorial limitation all over the world. 
        The Authors guarantee that they have the exclusive rights to use the material transferred to editorial office. Editors are not responsible to third parties for contraventions of warranty given by the Authors. The considered rights are transferred to the editorial office since the moment when the current issue is signed for publishing. Reproduction of materials published in the Journal by other individuals and legal entities is possible only with the consent of Editorial office, with the obligatory indication of the full bibliographic reference of the primary publication. The Authors reserve the right to use the published material, its fragments and parts for teaching materials, oral presentations, dissertation thesis prepararion with obligatory bibliographic citation of the original paper. Electron copy of the published article, downloaded from official journal web-site in .pdf format may be put by authors on the official web-site of their institutions, any other official resources with open access.