Neck femur functional outcome fractures comminuted. Medical search. Frequent questions

Adults with middle-third forearm fractures are typically treated surgically with open reduction and internal fixation (ORIF). (medscape.com)
To overcome these problems internal fixation techniques have been used with better outcomes, in the later half of the 20th century. (jmsronline.com)
In the last few decades, sliding hip screw (DHS) became the standard way of fixation of IT fractures world over. (jmsronline.com)
Its usage for fixation of IT fractures rose from 3.1% in 1999 to 67% in 2006 in the developed world. (jmsronline.com)
DHS is still the most commonly used device for fixation of IT fractures. (jmsronline.com)
However fixation of unstable fractures with this devise remains a persistent challenge. (jmsronline.com)
Malunion is very common following DHS fixation of IT fractures particularly the unstable variety. (jmsronline.com)
Last few decades has seen increasing trend towards operative management of femoral shaft fractures in paediatric patients but opinion regarding optimal method of fixation of these fractures remains divided [ 12 ]. (biomedcentral.com)
Although the concept of internal fixation dates back to the mid-1800s, Lister introduced open reduction, internal fixation (ORIF) of patella fractures in the 1860s. (medscape.com)
Early surgical fixation initially was complicated by many obstacles, such as infection, poorly conceived implants and techniques, metal allergy, and a limited understanding of the biology and mechanics of fracture healing. (medscape.com)
Fractures with less than an anatomic reduction and less rigid fixation (ie, those with large gaps and low strain via external fixator, casting, and intramedullary [IM] nailing) heal with callous formation or secondary healing with progression through several different tissue types and eventual remodeling. (medscape.com)
Anatomic reduction and absolute stabilization of a fracture by internal fixation alter the biology of fracture healing by diminishing strain (elongation force) on the healing tissue at the fracture site. (medscape.com)
Absolute stability with no fracture gap (eg, via open reduction and internal fixation using interfragmental compression and plating) presents a low strain and results in primary healing (cutting cone) without the production of callus. (medscape.com)
Supplemental medial small fragment fixation adds stability to distal femur fixation: A biomechanical study. (stanford.edu)
INTRODUCTION: Bridge plating of distal femur fractures with lateral locking plates is susceptible to varus collapse, fixation failure, and nonunion. (stanford.edu)
Eight femurs underwent fixation with lateral locked plates alone and were matched with eight femurs treated with dual plating: lateral locked plates with supplemental medial small fragment non-locking fixation. (stanford.edu)
16] However, the risk of developing osteonecrosis has been suggested with delayed fixation after fracture displacement. (faoj.org)
Open reduction internal fixation techniques were used for definitive fixation of the comminuted talar fractures. (faoj.org)
Here, we report the long-term outcome of a young man treated with open reduction and internal fixation (ORIF) of the medial wall fracture, a valgus osteotomy of the femur and a restock of the impaction with autologous bone graft. (jocr.co.in)
Femoral neck fractures are at risk of non-union with/without mechanical collapse due to insufficient fixation and/or avascular necrosis of the femoral head. (musculoskeletalkey.com)
Extra-capsular fractures are at risk of mechanical collapse and non-union due to insufficient fixation. (musculoskeletalkey.com)
The treatment of paediatric shaft femur fracture has been drastically changed over the last two decades to internal fixation by elastically stable intra- medullary nail (ESIN). (openorthopaedicsjournal.com)
External fixation is a procedure in which the fracture stabilization is done at a distance from the site of fracture. (fixthebones.com.au)
View of Is Fusion Mandatory with Spinal Fixation of Traumatic Thoracolumbar Burst Fractures? (pdfplayer.org)
and soft tissue healing similar to internal fixation of limb fractures. (pdfplayer.org)
It also restores length, alignment, and rotation-all vital principles of fracture fixation. (passmed.uk)
External fixation is a valuable tool in the surgeon's arsenal for acute open fracture management. (passmed.uk)
Indications for external fixation are grossly contaminated open fractures with extensive soft-tissue compromise, the Type IIIA-C injuries, and when immediate fixation is needed for physiologically unstable patients. (passmed.uk)

Intra-articular Fractures of the Distal Humerus in the Adult. (uth.edu)
Multiple Injuries were sustained including a left open intra-articular comminuted supracondylar femur fracture, right femoral shaft fracture, right intertrochanteric hip fracture, right tibial plateau fracture, and a left closed talar body and neck fractures. (faoj.org)

