Fractures of the femur.
The physiological restoration of bone tissue and function after a fracture. It includes BONY CALLUS formation and normal replacement of bone tissue.
Fractures of the FEMUR HEAD; the FEMUR NECK; (FEMORAL NECK FRACTURES); the trochanters; or the inter- or subtrochanteric region. Excludes fractures of the acetabulum and fractures of the femoral shaft below the subtrochanteric region (FEMORAL FRACTURES).
The use of nails that are inserted into bone cavities in order to keep fractured bones together.
The use of internal devices (metal plates, nails, rods, etc.) to hold the position of a fracture in proper alignment.
Breaks in bones.
Rods of bone, metal, or other material used for fixation of the fragments or ends of fractured bones.
Fractures of the short, constricted portion of the thigh bone between the femur head and the trochanters. It excludes intertrochanteric fractures which are HIP FRACTURES.
The use of metallic devices inserted into or through bone to hold a fracture in a set position and alignment while it heals.
Fractures around joint replacement prosthetics or implants. They can occur intraoperatively or postoperatively.
Implantable fracture fixation devices attached to bone fragments with screws to bridge the fracture gap and shield the fracture site from stress as bone heals. (UMDNS, 1999)
A fracture in which the bone is splintered or crushed. (Dorland, 27th ed)
Broken bones in the vertebral column.
The pull on a limb or a part thereof. Skin traction (indirect traction) is applied by using a bandage to pull on the skin and fascia where light traction is required. Skeletal traction (direct traction), however, uses pins or wires inserted through bone and is attached to weights, pulleys, and ropes. (From Blauvelt & Nelson, A Manual of Orthopaedic Terminology, 5th ed)
Fractures occurring as a result of disease of a bone or from some undiscoverable cause, and not due to trauma. (Dorland, 27th ed)
Specialized devices used in ORTHOPEDIC SURGERY to repair bone fractures.
Breaks in bones resulting from low bone mass and microarchitectural deterioration characteristic of OSTEOPOROSIS.
The bony deposit formed between and around the broken ends of BONE FRACTURES during normal healing.
Fractures due to the strain caused by repetitive exercise. They are thought to arise from a combination of MUSCLE FATIGUE and bone failure, and occur in situations where BONE REMODELING predominates over repair. The most common sites of stress fractures are the METATARSUS; FIBULA; TIBIA; and FEMORAL NECK.
Fractures in which the break in bone is not accompanied by an external wound.
Fractures of the larger bone of the forearm.
The longest and largest bone of the skeleton, it is situated between the hip and the knee.
Health insurance to provide full or partial coverage for long-term home care services or for long-term nursing care provided in a residential facility such as a nursing home.
Fractures of the skull which may result from penetrating or nonpenetrating head injuries or rarely BONE DISEASES (see also FRACTURES, SPONTANEOUS). Skull fractures may be classified by location (e.g., SKULL FRACTURE, BASILAR), radiographic appearance (e.g., linear), or based upon cranial integrity (e.g., SKULL FRACTURE, DEPRESSED).
Internal devices used in osteosynthesis to hold the position of the fracture in proper alignment. By applying the principles of biomedical engineering, the surgeon uses metal plates, nails, rods, etc., for the correction of skeletal defects.
The shaft of long bones.
Dressings made of fiberglass, plastic, or bandage impregnated with plaster of paris used for immobilization of various parts of the body in cases of fractures, dislocations, and infected wounds. In comparison with plaster casts, casts made of fiberglass or plastic are lightweight, radiolucent, able to withstand moisture, and less rigid.
Fractures of the lower jaw.
Replacement for a hip joint.
A condition in which one of a pair of legs fails to grow as long as the other, which could result from injury or surgery.
Replacement of the hip joint.
Malfunction of implantation shunts, valves, etc., and prosthesis loosening, migration, and breaking.
Steel wires, often threaded through the skin, soft tissues, and bone, used to fix broken bones. Kirschner wires or apparatus also includes the application of traction to the healing bones through the wires.
Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.
Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.
A repeat operation for the same condition in the same patient due to disease progression or recurrence, or as followup to failed previous surgery.
Reduction of bone mass without alteration in the composition of bone, leading to fractures. Primary osteoporosis can be of two major types: postmenopausal osteoporosis (OSTEOPOROSIS, POSTMENOPAUSAL) and age-related or senile osteoporosis.
The distance and direction to which a bone joint can be extended. Range of motion is a function of the condition of the joints, muscles, and connective tissues involved. Joint flexibility can be improved through appropriate MUSCLE STRETCHING EXERCISES.
Break or rupture of a tooth or tooth root.
Crumbling or smashing of cancellous BONE by forces acting parallel to the long axis of bone. It is applied particularly to vertebral body fractures (SPINAL FRACTURES). (Blauvelt and Nelson, A Manual of Orthopedic Terminology, 1994, p4)
Falls due to slipping or tripping which may result in injury.
Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.
Fractures of the articular surface of a bone.
The grafting of bone from a donor site to a recipient site.
Adhesives used to fix prosthetic devices to bones and to cement bone to bone in difficult fractures. Synthetic resins are commonly used as cements. A mixture of monocalcium phosphate, monohydrate, alpha-tricalcium phosphate, and calcium carbonate with a sodium phosphate solution is also a useful bone paste.
The plan and delineation of prostheses in general or a specific prosthesis.
A nonhormonal medication for the treatment of postmenopausal osteoporosis in women. This drug builds healthy bone, restoring some of the bone loss as a result of osteoporosis.
The amount of mineral per square centimeter of BONE. This is the definition used in clinical practice. Actual bone density would be expressed in grams per milliliter. It is most frequently measured by X-RAY ABSORPTIOMETRY or TOMOGRAPHY, X RAY COMPUTED. Bone density is an important predictor for OSTEOPOROSIS.
Fractures of the bones in the orbit, which include parts of the frontal, ethmoidal, lacrimal, and sphenoid bones and the maxilla and zygoma.
Procedures that avoid use of open, invasive surgery in favor of closed or local surgery. These generally involve use of laparoscopic devices and remote-control manipulation of instruments with indirect observation of the surgical field through an endoscope or similar device.
Fracture of the lower end of the radius in which the lower fragment is displaced posteriorly.
Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.
A partial or complete return to the normal or proper physiologic activity of an organ or part following disease or trauma.
A surgical specialty which utilizes medical, surgical, and physical methods to treat and correct deformities, diseases, and injuries to the skeletal system, its articulations, and associated structures.
Blocking of a blood vessel by fat deposits in the circulation. It is often seen after fractures of large bones or after administration of CORTICOSTEROIDS.
Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.
Fractures in which there is an external wound communicating with the break of the bone.
Procedures used to treat and correct deformities, diseases, and injuries to the MUSCULOSKELETAL SYSTEM, its articulations, and associated structures.
An anatomic severity scale based on the Abbreviated Injury Scale (AIS) and developed specifically to score multiple traumatic injuries. It has been used as a predictor of mortality.
Organic compounds which contain P-C-P bonds, where P stands for phosphonates or phosphonic acids. These compounds affect calcium metabolism. They inhibit ectopic calcification and slow down bone resorption and bone turnover. Technetium complexes of diphosphonates have been used successfully as bone scanning agents.
The design, completion, and filing of forms with the insurer.
The properties, processes, and behavior of biological systems under the action of mechanical forces.
Accidents on streets, roads, and highways involving drivers, passengers, pedestrians, or vehicles. Traffic accidents refer to AUTOMOBILES (passenger cars, buses, and trucks), BICYCLING, and MOTORCYCLES but not OFF-ROAD MOTOR VEHICLES; RAILROADS nor snowmobiles.
Injuries to the wrist or the wrist joint.
The joint that is formed by the articulation of the head of FEMUR and the ACETABULUM of the PELVIS.
The period of confinement of a patient to a hospital or other health facility.
Elements of limited time intervals, contributing to particular results or situations.
The physical state of supporting an applied load. This often refers to the weight-bearing bones or joints that support the body's weight, especially those in the spine, hip, knee, and foot.
Fractures of the upper jaw.
External devices which hold wires or pins that are placed through one or both cortices of bone in order to hold the position of a fracture in proper alignment. These devices allow easy access to wounds, adjustment during the course of healing, and more functional use of the limbs involved.
Fractures of the zygoma.
The number of new cases of a given disease during a given period in a specified population. It also is used for the rate at which new events occur in a defined population. It is differentiated from PREVALENCE, which refers to all cases, new or old, in the population at a given time.
Age as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or the effect of a circumstance. It is used with human or animal concepts but should be differentiated from AGING, a physiological process, and TIME FACTORS which refers only to the passage of time.
Metabolic disorder associated with fractures of the femoral neck, vertebrae, and distal forearm. It occurs commonly in women within 15-20 years after menopause, and is caused by factors associated with menopause including estrogen deficiency.
An aspect of personal behavior or lifestyle, environmental exposure, or inborn or inherited characteristic, which, on the basis of epidemiologic evidence, is known to be associated with a health-related condition considered important to prevent.
Injuries to the part of the upper limb of the body between the wrist and elbow.
A group of twelve VERTEBRAE connected to the ribs that support the upper trunk region.
Infection occurring at the site of a surgical incision.
Complications that affect patients during surgery. They may or may not be associated with the disease for which the surgery is done, or within the same surgical procedure.
Motion of an object in which either one or more points on a line are fixed. It is also the motion of a particle about a fixed point. (From McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed)
A bone on the ventral side of the shoulder girdle, which in humans is commonly called the collar bone.
Bones that constitute each half of the pelvic girdle in VERTEBRATES, formed by fusion of the ILIUM; ISCHIUM; and PUBIC BONE.
Replacement for a knee joint.
Replacement of the knee joint.
Harm or hurt to the ankle or ankle joint usually inflicted by an external source.

