Proximal femoral. Medical search. Frequent questions

Femoral neck fractures are subdivided based on the location of the fracture, including head fractures and neck fractures including subcapital, transcervical, basicervical, intertrochanteric and subtrochanteric. (radiogyan.com)
Why is it important to distinguish intra and extracaspular proximal femoral fractures? (radiogyan.com)
Intracapsular fractures in the femoral head can significantly affect its blood supply , leading to nonunion of the fracture or avascular necrosis (AVN). (radiogyan.com)
Fractures in this area have a high risk of causing serious damage to the blood vessels, although the risk decreases as fractures occur further down the femoral neck. (radiogyan.com)
Treatment for fractures in the femoral head and neck must consider the potential compromise of blood flow and focus on maintaining, restoring, or replacing the blood supply to prevent these complications. (radiogyan.com)
Femoral head fractures are rare and often associated with dislocation and high energy trauma. (radiogyan.com)
Femoral head impaction fractures can be seen with anterior and posterior dislocations. (radiogyan.com)
On MRI, these fractures resemble femoral head osteonecrosis, with a dark subchondral line and a larger area of bone edema. (radiogyan.com)
Garden classification system for proximal femoral fractures in the elderly. (radiogyan.com)
Changes in proximal femoral mineral geometry precede the onset of radiographic hip osteoarthritis: The study of osteoporotic fractures. (ox.ac.uk)
Purpose: Intertrochanteric fractures of proximal femur are commonly encountered in elderly individuals due to porotic and weak bones. (jotsrr.org)
In this backdrop, the present study was carried out to evaluate the clinical and radiological outcome of Proximal Femoral Nail (PFN) in the treatment of intertrochanteric fractures. (jotsrr.org)
The treatment strategy for osteosynthesis encompasses open/closed reduction and surface implants fixation Intramedullary (IM) implants such as Proximal Femoral Nail (PFN) [ 7 , 8 ].During the period between 1999- 2010, mounting studies including Cochrane reviews recommended the use of DHS or the sliding Hip screw for stable intertrochanteric fracture and in the case of unstable fractures IM are highlighted [ 8 , 9 ]. (jotsrr.org)
Results of intertrochanteric femur fractures treated with proximal femoral nail are good and satisfactory. (orthopaper.com)
In this study of proximal femoral nailing for intertrochanteric fractures, a novel technique of utilizing prefixation compression screw was introduced to achieve and maintain reduction of femoral neck shaft angle. (jcorth.com)
8. Jonnes C, Shishir SM, Najimudeen S. Type II intertrochanteric fractures: proximal femoral nailing (PFN) versus dynamic hip screw (DHS). (jcorth.com)
10. Kyavater BS, Gupta S. Comparative study between dynamic hip screw vs Proximal femoral nailing in unstable inter-trochanteric fractures of the Femur in adults. (jcorth.com)
Proximal femoral fractures fixation pose dilemma on fixation device to use. (orthoresearchjournal.com)
Dynamic hip screw vs. proximal femur nail in treatment of intertrochanteric fractures in patients aged over 70 years old. (edu.iq)
Huang X, Leung F, Xiang Z, Tan PY, Yang J, Wei DQ, Yu X. Proximal femoral nail versus dynamic hip screw fixation for trochanteric fractures: a meta-analysis of randomized controlled trials. (edu.iq)
John C. We6.Pan X, . Xiao D, Lin B, and HuangG, Dynamic hip screws (DHS) and proximal femoral nails (PFN) in treatment of intertrochanteric fractures of femur in elderly patients. (edu.iq)
Herman A, Landau Y, Tenenbaum S, Remu E, Chechick A, Shazar N. A Comparison of Two Proximal Femoral Nail Devices For Fixation of Unstable Intertrochanteric Femur Fractures. (edu.iq)
CT based measurement of anatomical dimensions of femur and its relevance in nail designs for proximal femoral fractures. (nih.gov)
Effects of teriparatide on cementless bipolar hemiarthroplasty in patients with osteoporotic femoral neck fractures. (cgmh.org.tw)
The Joint Arthroplasty service emphasizes reconstructive surgery of the hip, including proximal femoral and pelvic osteotomies, arthroplasty, and fixation of pelvic fractures. (utmb.edu)
The ALFN is indicated to stabilize fractures of the femoral shaft, subtrochanteric, ipsilateral neck/shaft and impending pathological fractures, as well as nonunions and malunions of the femur (Fig 1). (aofoundation.org)
Fractures of the proximal FEMUR at the HIP. (bvsalud.org)
Evaluation of using PFN (proximal femoral nailing) in treatment of unstable intertrochanteric fractures in elderly patients. (bvsalud.org)