The majority of middle-third forearm fractures occur from high-energy trauma (eg, motor vehicle accidents [MVAs] or sports injuries). (medscape.com)
[1] A bone fracture may be the result of high force impact or stress , or a minimal trauma injury as a result of certain medical conditions that weaken the bones, such as osteoporosis , osteopenia , bone cancer , or osteogenesis imperfecta , where the fracture is then properly termed a pathologic fracture . (wikipedia.org)
Disruption of the endosteal and periosteal blood supply occurs with the initial trauma, and maintaining adequate blood supply to the fracture site is essential for healing. (medscape.com)
Comminuted talar fractures are commonly the result of high-energy trauma. (faoj.org)
Comminuted talar fractures are commonly the result of high-energy trauma and associated with multiple injuries. (faoj.org)
Avascular necrosis is caused by ischaemia hypothetically due to either a direct trauma to the arterial supply crossing the fracture-line or by a temporary arterial impingement, caused by vessel stretching or intra-capsular hematoma. (musculoskeletalkey.com)
A bone may get fractured completely or partially and it is caused commonly from trauma due to fall, motor vehicle accident or sports. (fixthebones.com.au)
Between 2003 and 2010, 72 consecutive patients with nonunion of the femoral shaft were operated using a standardized protocol in our trauma department and followed up for successful union and functional result. (biomedcentral.com)
On the other hand, achievement of solid fusion reduces risk of re-kyphosis and implant failure.Methods: Study was prospectively conducted on 40 patients with T10-L2 traumatic burst fractures, assigned into 2 equal groups: a fusion and a non-fusion group.Results:Mean age of patients was 37.2 years with minimal male predominance.Fall from height was the most common mode of trauma (62.5%) followed by RTAs. (pdfplayer.org)
Generally, scaphoid bone fractures result from indirect trauma when an individual falls onto the outstretched hand with a hyperextended and radially deviated wrist. (passmed.uk)
Distal clavicle fractures are traumatic injuries usually caused by direct trauma to the shoulder from a fall in adults. (orthobullets.com)

Current CORIT research programs include: (1) Development new mitigation strategies for prevention of prosthetic joint infections, (2) The prevention and treatment of periprosthetic fractures, (3) Quantifying and enhancing surgical skills through computer-assisted and robotic technologies, and (4) Biomechanical simulation and optimization of orthopaedic procedures. (uth.edu)
It often occurs as the result of a surgical complication after a fracture where intramedullary nailing (IMN) occurs, especially in the femur and tibial bones, but can also occur genetically at birth. (wikipedia.org)
Nailing is used as it requires minimal surgical dissection, less disruption of the fracture hematoma and allows faster functionality to a patient post-surgery. (wikipedia.org)
100% displacement of the surgical neck of the humerus, and if the patient may be an operative candidate (young and active) - consider non-contrast CT scan. (orthojournalhms.org)
Surgical options may be considered for specific fracture patterns in younger patients. (orthojournalhms.org)
1. A client with a fractured head of the right femur and osteoporosis is placed in Buck extension before surgical repair.The surgeon inserts metal pins into the bone or bones from outside the skin surface and then attaches a compression device to the pins. (nails-beauty.de)
Background: The good clinical-functional outcomes of total knee arthroplasty (TKA) depend on several factors, such as the surgical time and the adequate positioning of the prosthesis components. (journaltocs.ac.uk)
Extensor carpi ulnaris problems on the wrist: Classification, surgical therapy and outcomes. (dnahelix.com)
BACKGROUND: Surgical treatment of pertrochanteric fractures is one of the most performed surgeries in orthogeriatrics. (bvsalud.org)
BACKGROUND: Proximal femoral nailing (PFN) and hip arthroplasty (HA) are the two most often utilized surgical procedures for treating hip fractures in older patients. (bvsalud.org)
4] Others have proposed that surgical treatment of talar fractures may promote revascularization to the talar body. (faoj.org)
Figure 3 CT scan further demonstrates the comminuted nature of the talar fracture, and allowed for better surgical planning pre-operatively. (faoj.org)
Rarely, a three-part fracture is encountered involving the lesser or greater tuberosity as well as the surgical neck. (teachmeorthopedics.info)
Talar body fractures often involve articular disruption of both the tibiotalar and subtalar joints, and surgical restoration of articular congruity, talar height, and ligamentous stability of the ankle is usually the best option. (teachmeorthopedics.info)
To achieve this, maintenance of fracture reduction with immobilization technique is done by either non-operative or surgical method. (fixthebones.com.au)
This is a surgical procedure in which the fracture site is adequately exposed and reduction of fracture is done. (fixthebones.com.au)
Perhaps the most important aspect in the treatment of open fractures is the initial surgical intervention with irrigation and meticulous debridement of the injury zone. (passmed.uk)
Treatment can be conservative (e.g., wrist immobilization) or in certain cases surgical (e.g., proximal pole fracture). (passmed.uk)
Conservative treatment remains the gold standard in treatment of simple undisplaced midshaft clavicle fractures, but for displaced and comminuted fractures surgical intervention is appropriate especially in young active adults. (traumainternational.co.in)