Contralateral fracture of the proximal femur. Implications for planning trials. (1/858)

In three consecutive years 462 patients over the age of 60 years presented at Waikato Hospital, Hamilton, New Zealand, with a fracture of the proximal femur. Within two years, 11 (2.4%) returned with a fracture of the contralateral femur. If the effectiveness of any form of treatment aiming at reducing the incidence of contralateral fracture were subjected to a trial, a sample size of 5000, randomly distributed equally between treatment and placebo groups, would be needed for the trial to have a power of 80% to detect a reduction.  (+info)

Femur osteomyelitis due to a mixed fungal infection in a previously healthy man. (2/858)

We describe a previously healthy, 22-year-old man who, after a closed fracture of the femur and subsequent operation, developed chronic osteomyelitis. Within a few days, infected bone fragments, bone, and wound drainage repeatedly yielded three different filamentous fungi: Aspergillus fumigatus, Aspergillus flavus, and Chalara ellisii. Histologic examination of the bone revealed septate hyphae. After sequential necrotomies of the femur and irrigation-suction drainage with added antimycotic therapy, the infection ceased and the fracture healed. This case is unique in that it is the only known instance in which a long bone was affected in an immunocompetent individual, with no evidence of any systemic infection, by a mixed population of two different Aspergillus spp. and the rare filamentous fungus C. ellisii. Environmental factors that could potentiate the infection include blood and edema fluid resulting from the surgical procedure and the presence of the osteosynthetic plate.  (+info)

Malunion in the lower limb. A nomogram to predict the effects of osteotomy. (3/858)

Nomograms derived from mathematical analysis indicate that the level of malunion is the most important determinant of changes in the moment arm of the knee, the plane of the ankle and alterations in limb length. Testing in five patients undergoing reconstruction showed a mean error of postoperative limb length of 2.2 mm (SD 0.8 mm), knee moment arm of 4.7 mm (SD 3.3 mm) and ankle angle of 2.6 degrees (SD 2.3 degrees). These nomograms provide the information required when assessing whether a particular degree of angulation may be accepted.  (+info)

Stimulation of the inflammatory system by reamed and unreamed nailing of femoral fractures. An analysis of the second hit. (4/858)

It has been suggested that reamed intramedullary nailing of the femur should be avoided in some patients with multiple injuries. We have studied prospectively the effect of femoral reaming on the inflammatory process as implicated in the pathogenesis of acute respiratory distress syndrome (ARDS) and multiple-organ failure (MOF). We studied changes in the levels of serum interleukin-6 (IL-6) (proinflammatory cytokine), neutrophil CD11b (C3) receptor expression (activated neutrophil adhesion molecule), serum soluble intracellular adhesion molecule (s-ICAM-1), serum soluble E-selectin (the soluble products of endothelial adhesion molecules) and plasma elastase (neutrophil protease) in a series of patients with femoral fractures treated by nailing. We have also compared reamed nailing with unreamed nailing. We found that the levels of serum IL-6 and elastase rose significantly during the nailing procedure indicating a measurable 'second hit'. There was no clear response in leukocyte activation and no difference in the release of endothelial adhesion molecule markers. There was no significant difference between groups treated by reamed and unreamed nailing. Although clinically unremarkable, the one patient who died from ARDS was shown to be hyperstimulated after injury and again after nailing, suggesting the importance of an excessive inflammatory reaction in the pathogenesis of these serious problems. Our findings have shown that there is a second hit associated with femoral nailing and suggest that the degree of the inflammatory reaction may be important in the pathogenesis of ARDS and MOF.  (+info)

Spontaneous healing of an atrophic pseudoarthrosis during femoral lengthening. A case report with six-year follow-up. (5/858)

A seven-year old girl developed an atrophic pseudoarthrosis at the midshaft of the femur with 8.5 cm of femoral shortening after an open type II fracture. During a femoral lengthening procedure, the pseudoarthrosis filled with spontaneous callus formation and bone union was obtained.  (+info)