The Richards retrograde femoral nail (Smith and Nephew 1997) is inserted into the medullary canal of the femur via an entry point in the intercondylar fossa, just anterior the anterior cruciate ligament. (gla.ac.uk)
The long femoral nail offers two Centrum-Collum-Diaphyseal Angles (CCD) as well as dynamic and static distal locking options with dynamisation of the implant. (marquardt-medizintechnik.de)
Method: A comparative follow up study was conducted at a tertiary care hospital of north India in which we included 144 hemodynamically stable patients of unstable intertrochanteric fracture who were treated with two cephalomedullay implants viz Proximal femoral nail antirotation (PFNA) and Inter-Tan. (ijsr.net)
Proximal femoral nail is a newer implant available for internal fixation of intertrochanteric femur fracture. (orthopaper.com)
Purpose of this study is to study outcome of intertrochanteric femur fracture treated with short proximal femoral nail. (orthopaper.com)
A cohort of 30 cases of intertrochanteric fracture treated with proximal femoral nail at SSG hospital, Vadodara were taken up and followed up for 6 months between October 2017 to April 2018. (orthopaper.com)
Western designed copied proximal femoral nail anti rotation is being used in South-East Asian population extensively. (orthoresearchjournal.com)
44 patients were treated by proximal femoral nail (PFN) and the other 44 patients by dynamic hip screw (DHS). (edu.iq)
Proximal femoral nail which is an intramedulary devices for the fixation is more stable devices for the patients with fracture of Intertrochanteric (kyle 3 or Ao31-A2) than DHS which is extramedulary devices (plate and screws) in term of shorter time of surgery. (edu.iq)
Kumar R., Singh R.N., Singh B.N. Comparative prospective study of proximal femoral nail and dynamic hip screw in treatment of intertrochant. (edu.iq)
Screw First" Technique to Get Past Nail-Jig Mismatch in Proximal Femoral Nailing. (nih.gov)
The adolescent lateral entry femoral nail (ALFN) is intended for use in adolescents and small stature adults depending on the persons' weight, body size, physiological development, neurological development, and neuromuscular coordination. (aofoundation.org)
It is of major importance to ensure that the wires and drill bits used for the recon screw insertion do not cross the capital femoral physis, and that the distal end of the nail stops 15 mm short of the distal femoral physis. (aofoundation.org)
The adolescent lateral entry femoral nail is part of the expert nail family, therefore most instrumentation is identical, except for a new insertion handle aiming arm (Fig 3), 13 mm drill sleeve, and 5.0 mm recon screw drill bit. (aofoundation.org)

Conclusion: Proximal femoral is a safe and effective implant for the intertrochanteric fracture fixation in elderly population. (jotsrr.org)
5. Marmor M, Liddle K, Buckley J, Matityahu A. Effect of varus and valgus alignment on implant loading after proximal femur fracture fixation. (jcorth.com)
Two days after his arrival, the external fixator (except for 1 pin in the distal shaft and 1 in the proximal femur) was removed, and an open reduction and internal fixation (ORIF) of the femur was performed. (cdc.gov)