Additionally, over impaction of the fracture fragments may lead to significant loss of limb length. (jmsronline.com)
In more severe cases, the bone may be broken into several fragments, known as a comminuted fracture . (wikipedia.org)
The fracture-line is anatomically located laterally to the nutrient vessels to the femoral head, so avascular necrosis is rarely seen, but muscle attachments often dislocate the fragments and bleeding into surrounding muscles can be severe and life-threatening. (musculoskeletalkey.com)
Classification systems are primarily based on fracture-line location and number of fragments. (musculoskeletalkey.com)
Unstable fractures are those in which fragments of the broken bone are misaligned and displaced. (fixthebones.com.au)
It protects the soft tissues around the zone of injury by preventing further damage from mobile fracture fragments. (passmed.uk)
With the help of percutaneously placed towel clips fracture fragments are approximated (Fig. 5). (traumainternational.co.in)
If closed reduction is unsuccessful, an additional skin incision is made at fracture site for open reduction of the fragments (Fig. 5). (traumainternational.co.in)

The average annual incidence of forearm shaft fractures has been reported to be 1.35 per 10,000 population, with a range of 0-4 per 10,000 population, depending on age and gender. (medscape.com)
[ 2 ] More than half of all forearm shaft fractures occur in males between the ages of 15 and 39 years. (medscape.com)
Present indications include all patients with femoral shaft fractures and open physis. (biomedcentral.com)
We included 73 femoral shaft fractures in 69 patients treated with retrograde flexible intramedullary nailing with a minimum follow up of 5 years. (biomedcentral.com)
Flexible intramedullary nailing is reliable and safe for treating paediatric femoral shaft fractures. (biomedcentral.com)
On retrospective search of hospital records, we found 81 patients of femoral shaft fractures treated with flexible intramedullary nailing at our institute with a minimum follow up period of 5 years. (biomedcentral.com)
Of these 81 patients, 69 patients with 73 femoral shaft fractures were available for follow up. (biomedcentral.com)
Indication for surgery in all cases was displaced femoral shaft fracture with open femoral physis. (biomedcentral.com)
In adults, the femoral head is primarily supplied by the distal recurrent vessels entering the femur on the shaft side of the fracture. (musculoskeletalkey.com)
Neurovascular injury can occur in this type of fracture because the shaft may be displaced into the axilla. (teachmeorthopedics.info)
Femoral shaft fracture is the most common major paediatric orthopaedic. (openorthopaedicsjournal.com)
For generations traction and casting was the standard treatment for all femoral shaft fractures in children. (openorthopaedicsjournal.com)
A prospective study was conducted in five private hospitals in the district of Bankura, West Bengal over a period of two years (April 2010 to March 2012) on 70 patients with closed shaft femur fractures between 6- 14 years age of either sex. (openorthopaedicsjournal.com)
Femoral shaft fracture is the most common major paediatric orthopaedic injury that most orthopaedist will treat routinely and is the most common paediatric orthopaedic injury requiring hospitalisation. (openorthopaedicsjournal.com)
When subtrochanteric and supracondylar fractures are included the femoral shaft fractures represents about 1.6% of all bony injuries in children. (openorthopaedicsjournal.com)
Femoral shaft fractures in the paediatric patients have traditionally been treated non- operatively with either early spica cast or a period of traction followed by application of hip spica cast until the time of fracture union. (openorthopaedicsjournal.com)
Reamed intramedullary exchange nailing as described in this study is the treatment of choice for aseptic femoral shaft nonunion with a high rate of bone healing and a low rate of complications including length discrepancy or malrotation and a good functional outcome. (biomedcentral.com)
The management of these non-united femoral shaft fractures or delayed union still represents a challenge for the treating surgeon. (biomedcentral.com)
A prospective case series was performed, and all patients were included in this study who had been treated with intramedullary nailing of a femoral shaft fracture and had developed femoral shaft nonunion. (biomedcentral.com)
A 34 year old mechanic suffers from a Gustilo and Anderson type IIIA fracture of the femoral shaft after being hit by a fork lift truck. (passmed.uk)

