Related Experiment Video
Updated: Jun 25, 2025
09:51
The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
Published on: September 7, 2022
2.6K
Hip Abductor Muscle Strength Recovery: A Comparison Between Joint Replacement Surgery and Internal Fixation Surgery
Niketa Patel1, Paresh Golwala2
1Department of Physiotherapy, College of Physiotherapy, Sumandeep Vidyapeeth Deemed to be University, Pipariya, Vadodara, IND.
Cureus
|May 28, 2024
Summary
Joint replacement surgery showed better hip abductor muscle strength recovery than internal fixation surgery after proximal femoral fractures. Younger patients generally achieved superior strength outcomes regardless of surgical approach.
Area of Science:
- Orthopaedic Surgery
- Rehabilitation Medicine
- Biomechanical Engineering
Background:
- Proximal femoral fractures are a significant global healthcare burden.
- Current treatments include internal fixation and joint replacement surgery.
- Post-surgical hip abductor muscle weakness can lead to complications like implant loosening.
Purpose of the Study:
- To compare hip abductor muscle strength recovery between joint replacement surgery and internal fixation surgery.
- To evaluate the impact of surgical approach on functional recovery after proximal femoral fractures.
Main Methods:
- A comparative study involving 56 patients over six months.
- Patients were divided into joint replacement (Group A) and internal fixation (Group B) groups.
- Hip abductor strength was measured using a sphygmomanometer at immediate postoperative and six-month follow-up.
Main Results:
- Joint replacement surgery group showed higher hip abductor strength (70.03 ±12.46 at POD three to 113.11 ±21.27 at six months) compared to internal fixation (65.06 ±5.98 to 107.51 ±24.76).
- Younger patients (18-50 years) demonstrated better strength recovery in both groups.
- Elderly patients (>50 years) also showed improvement, but generally less than younger cohorts.
Conclusions:
- Joint replacement surgery offers superior hip abductor muscle strength recovery compared to internal fixation.
- Age is a significant factor influencing strength recovery outcomes post-proximal femoral fracture surgery.
- Rehabilitation strategies should consider surgical approach and patient age for optimal outcomes.