Comparison of quantitative ultrasound in the human calcaneus with mechanical failure loads of the hip and spine. (6/858)

OBJECTIVE: Quantitative ultrasound of the calcaneus is used clinically for evaluating bone fracture risk, but its association with the mechanical properties at other skeletal sites is not well characterized. The objective was therefore to determine its predictive ability of the mechanical failure loads of the proximal femur and lumbar spine. METHOD: In 45 human cadavers (29 males and 16 females, aged 82.5 +/- 9.6 years), we determined the speed of sound, broadband ultrasonic attenuation (BUA) and the empirical stiffness index, using a commercial quantitative ultrasound scanner. The proximal femora and the fourth vertebral body were excised and loaded to failure in a testing machine. RESULTS: Femoral failure loads ranged from 933 to 7000 N and those of the vertebrae from 1000 to 7867 N, their correlation being 0.51 in females and -0.08 in males. Forty percent of the variability of femoral, but only 24% of the variability of the vertebral fracture loads could be predicted with calcaneal speed of sound. In the femur, a combination of speed of sound and BUA improved the prediction (r2 = 50-60%), but not in the spine. CONCLUSIONS: The study provides experimental evidence that calcaneal quantitative ultrasound is capable of predicting mechanical failure at other skeletal sites and has potential to identify patients at risk from osteoporotic fracture. The different association of quantitative ultrasound with femoral and vertebral failure may result from the influence of the cortical bone and a higher microstructure-related similarity of the calcaneus and the femur.  (+info)

Correction of genu recurvatum by the Ilizarov method. (7/858)

The Ilizarov apparatus was used to carry out opening-wedge callotasis of the proximal tibia in ten patients who had suffered premature asymmetrical closure of the proximal tibial physis and subsequent genu recurvatum. In four knees, the genu recurvatum was entirely due to osseous deformity, whereas in six it was associated with capsuloligamentous abnormality. Preoperatively, the angle of recurvatum averaged 19.6 degrees (15 to 26), the angle of tilt of the tibial plateau, 76.6 degrees (62 to 90), and the ipsilateral limb shortening, 2.7 cm (0.5 to 8.7). The average time for correction was 49 days (23 to 85). The average duration of external fixation was 150 days (88 to 210). Three patients suffered complications including patella infera, pin-track infection and transient peroneal nerve palsy. At a mean follow-up of 4.4 years, all patients, except one, had achieved an excellent or good radiological and functional outcome.  (+info)

Transcranial doppler detection of fat emboli. (8/858)

BACKGROUND AND PURPOSE: The fat embolism syndrome (FES) is characterized by the simultaneous occurrence of pulmonary and neurological symptoms as well as skin and mucosal petechiae in the setting of long-bone fractures or their surgical repair. Its pathophysiology is poorly understood, and effective treatments are lacking. We present 5 patients with long-bone fractures in whom in vivo microembolism was detected by transcranial Doppler. METHODS: Five patients with long-bone fractures were monitored with transcranial Doppler for microembolic signals (MESs) after trauma. Two patients also had intraoperative monitoring. A TC-2020 instrument equipped with MES detection software was used. Detected signals were saved for subsequent review. Selected signals satisfied criteria defined previously and were categorized as large or small. RESULTS: Cerebral microembolism was detected in all 5 patients and was transient, resolving within 4 days of injury. Intraoperative monitoring revealed an increase in MESs during intramedullary nail insertion. The characteristics of MESs after injury varied among patients, with large signals being more frequent in the only patient with a patent foramen ovale. CONCLUSIONS: Cerebral microembolism after long-bone fractures can be detected in vivo and monitored over time. These findings may have potential diagnostic and therapeutic implications.  (+info)