Forearm fractures of the radius and ulna can be described according to their location, pattern, displacement, and associated soft-tissue injury. (medscape.com)
Femoral neck fracture classification has historically been contentious with several different systems, primarily based on fracture displacement seen in the anterior-posterior radiographs. (musculoskeletalkey.com)
Any fracture pattern can be seen, but the displacement of all components must be less than 1 cm, except anatomic neck fractures, to be considered in this group according to Neer's concept. (teachmeorthopedics.info)
concluded, generally in 2 to 3 weeks, a program to regain shoulder motion is started as for fractures with minimal displacement and anatomic neck fractures. (teachmeorthopedics.info)
Even small residual-fracture displacement can result in a significant compromise of subtalar, ankle, or talonavicular joint function. (teachmeorthopedics.info)
Treatment can be nonoperative or operative depending on fracture displacement, ankle stability, presence of syndesmotic injury, and patient activity demands. (orthobullets.com)

Hip dislocation is a term used to describe the medical situation where the proximal end of the femur and the hollow socket of the pelvis become disjointed. (symptoma.com)
His clinical interests include nonunions, periarticular fractures, fractures of the pelvis and acetabulum, and infections. (stanford.edu)
The use of skeletal traction should be reserved only for selected open fracture types (i.e., pelvis fractures and very proximal femur fractures) and if used, it should only be for a short selected time. (passmed.uk)

This torsional error is a major problem for femoral and tibial fractures, and occurs in 17 to 35% of patients who receive these surgeries, and up to 40% of femur fracture patients. (wikipedia.org)
One form of malunion is the malrotation of a bone, which is especially common after femoral and tibial fractures. (wikipedia.org)
BACKGROUND Treatment of extra-articular distal tibial fractures is problematic owing to limited soft tissue cover, poor vascularity of the location, and adjacency to the ankle, and thus continues to be controversial. (bvsalud.org)

While medial and lateral dual plating has been described in clinical series, the biomechanical effects of dual plating of distal femur fractures have yet to be clearly defined. (stanford.edu)
A 22-year-old truck driver involved in a ski accident sustained an obturator dislocation of the right hip associated with a femoral head impaction in the weight-bearing zone and a medial wall fracture of the acetabulum. (jocr.co.in)
An obturator hip dislocation with a femoral head and a medial wall acetabular fracture is a very rare combination. (jocr.co.in)
He sustained an obturator dislocation of the right hip associated with a severe femoral head impaction fracture in the weight-bearing zone and a medial wall fracture of the acetabulum (Fig. 1, 2, 3). (jocr.co.in)
There was only 1 pattern bone bruise (latera femur and medial patella bone bruise) of patellar dislocation, the most common pattern of patellar dislocation was in the inferior medial patella and lateral anterior inferior femur. (preprints.org)
There were 4 kinds of bone bruise patterns after non-contact ACL rupture while there was only 1 kind of bone bruise pattern after patellar dislocation bone bruise patients which was in the inferior medial patella and lateral anterior inferior femur. (preprints.org)

This type of fracture is more prone to infection and requires immediate medical attention. (fixthebones.com.au)
Greenstick fractures are stable fractures as a part of the bone remains intact and unbroken so this type of fracture normally causes a bend to the injured part, rather than a distinct deformity, which is problematic. (passmed.uk)

The post-operative postural balance and functional outcomes of patients may be significantly influenced by the technical distinctions between PFN and HA. (bvsalud.org)
The aim of that study was to evaluate how the two treatment modalities affected patients' post-operative balance, postural stability, and functional rehabilitation. (bvsalud.org)
2.85% encountered acute reactive synovitis, 5.71% developed angulation of fracture site and 2.85% developed per operative breakage of nail. (openorthopaedicsjournal.com)
Operative treatment is usually necessary to restore hind foot anatomy and mechanics, as well as joint congruity in the majority of these fractures. (teachmeorthopedics.info)
On occasion, poor soft-tissue conditions complicate the operative treatment of these fractures. (teachmeorthopedics.info)

Although conservative treatment is the gold standard for clavicle fractures, there may be some issues like shoulder impairement, a bump at the fracture site that is cosmetically unacceptable or nonunions which happen when grossly displaced fractures are treated conservatively. (traumainternational.co.in)

Bone cells begin forming on the either side of the fracture line. (fixthebones.com.au)

Therefore, the main goal of treatment of middle-third forearm fractures is to restore anatomic length, alignment, and rotation in order to recover painless range of motion (ROM) of the elbow, forearm, and wrist. (medscape.com)
14] For all cases of talar fractures, treatment goals remains anatomic reduction, preservation of motion, joint stability, and minimization of complications. (faoj.org)
Neer's anatomic concept for standardizing the terminology of fractures of the proximal humerus. (teachmeorthopedics.info)

