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MGM Journal of Medical Sciences
Abstract
 
 

ABSTRACT

Introduction: Hip fracture is a major public health problem because of its prevalence, economic costs, and health consequences. Intertrochanteric hip fractures account for approximately half of the hip fractures in the elderly; out of this more than 50% fractures are unstable. Displacement and stability of an intertrochanteric fracture are an important determinant of treatment.

Aims and objectives: To find out the level of recovery in different types of intertrochanteric hip fractures and to assess the functional capacity of patients who had an intertrochanteric hip fractures of different types.

Materials and methods: Fourteen subjects who underwent hip surgery for stable or unstable intertrochanteric fracture with internal fixation since 6 months to 1 year in the age group of 40 to 60 years were analyzed using the Harris hip score (HHS) to assess the level of recovery of the patient.

Results: Fourteen subjects with intertrochanteric fracture were recruited for the study. The pain component of HHS depicts that stable type of an intertrochanteric fracture displays a better mean pain score of 40.00 (SD = 0.00) compared to unstable t ype with a mean score of 3 6.29 (SD = 6.05) and the score for activity limitation concludes that there is less activity limitation in stable type compared to the unstable type of an intertrochanteric fracture with a mean score of 34.86 (SD = 6.69) and 23.86 (SD = 14.06) respectively. Deformity infers that stable type of intertrochanteric fracture shows less deformity at a score of 0.000 as compared to unstable type at 0.571 (SD = 1.51) and score for range of motion (ROM) is limited in stable type with a score of 3.86 (SD = 0.72) compared to 4.13 (SD = 0.55) scored by unstable type of intertrochanteric fracture group. The results for HHS shows stable type of intertrochanteric fracture displays a better HHS at 78.71 (SD = 6.18) compared to 64.85 (SD = 16.33) scored by unstable type group. A statistical comparison of HHS using Mann-Whitney U Statistic shows that there is no significant difference at 0.05 levels between stable and unstable type of intertrochanteric fracture groups.

Conclusion: This study concludes that a descriptive statistics of HHS mean scores falling in favor of stable type of intertrochanteric fracture, but a statistical comparison using Mann-Whitney U Statistic shows that there is no significant difference at 0.05 levels between stable and unstable type of intertrochanteric fracture groups.

Keywords: Intertrochanteric, Recovery, Stable, Unstable.

How to cite this article: Sreeraj SR, Kohli S, Inamdar FF, Shroff R. Level of Recovery after Stable and Unstable Intertrochanteric Hip Fractures. MGM J Med Sci 2015;2(3):125-130.

Source of support: Nil

Conflict of interest: None

 
 
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