TY - JOUR. T1 - Surgical outcome of intramedullary nailing in patients with complete atypical femoral fracture. T2 - A multicenter retrospective study. AU - Lee, Kyung Jae. AU - Yoo, Jeong Joon. AU - Oh, Kwang Jun. AU - Yoo, Je Hyun. AU - Rhyu, Kee Hyung. AU - Nam, Kwang Woo. AU - Suh, Dong Hun. PY - 2017/4/1. Y1 - 2017/4/1. N2 - Background Management of atypical femoral fracture on bisphosphonate therapy still remains controversy and is reported high rate of complications. The aim of this study was to evaluate the outcome of intramedullary nailing in patients with atypical femoral fracture who took bisphosphonate more than one year through the multicenter retrospective study. Methods We gathered 75 atypical femoral fractures from seven institutions between 2009 and 2014. Among them 46 atypical femoral fractures which met the inclusion criteria was evaluated in this study. The average age was 70.1 years (53-80) and the average duration of bisphosphonate use was 5.1 years (1-15 years). Medical ...
INTRODUCTION: Femoral shaft fractures are commonly thought to be primarily associated with high-energy trauma in young persons. Only limited attention has been given to low-energy violence as a cause of these fractures among the elderly. National epidemiological data on characteristics of patients with femoral shaft fractures are lacking, so the purpose of this study was to analyse the incidence, admissions, causes of fracture and operations for these fractures on a nationwide basis in Sweden during 1998-2004. PATIENTS AND METHODS: Data on all femoral shaft fractures were extracted from the Swedish National Hospital Discharge Registry. Sex- and age-specific fracture incidence, hospital admissions, mechanisms of injury and surgical procedures were analysed using descriptive analysis, linear-regression analysis and other methods as appropriate. RESULTS: Over a period of 7 years, 6409 patients with femoral shaft fractures were identified, corresponding to an annual incidence of 10 per 100,000 ...
Background: Fractures of the femoral shaft are mostly the result of high-energy accidents that also cause multiple trauma injuries, in particular ipsilateral knee and hip injuries. The purpose of this study was to investigate the incidence of injuries associated with femoral shaft fractures and how many of them were undetected. Methods: We studied 148 patients (150 femoral shaft fractures) with an average age of 52 (range: 18-97). Femoral shaft fractures were treated with antegrade intramedullary nailing in 118 cases (78.7%), and with open reduction and internal fixation in 32 cases (21.3%). Unlocked reamed intramedullary nailing was performed in Winquist type I and type II fractures, while statically locked unreamed intramedullary nailing was carried out in Winquist type III and type IV fractures. Results: There were 70 patients with associated injuries (46.4%). The associated injuries went undetected in 18 out of 70 patients (25.5%). Six femoral nonunions (4%) occurred in patients under 70 years of
We report that a postmenopausal woman with osteoporosis developed bilateral incomplete atypical femoral fractures (AFFs) after seven years of bisphosphonate therapy. Cessation of the bisphosphonate and treatment with teriparatide was associated with near complete radiological resolution of the AFFs. After 12 months without treatment, denosumab was commenced to prevent structural deterioration. Six months later she developed recurrent bilateral AFFs. This case highlights the management dilemma in patients with ongoing bone loss but prone to stress fractures associated with antiresorptive therapy. Stopping the antiresorptive is recommended but structural decay will recur predisposing to fragility fractures. If the antiresorptive is continued, bone material composition will be further compromised predisposing to atypical fractures. Teriparatide may assist healing of stress fractures and improvement in bone matrix composition. Later antiresosrptive therapy to preserve bone microstructure may ...
Background: In children, inappropriate treatment of open femoral fractures may induce several complications. A few studies have compared the external fixator with flexible intramedullary nails in high-grade open femoral fractures of children. The present study aims at comparing results of these two treatment methods in open femoral fractures. Methods: In this descriptive analytical study, 27 patients with open femoral fractures, who were treated using either the external fixator (n=14) or TEN nails (n=13) method from 2006-2011, were studied. Some patients were treated with a combination method of TEN and pin. The results were evaluated considering infection, union, malunion, and refracture and the patients were followed up for two years. Results: Mean time required for fracture union was 3.89 (range: 2-5.8) and 3.61 (range: 2-5.6) months for the external fixator and TEN groups, respectively. The difference was not statistically significant and there was not any significant difference between the two
The possibility that long-term bisphosphonate use increases the risk of atypical femoral fractures is a growing concern in the clinical management of patients w...
M84.754S is a billable code used to specify a medical diagnosis of complete transverse atypical femoral fracture, right leg, sequela. Code valid for the year 2020
Earlier this year, an update to the ASBMR Task Force on Atypical Femoral Fractures (AFF) seminal 2010 report was published on JBMR® Online.
TY - JOUR. T1 - Treatment of open proximal femoral fractures sustained in combat. AU - Mack, Andrew W.. AU - Freedman, Brett. AU - Groth, Adam T.. AU - Kirk, Kevin L.. AU - Keeling, John J.. AU - Andersen, Romney C.. PY - 2013/2/6. Y1 - 2013/2/6. N2 - Background: Open proximal femoral fractures are rare injuries that often result from wartime high-energy causes. Limited data exist regarding the treatment and complications of these injuries. Methods: We retrospectively reviewed the records of combat casualties treated at two institutions between March 2003 and March 2008. The casualty patient databases, medical records, radiographs, and laboratory data were reviewed to determine time to union, complication rates, and patient outcomes. Results: Forty-one patients (thirty-nine men and two women) with a mean age of 25.7 years were identified as receiving treatment for open proximal femoral fractures. The mechanisms of injury for these forty-one patients were blast (twentynine patients [71%]), ...
This technique has been used successfully at King Khalid hospital, Najran, Saudi Arabia since 1995.. This prospective study was prompted by a review of earlier reports by Shakeel [1], Salem Al Zahrani [8], and Ligier and Metazieau [6].. Fracture treatment in children relies on rapid healing and spontaneous correction of angulated fractures; therefore most of the diaphyseal fractures can be treated by plaster alone. Operative treatment of childrens fractures is often looked at critically [2].. Conventional treatment of femoral shaft fractures in children is by traction followed by a hip spica or a Thomas splint. Conservative treatment of femoral shaft fractures gives good results in children under 5 years of age. But above that age, all such fractures cannot be treated by conservative methods. There is a possibility of loss of reduction and malunion. Plaster immobilisation has its own complications like pressure sores, nerve palsies, soiling of the skin and the plaster, breakage of the plaster, ...
Dr. Weaver treats a periprosthetic femur fracture with the patient positioned supine on a fracture table using a cephalomedullary nail. The fracture table
Little evidence is available on how to treat incomplete atypical fractures of the femur. When surgery is chosen, intramedullary nailing is the most common invasive technique. However, this approach is adopted from the treatment of other types of ordinary femoral fracture and does not aim to prevent the impending complete fracture by interrupting the mechanism underlying the pathology. We suggest a different surgical approach that intends to counteract the underlying biomechanical conditions leading to a complete atypical fracture and thus could be better suited in selected cases. Here, we share an alternative surgical approach and present two cases treated accordingly.. ...
BACKGROUND: Femoral shaft fractures are common injuries in adults. Closed locked intramedullary nailing is the recommended treatment for femoral shaft fractures due to its high union rate. OBJECTIVE: The objective of this study is to determine the outcome of management of closed femoral shaft fractures in adult patients, using open locked intramedullary nailing. PATIENTS AND METHODS: This is a prospective study which was carried out on all adult patients aged 16 years and above who presented within 2 weeks of sustaining closed femoral shaft fractures to the accident and emergency unit of a University Teaching Hospital in Nigeria from January 2013 to December 2013 ...