Bone malrotation predominantly occurs after an injury where a bone is fractured, however malrotation can genetically occur during foetal development. (wikipedia.org)
Forearm fractures predominantly occur in males, and the vast majority occur during the first four decades of life. (medscape.com)
Mechanical failure including loss of purchase of the compression screw within the femoral head, pulling of the side plate and dis-engagement of the screw and barrel have been reported to occur in as many as 28% of fractures. (jmsronline.com)
Indentation fractures of the femoral head have been reported to occur in 35%-55% of patients after traumatic obturator dislocation [3, 4, 5]. (jocr.co.in)
Undisplaced linear fractures that extend into the humeral head can occur. (teachmeorthopedics.info)
While many fractures are the result of high force impact or stress, bone fracture can also occur as a result of certain medical conditions that weaken the bones, such as osteoporosis. (fixthebones.com.au)
Greenstick fractures occur most often during infancy and childhood when bones are soft. (passmed.uk)
Ankle fractures are very common injuries to the ankle which generally occur due to a twisting mechanism. (orthobullets.com)

Fig. 4) Transfixation pins were placed across the calcaneus to allow distraction of the tibiotalar joint and facilitated adequate visualization of the talar body fracture. (faoj.org)
A minimally displaced talar body fracture in a patient with significant neuropathy may be best treated nonoperatively, whereas a Hawkins III talar neck fracture with posteromedial extrusion of the talar body should be treated operatively, even in patients with significant neuropathy, to relieve soft-tissue and/or neurovascular compromise. (teachmeorthopedics.info)

31-A3 covers fracture lines through the lateral femoral wall - defined as the lateral cortex distal to the greater trochanter - in which the subgroup 31-A3.1 represent the reverse fracture and 31-A3.2 the transversal, while the most comminuted 31-A3.3 fracture demands both a fractured lateral femoral wall and a detached lesser trochanter. (musculoskeletalkey.com)

Neer divides proximal humeral fractures into six groups, as shown in Fig. 17-1 , and this concept is useful in considering the management of the injury. (teachmeorthopedics.info)
Displaced proximal humeral fractures. (teachmeorthopedics.info)

Review Article Abstract Author Information Authors A simple hip dislocation is one without fracture of the proximal femur or acetabulum. (symptoma.com)
Complex fracture -dislocations involve the acetabulum, femoral head, or femoral neck. (symptoma.com)
The "ball" is the head of the femur, or thigh bone, and the "socket" is the cup shaped acetabulum. (fixthebones.com.au)

Stages in Fracture Repair: The healing of a bone fracture follows a series of progressive steps: (a) A fracture hematoma forms. (wikipedia.org)
The natural process of healing a fracture starts when the injured bone and surrounding tissues bleed, forming a fracture hematoma . (wikipedia.org)
The replacement of hematoma by this structural network adds stability to the fracture site. (medscape.com)

Many studies have reported predictable stability and healing in these stable fracture patterns. (jmsronline.com)
Fracture patterns included transverse (49), oblique (21), and communited (3) fractures. (biomedcentral.com)
For very comminuted or complex fracture patterns, a CT-scan can often aid management. (teachmesurgery.com)

Furthermore, although functional results and mortality rates are similar, as cemented calcar replacement hemiarthroplasty has serious life-threatening complications, it should not be the first choice of treatment method. (journaltocs.ac.uk)
Some fractures may lead to serious complications including a condition known as compartment syndrome . (wikipedia.org)
Other complications may include non-union, where the fractured bone fails to heal, or malunion, where the fractured bone heals in a deformed manner. (wikipedia.org)
[5] Complications of fractures may be classified into three broad groups, depending upon their time of occurrence. (wikipedia.org)
Immediate complications - occurs at the time of the fracture. (wikipedia.org)
Early complications - occurring in the initial few days after the fracture. (wikipedia.org)
Late complications - occurring a long time after the fracture. (wikipedia.org)
Other complications included superficial infection(2), proximal migration of nail(3), irritation at nail insertion site(5) and penetration of femoral neck with nail tip(1). (biomedcentral.com)
It is relatively free of serious complications despite asymptomatic malalignment and LLD in significant percentage of fractures. (biomedcentral.com)
Flexible intramedullary nailing introduced for femoral fractures by Nancy group in 1982 [ 22 ], has become popular with many orthopaedic surgeons and remains the treatment of choice for these fractures at our institute due to its favourable results and lack of serious complications. (biomedcentral.com)
In 12% of the patients, the dislocation is combined with a femoral head fracture (complex dislocations) [1, 2] which could result in severe complications such as avascular necrosis (AVN) and subsequent early secondary osteoarthritis. (jocr.co.in)
The aim was to find out the short term complications of titanium elastic nailing in diaphyseal fracture of femur in children and compare the findings of this study with pre- existing studies in this field. (openorthopaedicsjournal.com)
6 years), but complications such as mal- union, joint stiffness, angulation, shortening and delay in functional recovery are not uncommon in older children if managed in this manner. (openorthopaedicsjournal.com)
This endeavour is an honest effort to analyse the short term complications of titanium elastic nailing in paediatric diaphyseal femoral fractures in a new set up where conservative treatment was performed in greater magnitude and to look in to factors causing them and possibly to provide a way as to how to minimise these complications. (openorthopaedicsjournal.com)

