Rehabilitation Towards Functional Independence in a Patient With Intertrochanteric Fracture and Paraplegia: A Case Report

Satone, Palash R; Daf, Abhishek; Gachake, Avanti A; Chitale, Neha V; Phansopkar, Pratik

doi:10.7759/cureus.32689

Cited by 2 publications

(2 citation statements)

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“…Following hip fractures, femur fractures are the most common reason for morbidity, hospitalizations, and death among the elderly. Additionally, a significant portion of these individuals never restore their pre-fracture functional status [ 8 ]. Clinically and radiologically, hip fractures are frequently easy to detect, with initial imaging sensitivity estimated to be 90-98%.…”

Section: Discussionmentioning

confidence: 99%

“…To affix subtrochanteric fractures definitely up to this point, various techniques have been used, including intramedullary nails, angled blade plates, locking plates, dynamic hip screws (DHS), dynamic condylar screws (DCS), and dynamic condylar plates. The DHS and DCS have a higher risk of reduction loss, implant failure, and the need for a general re-operation despite research showing the efficacy of each of these divisions [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

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The Integral Role of Physiotherapy in Optimizing Movement and Function in a Case of Polytrauma: A Case Report

Aherrao,

Phansopkar,

Tikhile

2024

Cureus

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Multiple fractures are frequently encountered in adults following road traffic accidents. A 32-year-old male presented with multiple fractures in his right lower extremity, including a femoral shaft fracture, distal third fractures of the tibia and fibula, as well as a calcaneal fracture. The patient provided a history indicative of a road traffic accident. X-rays were performed on both hip joints, both knee joints, and the ankle joints. Treatment involved open reduction and internal fixation (ORIF) with interlocking nailing for the femur, tibia, and fibula, alongside ORIF with plating using a screw-out set (SOS) and cannulated cancellous (CC) screw fixation for the calcaneal fracture. Additionally, the Ilizarov procedure was conducted following debridement over the right foot. Post-surgery, the patient experienced primary symptoms of hip joint pain and restricted hip joint movement. Physiotherapy was initiated to address these issues. Evaluation of outcome measures indicated a reduction in joint pain, significant enhancement in joint mobility, and an increase in muscle strength.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Integral Role of Physiotherapy in Optimizing Movement and Function in a Case of Polytrauma: A Case Report

Aherrao,

Phansopkar,

Tikhile

2024

Cureus

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A retrospective evaluation of individual thigh muscle volume disparities based on hip fracture types in followed-up patients: an AI-based segmentation approach using UNETR

Kim,

Kim

et al. 2024

PeerJ

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Background Hip fractures are a common and debilitating condition, particularly among older adults. Loss of muscle mass and strength is a common consequence of hip fractures, which further contribute to functional decline and increased disability. Assessing changes in individual thigh muscles volume in follow-up patients can provide valuable insights into the quantitative recovery process and guide rehabilitation interventions. However, accurately measuring anatomical individual thigh muscle volume can be challenging due to various, labor intensive and time-consuming. Materials and Methods This study aimed to evaluate differences in thigh muscle volume in followed-up hip fracture patients computed tomography (CT) scans using an AI based automatic muscle segmentation model. The study included a total of 18 patients at Gyeongsang National University, who had undergone surgical treatment for a hip fracture. We utilized the automatic segmentation algorithm which we have already developed using UNETR (U-net Transformer) architecture, performance dice score = 0.84, relative absolute volume difference 0.019 ± 0.017%. Results The results revealed intertrochanteric fractures result in more significant muscle volume loss (females: −97.4 cm3, males: –178.2 cm3) compared to femoral neck fractures (females: −83 cm3, males: −147.2 cm3). Additionally, the study uncovered substantial disparities in the susceptibility to volume loss among specific thigh muscles, including the Vastus lateralis, Adductor longus and brevis, and Gluteus maximus, particularly in cases of intertrochanteric fractures. Conclusions The use of an automatic muscle segmentation model based on deep learning algorithms enables efficient and accurate analysis of thigh muscle volume differences in followed up hip fracture patients. Our findings emphasize the significant muscle loss tied to sarcopenia, a critical condition among the elderly. Intertrochanteric fractures resulted in greater muscle volume deformities, especially in key muscle groups, across both genders. Notably, while most muscles exhibited volume reduction following hip fractures, the sartorius, vastus and gluteus groups demonstrated more significant disparities in individuals who sustained intertrochanteric fractures. This non-invasive approach provides valuable insights into the extent of muscle atrophy following hip fracture and can inform targeted rehabilitation interventions.

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Rehabilitation Towards Functional Independence in a Patient With Intertrochanteric Fracture and Paraplegia: A Case Report

Cited by 2 publications

References 12 publications

The Integral Role of Physiotherapy in Optimizing Movement and Function in a Case of Polytrauma: A Case Report

The Integral Role of Physiotherapy in Optimizing Movement and Function in a Case of Polytrauma: A Case Report

A retrospective evaluation of individual thigh muscle volume disparities based on hip fracture types in followed-up patients: an AI-based segmentation approach using UNETR

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