Skiers hip--a new clinical entity? Proximal femur fractures sustained in cross-country skiing.: Ten proximal femur fractures have been seen in patients who wer
Between 1978 and 1982 154 femoral shaft fractures were treated in 145 adults in our department of general surgery and traumatology. 52 fractures were nailed intramedullary. We reserved the intramedullary nailing for ideal cases like the transverse and the short oblique fractures in the middle 3/5 of the shaft. 102 fractures were treated by a dynamic compression plate applying the AO principles correctly. Condylar plates were not included in this study. 88 patients with 95 FSF were followed up. In our prospective study a significant relationship was found between the types of fractures, the consolidation, the rehabilitation (including walking), the hospitalisation time and the full weight-bearing results. The prognosis for simple fractures was better than for comminuted fractures. Polytrauma patients showed a significantly slower limb rehabilitation, a longer hospitalisation and a worse clinical result than patients with isolated fractures. A significant relationship was shown between the ...
Periprosthetic femoral fracture (PFF) is a potentially devastating complication after total hip arthroplasty, with historically high rates of complication and failure because of the technical challenges of surgery, as well as the prevalence of advanced age and comorbidity in the patients at risk. This study describes the short-term outcome after revision arthroplasty using a modular, titanium, tapered, conical stem for PFF in a series of 38 fractures in 37 patients. The mean age of the cohort was 77 years (47 to 96). A total of 27 patients had an American Society of Anesthesiologists grade of at least 3. At a mean follow-up of 35 months (4 to 66) the mean Oxford Hip Score (OHS) was 35 (15 to 48) and comorbidity was significantly associated with a poorer OHS. All fractures united and no stem needed to be revised. Three hips in three patients required further surgery for infection, recurrent PFF and recurrent dislocation and three other patients required closed manipulation for a single dislocation. One
Femoral Fractures are common. Read about Femoral Fractures, and bone fractures affecting the femur on out Femoral Fractures page.
Atypical femoral fracture (AFF) has been widely issued since the American Society for Bone and Mineral Research (ASBMR) taskforce stated a possible association with long-term use of bisphosphonate in 2010. ASBMR taskforce recommended to include Pagets disease as one of variables to investigate the AFF in 2010. On the other hand, the ASBMR taskforce in 2014 excluded Pagets disease in the definition of AFF. Still, any rationale has been barely documented about this change. We described the rationale by reporting an 85-year-old man who had a subtrochanteric fracture with features of atypical femoral fracture which turned out to be Pagets disease of bone in the pathology ...
A femoral fracture is a bone fracture that involves the femur. They are typically sustained in high-impact trauma, such as car crashes, due to the large amount of force needed to break the bone. Fractures of the diaphysis, or middle of the femur, are managed differently from those at the head, neck, and trochanter (see hip fractures). The fracture may be classed as open, which occurs when the bone fragments protrude through the skin, or there is an overlying wound which penetrates to the bone. These types of fracture cause more damage to the surrounding tissue, are less likely to heal properly, and are at much greater risk of infection. Femoral shaft fractures can be classified with the Winquist and Hansen classification, which is based on the amount of comminution. Fractures of the inferior or distal femur may be complicated by separation of the condyles, resulting in misalignment of the articular surfaces of the knee joint, or by hemorrhage from the large popliteal artery that runs directly on ...
Medical Clues Include Prior Symptoms, Location Of Thigh Bone Break, And Specific Radiology Findings (Posted by Tom Lamb at For this medical primer about femur fractures which might be associated with Fosamax as well as the several other bisphosphonate osteoporosis medications available in the U.S. we will start with some basic anatomy taken from a document titled Femur Shaft Fractures (Broken Thighbone), published by the American Academy of Orthopaedic Surgeons (AAOS): Your thighbone (femur) is the longest and strongest bone in your body. Because the femur is so strong, it usually takes a lot of force to break it. Car crashes, for example, are the number one cause of femur fractures. The long, straight part of the femur is called the femoral shaft. When there is a break anywhere along this length of bone, it is called a femoral shaft fracture.... Doctors describe fractures to each other using classification systems. Femur fractures are classified depending on: The location of the
2İstanbul Medipol University, Department of Radiology İSTANBUL Bisphosphonates are the most commonly used drugs in the treatment of osteoporosis. Several randomized controlled studies have proved their effectiveness in the treatment of postmenopausal osteoporosis and today BPs are considered a first-line therapy for osteoporosis. Bisphosphonates inhibit osteoclastic activity, decrease bone turnover and increase bone mineral density. Although there is strong evidence that bisphosphonates prevent osteoporotic fractures, in recent years, there have been several reports that show the increasing risk of atypical femoral fractures that is related to prolonged usage (5 years or longer) of bisphosphonates. This may be related to prolonged suppression of bone turnover. By suppressing the bone turnover they impair the ability of bone to repair the microdamages and leads the accumulation of microcracs. In this case we report 67-year-old female who presented with atypical femoral fracture. Keywords : ...
|p|This week we review femoral shaft fractures with a focus on assessment and analgesia|br/||a class=read-more href=|Read More|/a||/p|
Osteoporosis is associated with significant morbidity and mortality [ 1 , 2 ], and approximately 50 % of women older than 50 years will sustain an …
2012 (English)In: Osteoporosis International, ISSN 0937-941X, E-ISSN 1433-2965, Vol. 23, no 12, 2901-2902 p.Article in journal, Letter (Refereed) Published ...
Diagnosis Code M84.752S information, including descriptions, synonyms, code edits, diagnostic related groups, ICD-9 conversion and references to the diseases index.
Free, official coding info for 2021 ICD-10-CM M84.753D - includes detailed rules, notes, synonyms, ICD-9-CM conversion, index and annotation crosswalks, DRG grouping and more.
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A fracture is a condition in which there is a break in the continuity of the bone. Dr Magoline in Broadview Heights, Hudson and Akron, OH offers treatment for knee fractures which includes distal femur fracture and femoral shaft fracture.
Short and long nails exhibited similar treatment failure rates when contemporary cephalomedullary implants were used, according to study results.Researchers retrospectively reviewed medical records and radiographs from patients who underwent open reduction and internal fixation of intertrochanteric hip fracture with either a short or long cephalomedullary nail between January 2004 and December
Internal, extramedullary osteosynthesis of distal femoral fractures which are focussed on in this study has been influenced by interesting developments in recent years. Driven by unsatisfying complication rates new fracture treatments have been looked for. Osteosynthesis materials, reduction techniques, techniques of implant placement and implants themselves - where development went to angular stable systems - have changed decisively. This study analyzes in a retrospective setting distal femoral fractures which were treated between 1.1.1995 and 31.9.2000 either with an internal fixator (LISS) or with conventional plate osteosynthesis. In this study 51 patients with 54 distal femoral fractures could be included. The Infection rate was non significantly lower in the LISS group (0% versus 11,1%), the rate of delayed union was non significantly higher. The only delayed union in the LISS group which needed secondary surgical intervention was seen in a patient with considerate bone loss which was not ...