For stable IT fractures it is the surgery of choice. (jmsronline.com)
We present the case of a stable patient with multiple long bone injuries and a comminuted talar fracture, the subsequent management and outcome, and review the current literature for management of comminuted talar fractures. (faoj.org)
We present the case of a stable patient with multiple long bone injuries and a comminuted talar fracture. (faoj.org)
The fracture may be stable enough to permit immobilization of the arm at the side in a sling-and-swathe but may require a spica cast or abduction pillow splint to hold the arm in the reduced position. (teachmeorthopedics.info)
Simple fractures in which the fractured pieces of bone are well aligned and stable. (fixthebones.com.au)

No single classification takes all of these variables into account, but in most instances, forearm fractures can be classified according to location (proximal third, middle third, or distal third). (medscape.com)
The AO/OTA classification covers most fractures within previous classification systems, except the few trochanteric fractures with a detached greater trochanter and an intact lesser trochanter. (musculoskeletalkey.com)
Hawkins classification of talar neck fractures. (teachmeorthopedics.info)
In this article, we look at the classification, investigations and management of open fractures . (teachmesurgery.com)

In the literature, the timing for treatment of comminuted talar fractures remains controversial, even in the presence of multiple injuries. (faoj.org)
These injuries are treated in descending order from most life threatening, and the definitive treatment of talar fractures may be staged. (faoj.org)
Figure 2 During his secondary survery, radiographs were taken that revealed a closed talar comminuted fracture among his other injuries. (faoj.org)
Displaced talus fractures are uncommon but devastating injuries. (teachmeorthopedics.info)
Two thirds of the talus is covered in articular cartilage, and all fractures are articular injuries affecting one or more of the adjacent joints. (teachmeorthopedics.info)
Type I talar neck fractures are nondisplaced injuries and can be managed nonoperatively in cooperative patients who agree to frequent follow-up x-rays. (teachmeorthopedics.info)
Talar neck and body fractures are usually the result of high-energy injuries. (teachmeorthopedics.info)
Overuse injuries are common cause of stress fractures in athletes. (fixthebones.com.au)

1 The ideal treatment of these fractures remains controversial. (pdfplayer.org)

Cemented bipolar arthroplasty with trochanteric reconstruction is a very good option for patients whose life expectancy is not more than ten years and who has unstable IT fractures. (jmsronline.com)
Background: In this study, a retrospective evaluation was made of patients aged 70 years and over who were applied with proximal-femoral nail (PFN) or calcareous replacement cemented hemiarthroplasty in respect of early and late-stage morbidity and mortality and functional personal independence. (journaltocs.ac.uk)
Methods: The study included a total of 77 patients aged over 70 years with an AO type 31-A1 or 31-A2 fracture. (journaltocs.ac.uk)
A good outcome was seen in 13 patients, 3 with type 1 fracture , 9 with type 2 fracture and 1 with type 3 fracture . (symptoma.com)
Eight patients, 3 with type 2 fracture and 5 with type 3 fracture , had a fair outcome. (symptoma.com)
All patients with open fractures, pathological fractures, metabolic bone disease or neuromuscular disorders were excluded from search. (biomedcentral.com)
To examine the functional outcomes of patients treated with PFN and HA following a hip fracture, this study used computerized dynamic posturography (CDP). (bvsalud.org)
METHODS: A total of 26 patients who underwent proximal femoral surgery (15 patients PFN [58%] and 11 patients HA [42%]) due to hip fractures were evaluated at least 12 months postoperatively. (bvsalud.org)
Fractures of the proximal humerus are seen in all age groups but are more common in older patients. (teachmeorthopedics.info)
Reduction of the fracture depends on an intact posteromedial periosteal sleeve in younger patients. (teachmeorthopedics.info)
This is particularly true in multiply injured patients, and late treatment of the talar injury often results in suboptimal outcomes. (teachmeorthopedics.info)
Purpose: Although the outcomes of ACL reconstruction are generally satisfying, there are several patients who do not regain their pre-injury sporting level and suffer persistent symptoms. (researchgate.net)
The ideal treatment for patients with a thoracolumbar burst fracture remains controversial. (pdfplayer.org)
Conservative treatment can lead to satisfactory outcomes especially in patients with no neurological deficits. (pdfplayer.org)
All patients with suspected open fractures require basic blood tests , including a clotting screen and a Group & Save. (teachmesurgery.com)
Forty patients (42.2 ± 14.7) with a confirmed diagnosis of unilateral neck pain were examined using durometry and indentometry. (preprints.org)