Proximal femoral focal deficiency (PFFD), also known as Congenital Femoral Deficiency (CFD), is a rare, non-hereditary birth defect that affects the pelvis, particularly the hip bone, and the proximal femur. (wikipedia.org)
Type D - This is the most severe form of proximal femoral focal deficiency, in which most of the femur bone is absent and only a small irregular piece of bone above the distal femoral epiphysis (the end of the femur bone at the knee) is present. (wikipedia.org)
Proximal femoral focal deficiency (PFFD) is an uncommon problem, with an incidence ranging from 1 case per 50,000 population to 1 case per 200,000 population. (medscape.com)
Talocalcaneal coalition in patients who have fibular hemimelia or proximal femoral focal deficiency. (qxmd.com)
The prevalence of congenital anomalies of the foot was studied in ninety-nine children (105 limbs) who had fibular hemimelia or proximal femoral focal deficiency, or both. (qxmd.com)
Examination of the twenty-six amputation specimens revealed only one talocalcaneal coalition in the nine patients who had proximal femoral focal deficiency alone, six such coalitions in the eight patients who had only fibular hemimelia, and seven coalitions in the nine patients who had both proximal femoral focal deficiency and fibular hemimelia. (qxmd.com)
These findings should be useful in the evaluation of the radiographic anatomy of the feet in children who have proximal femoral focal deficiency or fibular hemimelia, or both, particularly if limb-lengthening is considered as a treatment option. (qxmd.com)

aLDFA: anterior Lateral Distal Femoral angle. (biomedcentral.com)

The outcome of unstable proximal femoral fracture treated with reverse LISS plates. (cgmh.org.tw)

Avascular necrosis (AVN), better considered proximal femoral growth disturbance (PFGD), following treatment for developmental dysplasia of the hip (DDH) remains poorly defined. (jposna.org)
Ability to assess and manage common pediatric orthopaedic disorders including developmental dislocation of the hip, scoliosis, avascular necrosis of the hip, slipped capital femoral epiphysis and clubfoot. (utmb.edu)
Conventional antegrade nailing of the femur in this age group is a concern because of the possibility of avascular necrosis of the femoral head. (aofoundation.org)
Blood supply to the proximal femur has been reserved with no signs of avascular necrosis. (aofoundation.org)

In 1884, Erb characterized a juvenile form of proximal muscle weakness. (medscape.com)

Total knee arthroplasty in patients with Ranawat type-II valgus arthritic knee with a marked coronal femoral bowing deformity: comparison between computer-assisted surgery and intra-articular resection. (cgmh.org.tw)
The ALFN can also be used to stabilize corrective osteotomies in bone dysplasias such fibrous dysplasia where femoral deformity is an issue. (aofoundation.org)
None had a proximal femoral deformity, inflammatory arthritis, or neurologic disorder, and none had undergone previous hip surgery. (medscape.com)

Type B - The femur bone is shorter on the proximal end (near the hip) and the defect affects both the femoral head (the ball) and the femoral shaft (the long part of the bone). (wikipedia.org)
The effects of age, fracture, tip-apex distance, quadrant position in femoral head, blade size and length and Neck Shaft angle on migration were analyzed. (orthoresearchjournal.com)
Femoral-Neck shaft angles were fixed in varus in 7, 5 in valgus and 77 within normal range. (orthoresearchjournal.com)
The ALFN is cannulated and has 8.2 mm shaft diameter and a proximal diameter of 11 mm. (aofoundation.org)
In July and August of 2004, BMD was measured at a variety of skeletal sites [lumbar spine (L1-4), femoral neck, trochanter, Ward's triangle, shaft and proximal total hip] using the GE/Bravo Lunar DPX dual-energy X-ray absorptiometer in a South Korean population-based sample of 375 pre-menopausal and 355 post-menopausal rural women aged 19-80 years. (who.int)

Summarize the preoperative workup of patients with failed total hip arthroplasty and massive proximal femoral bone loss. (healio.com)
Assess the surgical technique of proximal femoral replacement for failed total hip arthroplasty. (healio.com)
Recognize treatment complications, patient outcomes, and survival of proximal femoral megaprostheses for revision of failed total hip arthroplasty. (healio.com)
Despite recent advances in device manufacturing and surgical techniques, the management of proximal femoral bone loss in revision total hip arthroplasty remains challenging. (healio.com)
Currently, failed total hip arthroplasty in elderly and less active patients, nonunion of the proximal femur with multiple failed attempts at osteosynthesis, resection arthroplasty, and massive proximal femoral bone loss can be salvaged with proximal femoral replacement using a megaprosthesis. (healio.com)
Designed to elevate the proximal femur during total hip or hemi-arthroplasty surgery. (innomed.net)

