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Increased age
3%
111/3214
Increased hip flexion-extension arc
27%
879/3214
Immediate weight-bearing
11%
354/3214
Increased hip muscle strength
56%
1796/3214
Decreased stride length
2%
52/3214
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Patient functional outcomes after acetabular fractures have been shown to be related to postoperative hip strength, regardless of surgical approach. The reference by Borrelli et al evaluated muscle strength and outcomes after acetabular surgery via an anterior approach. They report that hip extension strength was affected least (6%), whereas abduction, adduction, and flexion strength was affected to a greater degree. They note that hip muscle strength after operative treatment of a displaced acetabular fracture directly influences patient outcome. The reference by Engsberg et al is a review of patients that underwent ORIF of acetabular fractures through anterior or posterior approaches. They report that maximizing hip muscle strength may improve gait, and improvement in hip muscle strength and gait is likely to improve functional outcome. Worsening functional outcomes were correlated with decreased gait kinematics and stride length.
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