See also Forearm Fractures , Distal-Third Forearm Fractures , and Forearm Fractures in Emergency Medicine , as well as Galeazzi Fracture and Monteggia Fracture . (medscape.com)

Check for glenohumeral joint dislocation - Dislocations with associated isolated greater tuberosity fracture can be reduced under conscious sedation. (orthojournalhms.org)
Hip dislocation with features of no or insignificant fracture. (symptoma.com)
Type 4: Hip dislocation involving acetabular floor fracture . (symptoma.com)
The decision to operate also depends upon the fracture pattern, ankle stability, and presence of dislocation or significant joint subluxation and should be made on a case by case basis. (teachmeorthopedics.info)
The presence, location, and intensity of the bone bruises within specific compartments of the femur and tibial after ACL rupture and patellar dislocation were recorded. (preprints.org)

Conclusions: Proximal femoral nailing can be one of the primary treatment options for intertrochanteric hip fractures in the elderly. (journaltocs.ac.uk)

This method is most commonly used for fractures of the thighbone. (fixthebones.com.au)
The scaphoid bone is the most commonly fractured carpal bone. (passmed.uk)

Furthermore, in certain complex fractures and sometimes in subtrochantric fractures, with tendency for marked flexion of proximal fragment, closed reduction and its maintenance if often unsuccessful. (biomedcentral.com)
The next step in fracture management is the reduction of the fracture and its maintenance. (fixthebones.com.au)
Casting closed reduction is done for any fracture that is displaced, shortened, or angulated. (fixthebones.com.au)
The distal beveled end of the nail aids in fracture reduction and helps in engaging in the subchondral area of the bone, thereby imparting stability. (traumainternational.co.in)
The reduction is checked in image-intensifier and then the nail is advanced through the fracture site till it reaches distal end of clavicle. (traumainternational.co.in)

Immobilization by casting, bracing, or splinting a joint above and below the fracture was used for most long bone fractures - except femur fractures, for which traction was the mainstay of treatment. (medscape.com)
Skin traction involves attachment of traction tapes to the skin of the limb segment below the fracture. (fixthebones.com.au)

Flexible intramedullary nailing in paediatric femoral fractures. (biomedcentral.com)
Flexible intramedullary nailing has emerged as an accepted procedure for paediatric femoral fractures. (biomedcentral.com)
We thus undertook a retrospective study of paediatric femoral fractures treated with titanium or stainless steel flexible nails at our institute with a minimum of 5 years follow up. (biomedcentral.com)
We undertook a long term retrospective study of paediatric femoral fractures treated with flexible intramedullary nailing at our institute. (biomedcentral.com)
The ideal device to treat most femoral fractures in children would be a simple, load sharing internal splint that allows mobilisation and maintenance of alignment and extremity length until bridging callus forms. (openorthopaedicsjournal.com)

In general, the treatment of complex hip dislocations depends on the associated fracture (e.g., femoral head fracture, femoral neck fracture, and acetabular fracture). (jocr.co.in)

The hip joint capsule divides fractures into two main categories with an almost equal patient distribution: (1) Intra-capsular femoral neck fractures and (2) Extra-capsular basicervical, trochanteric and sub-trochanteric fractures. (musculoskeletalkey.com)
Trochanteric fractures cover the trochanteric area from the capsule until just below the lesser trochanter. (musculoskeletalkey.com)

2 Surgery aims at realigning the spine, maintaining its stability and optimizing the neurological outcome. (pdfplayer.org)

As per a standard fracture, the area may be swollen and either red or bruised. (passmed.uk)

This report describes the technique of using the screw intramedullary nail for displace clavicle fracture. (traumainternational.co.in)
With oscillating movements the nail is advanced until it reaches the fracture site. (traumainternational.co.in)

