Static Balance Disorders in Patients After Surgical Treatment of Hip Acetabular Fractures

Józef Piłsudski University of Physical Education

Status: Completed

Conditions: Hip Fractures; Balance; Distorted; Acetabular Fracture; Disability Physical

Treatments: Procedure: postural stability measurements

Study type: Observational

Funder types: Other

Identifiers

NCT04902209

Ds 310/SN4

Details and patient eligibility

About

The mechanism of maintaining balance is a complex phenomenon, involving numerous systems of human body. High-energy trauma resulting in acetabular fracture damages some of the elements composing this delicate mechanism, potentially increasing the risk of falls in patients. There have not been any studies so far on balance levels in patients after surgical treatment of acetabular fractures.

Questions/purposes

1. Do balance disorders occur in patients after ORIF of acetabular fractures?
2. Do surgical approach and fracture pattern influence balance level of patients?
3. Should therapy programs include certain stabilometric parameters adequate especially for this type of injury?

Full description

Methods Between 2014-2017, investigators evaluated 110 subjects: 55 patients after surgical treatment of acetabular fracture - the study population (mean age 43.6 ± 14.8 years) and 55 healthy subjects - the clinical control group (mean age 43.8 ± 14.9 years).

To ensure reliability of results, controls were individually matched to appropriate study population patients, in terms age, sex, body height and mass.

The study was conducted in Public Hospital and the protocol was approved by the Commission of Ethics (SKE 01-21/2014).

Investigators measured static balance in double leg stance (eyes open/eyes closed) for 30s on CQStab2P, a double module stabilometric platform.

The pain component of the Harris Hip score and the quality of fracture reduction (according to Matta's criteria) in digitized anteroposterior and two oblique view radiographs were analyzed.

Enrollment: 110 patients

Sex: All

Ages: 20 to 60 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• written consent to participate in the study,
• full legal age,
• surgically treated hip acetabular fracture,
• time after the surgery between 3 and 84 months,
• full cognitive abilities, -full medical documentation, - the ability to fully load the operated limb (doctor's consent).

Exclusion criteria

• craniocerebral injuries,
• visual system disorders,
• neurological disorders,
• ear and sinuses infections,
• spinal pain
• injuries to the lower extremities,
• chronic illnesses (cancer, Parkinson's disease, epilepsy, diabetes, neuro-muscular disorders, uncontrolled coronary heart disease),
• taking psychoactive substances,
• lower limb thrombosis

Trial design

110 participants in 2 patient groups

1- study group- patients after surgical treatment of acetabular fracture

Description:

1- study group- patients after surgical treatment of hip acetabular fracture

Treatment:

Procedure: postural stability measurements

2- control group- healthy subjects

Description:

2- control group- healthy subjects age, BMI matched

Treatment:

Procedure: postural stability measurements