This particular implant requires insertion of both proximal and distal interlocking screws for maximal axial and rotational stability. (gla.ac.uk)

Types of PFFD Type A - The femur bone is slightly shorter on the proximal end (near the hip), and the femoral head (the ball of the thigh bone that goes into the hip socket) may not be solid enough to be seen on X-rays at birth, but later hardens (ossifies). (wikipedia.org)
Generally, in individuals with PFFD, the proximal femur is partially absent, and the entire limb is shortened overall. (medscape.com)
Chomiak et al, using computed tomography (CT) angiography (CTA) in 21 patients to identify vascular changes associated with PFFD, found that in patients with Pappas type I-IV PFFD, the external iliac, femoral, and deep femoral arteries were substantially reduced in length and diameter, and the deep femoral artery arose more proximally than that in the contralateral extremity. (medscape.com)
Another theory, advanced by Boden et al, is that PFFD may result from a defect in proliferation and maturation of chondrocytes in the proximal growth plate. (medscape.com)

In addition, two patients with type III disease in this study had an atypical anatomy of the vessels: the anterior part of the thigh and the pseudarthrosis were supplied through the femoral artery (the external iliac artery) as a terminal branch, whereas the remainder of the extremity was supplied from the internal iliac artery. (medscape.com)
A 61-year-old male patient presented with rest pain and ulceration in his left leg 1 week after a hybrid procedure with bilateral external iliac stenting, common femoral artery thromboendarterectomy, and left-sided femoral popliteal bypass with an in situ saphenous vein. (lu.se)

MPTA: Medial Proximal Tibial angle. (biomedcentral.com)

CONCLUSION: Differences in proximal femoral bone geometry and spatial distribution of bone mass occur early in hip OA and predict prevalent, incident, and progressive osteophytic and composite phenotypes, but not the atrophic phenotype. (ox.ac.uk)

Type C - The entire top half of the femur bone is absent, including the trochanters (the part of the bone in which muscles are attached to the upper thigh), and the femoral head. (wikipedia.org)
Protein repletion after hip fracture was associated with increased serum levels of insulin-like growth factor-I, attenuation of proximal femur bone loss, and shorter stay in rehabilitation hospitals. (acpjournals.org)

The ALFN features the same proximal locking options as the LFN (two recon locking screws, one transverse slot for a static or dynamic locking screw, and one 120 antegrade locking screw). (aofoundation.org)

Proximal femoral resection without postoperative traction for the painful dislocated hip in young patients with cerebral palsy. (bvsalud.org)

That the nerves and vessels of the upper thigh are at risk from proximal locking screws inserted in a lateral to medial direction in the upper thigh. (gla.ac.uk)
The ALFN has a lateral trochanteric entry point and a double curved configuration (double bend in two planes and additional tip bend) to avoid compromising the ascending branch of the medial femoral circumflex artery near the piriformis fossa. (aofoundation.org)

The position of helical blade in the quadrant of the femoral head with center-center having minimum migration ( p= 0.000). (orthoresearchjournal.com)

Globally there is an increase in the incidence of femoral neck fracture and the surgical management with better outcome is challenging for surgeons and for hospitals. (edu.iq)

The proximal locking screws by contrast are inserted 'freehand' at the level of the lesser trochanter in an anteroposterior direction using X-Ray control. (gla.ac.uk)
2). Place investigative drill holes in a modified anatomical procedure to imitate insertion of the proximal anteroposterior locking screws. (gla.ac.uk)
3). Dissect the proximal thigh to determine whether important anatomical structures are at risk of being damaged by the proximal anteroposterior locking screws. (gla.ac.uk)