Currently, there are over 100 individual Fosamax femur fracture lawsuits pending against Merck - 36 of these complaints have been filed in federal court. The plaintiffs filing these Fosamax femur fracture lawsuits have alleged that Merck failed to warn consumers that Fosamax use leads to femur fractures. Specifically, plaintiffs allege that their long-term use of Fosamax caused them to sustain atypical femur fractures. If the U.S. Judicial Panel on Multidistrict Litigation grants Mercks request, all of the federal Fosamax femur fracture lawsuits will be consolidated and centralized for pre-trial purposes.. Fosamax cases have also been filed in state courts, including New Jersey and California. All of the Fosamax cases filed in New Jersey state courts have been consolidated into a state mass tort program (MTP). Similar to a federal MDL, this tool transfers, consolidates and coordinates cases before one state court judge. However, unlike the federal MDL in the Southern District of New York, the ...
For young children with diaphyseal femoral fractures, treatment with a single-leg spica cast is safe and effective, and facilitates patient care and function compared with double-leg spica casting.
Background: Bisphosphonate abuse is associated with atypical femur fractures, which despite different fixation methods have increased non-union, delayed union, and re-operation rates. Therefore, there is a need for a surgical technique that may enhance union in such cases. Herein we are introducing a novel technique of sequential multiple vigorous reaming across the fracture site to introduce reaming debris/endosteal bone graft around the fracture site. Materials and Methods: We present a retrospective analysis of five prospectively treated patients with atypical diaphyseal femur fracture who presented to us from January 2015 to August 2019. All the patients were followed up at regular intervals and assessed both clinically and radiologically. Results: All 5 cases operated with our technique showed union at a mean follow-up of 16 weeks (12 - 20 weeks). There were no complications reported in our study at the last mean follow-up of 25 months (12 - 51 months). Conclusion: This technique of multiple
On rare occasions, hip fractures can be missed. Approximately 75,000 neck of femur fractures occur in the United Kingdom per annum. Up to ten percent of hip fractures are occult on plain radiograph. This case demonstrates an usual presentation of an incidental neck of femur fracture, which had been missed one year prior. Case Presentation: A 91 year old gentleman presented with incidental finding of left neck of femur fracture on a routine radiograph. A quick review of the patient notes revealed a fall, with a lengthy hospital admission, approximately one year previously. Despite his initial inability to weight-bear and protracted slow progress with physiotherapy no further imaging of the hip was obtained beyond an initial, negative pelvic radiograph. Conclusion: Doctors must be bold in questioning a radiograph that does not fit with the clinical picture. Clinical suspicion of neck of femur fracture in the face of a negative radiograph necessitates further imaging to obtain a definitive answer.
There is no consensus regarding the proper radiographic protocol following closed or open reduction and internal fixation for intertrochanteric femoral fractures. The objective of this study was to assess the role of early postoperative imaging studies when deciding about weight bear limitations and reoperations. A prospective cohort study of 100 patients (26 men and 74 women, at a mean age of 79.8 years) treated by closed or open reduction and internal fixation for AO31A fractures was conducted. According to the AO classification, there were 25 cases of 31A1, 54 cases of 31A2, and 21 cases of 31A3. For every patient, the intraoperative fluoroscopy studies were recorded and post-operative radiograms were taken during the first week. Excluded were patients for whom the early X-rays were clinically indicated. The intraoperative AP and axial fluoroscopy studies were compared with the radiograms taken during the first post-operative week. The investigators compared the decisions regarding weight-bearing
The findings of this study indicate that internal fixation of femur fractures in less than 24 hours after injury may be associated with a reduction in mortality, infection, and VTE. There was insufficient evidence to comment on the outcomes of amputation or nonunion/malunion. The studies reviewed did not separate outcomes of open from closed fractures. Hence, this recommendation applies to all femur fractures. Unlike the previous EAST PMG on long bone fractures, all other long bones, including tibia, were excluded from this analysis.. A major implication of this study is that early fracture fixation should be considered in all patients with femur fractures. In the absence of a clear contraindication to surgery or anesthesia, the recommendation of this review, although conditional, should prompt early fixation. However, the surgical decision must be individualized to each patients needs. Delayed treatment has been associated with improved survival rates among patients with serious abdominal ...
Free Online Library: Functional outcome of orif of distal femur fracture with intra-articular extension.(ORIGINAL ARTICLE) by Journal of Evolution of Medical and Dental Sciences; Health, general Fractures Comparative analysis Health aspects Fractures (Injuries) Internal fixation Internal fixation in fractures Medical colleges Medical schools
Overview. The femur, commonly known as the thigh bone, is the largest and strongest bone in your body.. Causes. A direct blow to your thigh can fracture your femur, as can a vehicle crash or fall. Conditions that weaken your bones, like osteoporosis, make a fracture more likely.. Types of Fractures. Femur fractures can happen at the top near the hip socket, along the shaft in the middle of the bone, or down near the knee. Your bone may break in a clean line, at an angle, or in a spiral pattern. The fracture may be just crack the bone or break the bone in two or more pieces. A serious break may pierce the skin, greatly increasing the risk of infection.. Symptoms. A femur fracture is unmistakable, as you will feel significant pain and will be unable to put any weight on it.. Treatment. Most femur fractures need surgery to align the bone, often with the use of rods or metal plates and screws. You may need a cast or a brace. Expect to have physical therapy after the bone has healed to help build ...
Background: Ipsilateral intertrochancteric ractures with fracture of shaft of femur are rare injuries. They warrant special diagnostic and therapeutic considerations. The aim was to study the results of operative treatment of ipsilateral intertrochanchteric and shaft femur fractures with dynamic hip screw (DHS) and retrograde nailing (DFN). Emphasis was posed on long- term functional outcome, especially daily activities. Material and Methods: 8 patients (6 male and 2 female) with ipsilateral intertrochancteric and shaft of femur fractures were treated with vari¬ous fixation devices. Functional outcome was assessed using the Friedman and Wyman classification. Results: All the 8 intertrochancteric fractures united in a mean duration of 3 months. Of the femoral shaft fractures 6 united in a mean of 8.5 months, 2 non unions. One patient developed superficial infection, which resolved with debridement and antibiotic treatment. Functional results were good in 4 patients, fair in 2 and poor in 2. ...
A quick overview of Distal Femur Fractures, the complications linked to the fracture, surgery techniques, and the management of the injury.
Cephalomedullary nailing system for the treatment of a wide range of proximal femur fractures as well as associated femoral shaft fractures.
Annual Report 2007, The Swedish Hip Arthroplasty Register, The Lubinus® SP II® hip prosthesis stem also achieved very good safety data in the Swedish Hip Register of a subgroup analysis** studying failure cases for the occurrence of periprosthetic femoral fractures. In the 1,049 complications recorded between 1979 and 2000 the Model Lubinus® was markedly underrepresented in the fracture group. The risk of periprosthetic femoral fractures was evaluated as very low with the anatomical SP II® hip prosthesis system ...
Learn more about Femoral Fracture at Heartland Womens Group DefinitionCausesRisk FactorsSymptomsDiagnosisTreatmentPreventionrevision ...
Associate Professor of Surgery. In another trauma case with UChicago Medicine, Drs. Kent, Jeffries, Straszewski, and Wilson evaluate and treat a patient with a gunshot wound and femoral fracture. An ABI was obtained, CT angiography was evaluated, and proximal tibial traction was performed for pain management ...