In general, talar neck and body fractures should be treated operatively if the fracture is displaced more than 1 to 2 mm. (teachmeorthopedics.info)

Conservative treatment of her fractures with skeletal traction, which used to be the standard in earlier parts of 20th century, which involves prolonged confinement to bed. (jmsronline.com)
Dr. Goodnough has conducted research on the role of skeletal stem cells in fracture healing. (stanford.edu)
Topics have included the effects of non-steroidal anti-inflammatory drugs on skeletal stem cells in fractures. (stanford.edu)
In skeletal traction, a pin is inserted through the bone distal to the fracture. (fixthebones.com.au)

Traction method is used for the management of fractures and dislocations that cannot be treated by casting. (fixthebones.com.au)

As these fractures are specifically a paediatric problem, an older child will be protective of the fractured part and babies may cry inconsolably. (passmed.uk)

Intertrochanteric (IT) fractures of femur are common in elderly people with osteoporotic bones and often the result of minor domestic falls. (jmsronline.com)
In a fragility fracture context, intra-capsular hip fractures are in fact through the femoral neck, as femoral head fractures are uncommon in the elderly. (musculoskeletalkey.com)

There were 51 midshaft, 17 proximal, and 5 distal fractures. (biomedcentral.com)
Fracture locations were 51 midshaft, 17 proximal, and 5 distal fractures. (biomedcentral.com)

A bone fracture (abbreviated FRX or Fx , F x , or # ) is a medical condition in which there is a partial or complete break in the continuity of any bone in the body. (wikipedia.org)
A bone fracture is a medical condition in which a bone is cracked or broken. (fixthebones.com.au)
Some clinical features of a greenstick fracture are similar to those of a standard long bone fracture - greenstick fractures normally cause pain at the injured area. (passmed.uk)
Pain when applying pressure to the anatomical snuffbox is highly suggestive of a scaphoid bone fracture. (passmed.uk)

Several reasons for these diverging results have been suggested including technical improvements in implant design, and the introduction of interlocking screws leading to intramedullary treatment of complex fractures and thus, to more tenacious, complex nonunion [ 11 ],[ 14 ]. (biomedcentral.com)

This is most often through the skin - however, pelvic fractures may be internally open, having penetrated in to the vagina or rectum. (teachmesurgery.com)

the right scapula and an II° open comminuted fracture of the right olecranon. (jocr.co.in)
Open (compound) fractures are severe fractures in which the broken bones cut through the skin. (fixthebones.com.au)
Irrigation, along with debridement, is absolutely crucial in the management of open fractures. (passmed.uk)
Early stabilization of open fractures provides many benefits to the injured patient. (passmed.uk)
Open fractures are a common presentation to A&E, and require urgent assessment and management by the orthopaedic team. (teachmesurgery.com)
Left untreated, open fractures are associated with high rates of morbidity and mortality . (teachmesurgery.com)
A fracture is ' open ' when there is a direct communication between the fracture site and the external environment. (teachmesurgery.com)
Fracture may become open by either an "in-to-out" injury, whereby the sharp bone ends penetrate the skin from beneath, or an "out-to-in" injury, whereby a high energy injury (e.g. ballistic injury or a direct blow) penetrates the skin, traumatising the subtending soft tissues and bone. (teachmesurgery.com)

Anatomy37

Diseases74

Chemicals and Drugs6

Analytical, Diagnostic and Therapeutic Techniques and Equipment105

Psychiatry and Psychology7

Phenomena and Processes22

Disciplines and Occupations4

Anthropology, Education, Sociology and Social Phenomena3

Technology, Industry, Agriculture2

Humanities1

Information Science10

Named Groups1

Health Care50

Geographicals1

Fixation28

Intra-articular2

Trauma11

Surgical19

Fragments8

Shaft20

Displacement6

Pelvis3

Tibial fractures3

Medial6

Type of fracture2

Operative5

Clavicle Fractures1

Side of the fracture1

Anatomic3

Occur8

Talar body fracture2

Lateral1

Humeral2

Acetabulum3

Hematoma3

Patterns3

Complications14

Stable5

Classification4

Injuries8

Treatment of these fractures1

Patients16

Galeazzi Fracture1

Dislocation5

Intertrochanteric hip1

Commonly2

Reduction5

Below the fracture2

Femoral fractures5

Acetabular1

Trochanteric2

Stability1

Standard fracture1

Nail2

Operatively1

Skeletal4

Dislocations1

Paediatric1

Elderly2

Midshaft2

Bone fracture4

Complex fractures1

Pelvic1

Open8