This study was undertaken to examine whether femoral geometry is associated with RHOA independent of aBMD. (ox.ac.uk)
The elevator's geometry incorporates serrated edges to grip and elevate the proximal femur. (innomed.net)

In the present report, we demonstrate the usefulness of direct percutaneous access to the mid-superficial femoral artery that had been intraoperatively recanalized via brachial artery access during the same procedure. (lu.se)
This innovative combination of approaches allows for proximal and distal lower limb revascularization with stenting when avoidance of femoral artery access. (lu.se)

This defect is more severe than type A deformities because it will not heal spontaneously and, at skeletal maturity, the proximal femur (lower part near the knee) will not connect with the femoral head. (wikipedia.org)
In type C deformities, the proximal femur is not connected to the hip in any way. (wikipedia.org)
Treatment is planned on the basis of limb-length discrepancy, the presence of foot and other deformities, the adequacy and power of the musculature, and proximal joint stability. (medscape.com)

The anatomically adapted shape of the Proximal Femoral Nailing System VITUS-PF ensures optimal fit in the femur and stable anchoring even in osteoporotic bone. (marquardt-medizintechnik.de)

They described adult patients with a pelvic and femoral distribution of weakness and atrophy with a benign course. (medscape.com)

You can do acetabular or femoral reconstruction with that approach," Dr Taunton told Medscape Medical News . (medscape.com)

The proximal thigh contains many vital neurovascular structures and it is the proximity of the femoral nerves and vessels which is of significant concern due to the relative inaccuracy of the freehand technique (Riina et al 1998). (gla.ac.uk)

The lateral margin of the femoral head-neck junction is particularly important because it is where the lateral epiphyseal vessels are most commonly affected. (radiogyan.com)

Several authors have documented that such damage can occur about the proximal humeral growth plate. (medscape.com)

Data Availability Statement: We have made our dataset available to the public at https://github.com (file name: Mojtab2023/Classification-of-Proximal-Femoral-Bone-Using-Geometric-Features-and-Texture-Analysis-in-MR-Images-f (1 January 2022). (brunel.ac.uk)

The new generation of modular proximal femoral replacement megaprostheses and the increased experience obtained with these surgeries have reduced complication rates and improved outcomes. (healio.com)

2023) 'Qualitative Classification of Proximal Femoral Bone Using Geometric Features and Texture Analysis in Collected MRI Images for Bone Density Evaluation', Sensors, 23 (17), 7612, pp. 1 - 16. (brunel.ac.uk)

[ 11 ] Walton and Nattrass described the disease as a progressive muscle weakness with atrophy involving predominantly proximal muscles (eg, pelvis, shoulder). (medscape.com)

Laine, H-J. / Anatomy of the Proximal Femoral Medullary Canal and Fit and Fill Characteristics of Cementless Endoprosthetic Stems . (tuni.fi)

citation needed] In less severe cases, the use of an Ilizarov apparatus can be successful in conjunction with hip and knee surgeries (depending on the status of the femoral head/kneecap) to extend the femur length to normal ranges. (wikipedia.org)

Results: Femoral BMD of hindlimb-suspended (HS) rats subjected to treadmill exercise was significantly greater than femoral BMD of HS rats without exercise and also was equivalent to that of weight-bearing controls. (cdc.gov)

Anatomy2

Analytical, Diagnostic and Therapeutic Techniques and Equipment3

Technology, Industry, Agriculture1

Information Science1

Fractures28

Nail14

Fixation3

Deficiency7

Distal femoral1

Fracture treated1

Avascular necrosis4

Form of proximal1

Deformity3

Shaft5

Arthroplasty6

Rotational1

PFFD4

External iliac2

Tibial1

CONCLUSION1

Femur bone2

Screw1

Resection1

Medial2

0.0001

Outcome1

Screws3

Geometry2

Artery2

Deformities3

Osteoporotic1

Patients1

Acetabular1

Thigh1

Lateral1

Occur1

20221

Modular1

Classification1

Pelvis1

Anatomy1

Knee1

Results1