This custom medical exhibit reveals a single view of the lower extremties with the dramatic appearance of Severe Bilateral Femoral Fractures (fractured, broken legs).
In this case, Dr. Michael Weaver performs an intramedullary fixation of a reverse oblique trochanteric femoral fracture in a lateral position. Neutralizing
TY - JOUR. T1 - Increased Risk of Periprosthetic Femur Fractures Associated With a Unique Cementless Stem Design. AU - Watts, Chad D.. AU - Abdel, Matthew. AU - Lewallen, David G.. AU - Berry, Daniel J.. AU - Hanssen, Arlen D.. PY - 2015/6/1. Y1 - 2015/6/1. N2 - Background: Postoperative periprosthetic femur fractures are an increasing concern after primary total hip arthroplasty (THA). Identifying and understanding predisposing factors are important to mitigating future risk. Femoral stem design may be one such factor.Questions/purposes: The goals of our study were to compare the (1) frequency of periprosthetic femur fracture and implant survivorship; (2) time to fracture in those patients who experienced periprosthetic femur fracture; and (3) predictive risk factors for periprosthetic femur fracture between a unique stem design with an exaggerated proximal taper angle and other contemporary cementless, proximally fixed, tapered stems.Level of Evidence: Level III, therapeutic study.Methods: We ...
TY - JOUR. T1 - Survivorship After Periprosthetic Femur Fracture. T2 - Factors Affecting Outcome. AU - Drew, Jacob M.. AU - Griffin, William L.. AU - Odum, Susan M.. AU - Van Doren, Bryce. AU - Weston, Brock T.. AU - Stryker, Louis S.. PY - 2015/6/24. Y1 - 2015/6/24. N2 - Background: Data addressing risk factors predictive of mortality and reoperation after periprosthetic femur fractures (PPFxs) are lacking. This study examined survivorship and risk ratios for mortality and reoperation after surgical treatment for PPFx and associated clinical risk factors. Methods: A retrospective review was performed for 291 patients treated surgically for PPFx between 2004 and 2013. Primary outcomes were death and reoperation. Results: Mortality at 1 year was 13%, whereas the rate of reoperation was 12%. Greater span of fixation and revision arthroplasty (vs open reduction internal fixation) trended toward a lower likelihood of reoperation. Conclusion: After PPFx, patients have a 24% risk of either death or ...
Diaphyseal femur fractures are a common occurrence in busy level one trauma centers and even in the age of damage control orthopaedics most of these fractures are fixed definitively within 24 hours. The historical method of temporizing these fractures has been to place a distal femoral or proximal tibial skeletal traction pin. However, in the pediatric population skeletal traction is not utilized due to concern for physeal injury and cutaneous traction has been the gold standard for decades. Reasons for skeletal traction in adults are not well defined and there are no clinical studies showing that skeletal traction provides better outcomes in time of reduction in the operating theater or better pain control than cutaneous traction. With the ever increasing amount of high energy trauma seen by junior residents in the emergency department time constraints have become a large factor in patient care. Long delays for sedation and equipment procurement make stabilizing a diaphyseal femur fracture a ...
This AAOS Clinical Practice Guideline (CPG) and quality programs for pediatric diaphyseal femur fractures provide up-to-date, evidence-based recommendations for diagnostic, treatment, and postoperative procedures.
Fat embolism syndrome is a life-threatening condition that can develop after orthopedic injury and surgery. This syndrome developed in a 19-year-old man after a traumatic femoral fracture that was surgically repaired with intramedullary nailing. The complications experienced by the patient highlight the importance of prevention and early detection of fat embolism syndrome. Although minimization of the syndrome focuses primarily on prehospital care and early stabilization of a patients condition, prevention of the potential consequences requires early detection by bedside nurses who care for trauma and orthopedic patients. Detailed nursing assessment and rapid recognition and reporting of the signs and symptoms associated with fat embolism syndrome are key to improving the outcomes of these patients. ...
TY - JOUR. T1 - Periprosthetic fractures of the humerus. AU - Schmidt, A. H.. PY - 1999/1/1. Y1 - 1999/1/1. N2 - Periprosthetic fractures of the humerus complicate 2-4% of total shoulder arthroplasties. Intraoperative fractures are more common than those that occur after surgery and are usually the result of faulty surgical technique. Patients with osteoporosis are at increased risk for periprosthetic fracture of the humerus, and these injuries are most common in patients with rheumatoid arthritis. Common mechanisms of intraoperative fracture include excessive external rotation forces because of poor operative exposure, improper starting hole location, and too forceful impaction. Intraoperative fractures should be stabilized with cerclage wires, and long- stem implants should be used if the fracture involves the shaft of the humerus. Postoperative fractures frequently compromise the functional abilities of the patient; operative treatment seems to give the best results. Treatment is based on a ...
Atypical Femur Fracture Injury Lawyer - 866.757.6949 Call Toll Free 24 Hours. If you or someone you know has been injured in an accident, know that we are to help you. Atypical Femur Fracture Injury lawsuits can often be long and upsetting, its important to have an experienced Atypical Femur Fracture Injury lawyer to represent you.
We investigated whether a proximal femoral nail (PFN) having two lag screws can be implanted without distal locking screws in AO/OTA 31-A1 and 31-A2 intertrochanteric femur fractures. Twenty-four patients with AO/OTA 31-A1 and 31-A2 fractures were treated with a PFN without distal interlocking by a single surgeon. The mean follow-up was 12 months (range: 7-23). Clinical and functional outcome was assessed according to the Harris hip score and Barthels activity score. The fractures healed in all patients; the average consolidation time was 14 weeks (range: 9-28). Fourteen patients had excellent and good results, nine patients had fair results, and one patient had a poor result according to the Harris hip score; 17 patients had a high range of mobility according to the Barthel activity score. Our results suggested that the PFN can be successfully implanted without distal interlocking in 31-A1 and 31-A2 fractures. ...
INTRODUCTION: There is no consensus yet on the impact of timing of femur fracture (FF) internal fixation on the patient outcomes. This meta-analysis was conducted to evaluate the contemporary data in patients with traumatic FF undergoing intramedullary nail fixation (IMN). METHODS: English language literature was searched with publication limits set from 1994 to 2016 using PubMed, Scopus, MEDLINE (OVID), EMBASE (OVID), Web of Science, and Cochrane Central Register of Controlled Trials (CENTRAL). Studies included randomized controlled trials (RCTs), prospective observational or retrospective cohort studies, and case-control studies comparing early versus late femoral shaft fractures IMN fixation. Variable times were used across studies to distinguish between early and late IMN, but 24 h was the most frequently used cutoff. The quality assessment of the reviewed studies was performed with two instruments. Observational studies were assessed with the Newcastle-Ottawa Quality Assessment Scale. RCTs were
Background: Admission hyperglycemia is associated with increased morbidity and mortality in trauma patients. However, admission hyperglycemia is not only associated with stress-induced hyperglycemia (SIH) but also with diabetic hyperglycemia (DH); furthermore, patients with normoglycemia may not only have non-diabetic normoglycemia (NDN) but also have a possibility of diabetic normoglycemia (DN), with the diabetes under control. This study aimed to assess the effects of SIH and DH on the mortality outcomes of traumatic femoral fracture patients with NDN and DN. Methods: Admission hyperglycemia was diagnosed as a serum glucose ≥200 mg/dL upon arrival at the emergency department. Diabetes mellitus (DM) was determined by patient history and/or admission HbA1c ≥ 6.5%. DH and SIH were diagnosed by admission hyperglycemia in patients with and without DM. DN and NDN were determined by absence of admission hyperglycemia in patients with and without DM. These patients were allocated into four groups: SIH (n
