title: [Assessment of quadriceps muscle isometric strength following operative treatment of femoral shaft fractures].
abstract: The authors investigated quadriceps muscle strength following operative treatment of femoral shaft fractures in 135 patients. Patients were categorized according to the kind of procedure performed: open Kuntscher intramedullary nailing--30 cases; Zespol--30 cases; AO plate osteosynthesis--47 cases and closed intramedullary nailing 28 cases. Two groups of patients were formed according to surgical technique: open method--107 cases and closed method--28 cases. 39 patients treated with an open method required re-operation. The best results were obtained in cases treated with closed technique--79.6%. The worst results were noted in the group requiring re-operation: 56.7%. The worst results were found in cases with comminuted fractures, and those located in the distal third of the femoral shaft.
authors.affiliation: Katedra i Oddział Nauczania Klinicznego Ortopedii, Slaska Akademia Medyczna w Sosnowcu.
authors.forename: K
authors.initials: K
authors.lastname: Wójcik
authors.forename: D
authors.initials: D
authors.lastname: Kusz
authors.forename: R
authors.initials: R
authors.lastname: Nowak
mesh_terms: D000293:Adolescent; D000328:Adult; D016267:External Fixators; D005260:Female; D005264:Femoral Fractures / Q000503:physiopathology / Q000534:rehabilitation* / Q000601:surgery*; D005592:Fracture Fixation / Q000379:methods*; D005593:Fracture Fixation, Internal; D006801:Humans; D007537:Isometric Contraction; D008297:Male; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000503:physiopathology; D011183:Postoperative Complications; D012146:Rest; D013997:Time Factors; D019415:Torque