Knee surgeons at OrthoNorCal in Morgan Hill, Watsonville, Santa Cruz County and Santa Clara County, CA treats knee fracture include distal femur fracture, femoral shaft fracture, fractures of the proximal tibia and tibial shaft fractures. They also offers knee surgery to treat knee arthritis and knee infection.
This study will be conducted as a prospective cohort study of children and adolescents treated with TEN for a femoral shaft fracture. All children and adolescents presenting to the Emergency department of a participating center with a femur fracture will be approached for inclusion in the study. The primary outcome for this study will be functional recovery, as measured using a pediatric specific generic QOL measurement tool. The clinical outcome measure which will be used will be the performance version of the ASK (ASK-p) which has been previously tested and shown to be valid, reliable, and responsive in children and adolescents with acute and chronic Orthopaedic disorders. The first time point for data collection will be at four months. Clinical data which will be obtained over the course of follow-up will include clinical evaluation of hip and knee range of motion, limb rotation, clinical measurement of limb length, fracture union, and the presence of complications, including the need for ...
The purpose of this study was to determine patients survival after undergoing an early or delayed operation. We retrospectively assessed 1849 files of patients operated for proximal femoral fracture, divided into two diagnostic groups: intracapsular (n = 640) and extracapsular (n = 1209). 1163 (63%) were treated within 48 h from hospital admission and 686 (37%) were treated |48 h afterwards. Delayed operation in patients with intracapsular fractures was associated with a 1.8-fold excess risk for 1-year mortality (HR = 1.83, P = 0.008), while no effect was observed for patients with extracapsular fractures. Males had a higher HR for mortality in both diagnostic groups. Early surgical intervention is beneficial for intra-capsular femoral fractures; male gender and a high ASA score are associated with an increased mortality hazard risk.
Femoral shaft perforation at total hip arthroplasty is a complication that is being noted more frequently, and it is often associated with femoral shaft fracture below the prosthesis. This study...
This study compares results of unreamed Schneider intramedullary nailings with reamed Küntscher intramedullary nailings. Eighty consecutive closed intramedullary roddings of femoral shaft fractures performed at Parkland Memorial Hospital, Dallas, were reviewed. In the first 40 cases, straight, narrow Schneider or Küntscher rods with an average diameter of 10 mm were inserted following closed reduction. No reaming maneuvers and no effort to attain rigid cortical contact with either fracture fragment were made. In the next 40 cases, the standard Küntscher technique with reaming and cortical impingement of the nail on both fragments was employed using Küntscher nails of an average diameter of 13 mm. All patients were followed to fracture union. Analysis of patient and fracture variables (such as anatomic location and degree of comminution) showed no significant differences in the two groups. While both groups demonstrated multiple minor complications, including slight shortening, mild ...
The NCB Periprosthetic Femur Plating System is a system of polyaxial locking plates for the treatment of femur fractures, including periprosthetic fractures.
PubMed Central Canada (PMC Canada) provides free access to a stable and permanent online digital archive of full-text, peer-reviewed health and life sciences research publications. It builds on PubMed Central (PMC), the U.S. National Institutes of Health (NIH) free digital archive of biomedical and life sciences journal literature and is a member of the broader PMC International (PMCI) network of e-repositories.
Synthes strives for optimal solutions in the treatment of Proximal Femur and Pelvic indications in order to restore quality of life at any given age.. PFNA with Augmentation Option. PFNA has improved rotational and angular stability thanks to the PFNA blade as a single head element. The augmentation option is a unique system of controlled cement application through the blade resulting in a greater load bearing surface and significantly increased resistance to cut-out. LCP Dynamic Hip Screw (DHS) incl. DHS Blade and Locking Trochanter Stabilization Plate (LTSP). LCP DHS incl. DHS Blade and LTSP is designed for the treatment of proximal femoral fractures, and is especially beneficial for patients with poor quality bone (e.g. osteoporosis).. Proximal Femoral (Hook) Plate. The Proximal Femoral (Hook) Plate offers angular stable treatment of proximal femoral fractures.. Low Profile Pelvic System. The Low Profile 3.5 mm Pelvic System features a wide range of redesigned stainless steel plates in a ...
article{1c594d14-54d3-4c6f-bc91-1ba1e49bf259, abstract = {ABSTRACT. Callus formation is a critical step for successful fracture healing. Little is known about the molecular composition and mineral structure of the newly formed tissue in the callus. The aim was to evaluate the feasibility of small angle x-ray scattering (SAXS) to assess mineral structure of callus and cortical bone and if it could provide complementary information with the compositional analyses from Fourier transform infrared (FTIR) microspectroscopy. Femurs of 12 male Sprague-Dawley rats at 9 weeks of age were fractured and fixed with an intramedullary 1.1 mm K-wire. Fractures were treated with the combinations of bone morphogenetic protein-7 and/or zoledronate. Rats were sacrificed after 6 weeks and both femurs were prepared for FTIR and SAXS analysis. Significant differences were found in the molecular composition and mineral structure between the fracture callus, fracture cortex, and control cortex. The degree of ...
TY - JOUR. T1 - CT-measurement predicts shortening of stable intertrochanteric hip fractures. AU - Hecht, Garin. AU - Shelton, Trevor J.. AU - Saiz, Augustine M.. AU - Goodell, Parker B.. AU - Wolinsky, Philip R. PY - 2018/12/1. Y1 - 2018/12/1. N2 - Purpose: Intertrochanteric (IT) hip fractures can be treated with sliding hip screws (SHS) or cephalomedullary nails (CMN) based on the stability of the fracture. This stability is affected by the initial impaction of the fracture which can be difficult to assess. The aim of this paper is to develop specific pre-operative computed tomography (CT) measurements of IT fractures which are predictive of post-operative shortening. Methods: A retrospective review was performed of 141 patients with AO/OTA 31A1 or 31A2 fracture patterns, who had pre-operative radiographs and CT scans, and who were treated with a SHS or a CMN. Pre-operative and post-operative imaging of IT fractures were analyzed for those fractures that shortened ≥15 mm post-fixation. ...
Learn the Cannulated Hip screws (Asnis III - Stryker) for fixation of intracapsular neck of femur fracture surgical technique with step by step instructions on OrthOracle. Our e-learning platform contains high resolution images and a certified CME of the Cannulated Hip screws (Asnis III - Stryker) for fixation of intracapsular neck of femur fracture surgical procedure.
The purpose of this study was to investigate bone microarchitecture of cadaveric proximal femurs using ultra-high field (UHF) 7-Tesla magnetic resonance imaging (MRI) and to compare the corresponding metrics with failure load assessed during mechanical compression test and areal bone mineral density (ABDM) measured using dual-energy X-ray absorptiometry. Materials and methods: ABDM of ten proximal femurs from five cadavers (5 women; mean age= 86.2 ± 3.8 (SD) years; range : 82.5-90 years) were investigated using dual-energy X-ray absorptiometry and the bone volume fraction, trabecular thickness, trabecular spacing, fractal dimension, Euler characteristics, Connectivity density and degree of anisotropy of each femur was quantified using UHF MRI. The whole set of specimens underwent mechanical compression tests to failure. Associations were searched using correlation tests and multiple regression analysis. ...
According to the National Hip Fracture Database, over 64,000 patients were admitted with a hip fracture across England, Wales, and Northern Ireland in 2013, but very few are bilateral, and there are no current cases in the literature of bilateral neck of femur fractures in a patient with bilateral below-knee amputations. We present a case of a 69-year-old bilateral below-knee amputee male admitted to the emergency department with bilateral hip pain and radiological evidence of bilateral displaced neck of femur fractures. The patient subsequently underwent synchronous bilateral total hip replacements under general anaesthetic and an epidural and then went on to make a full recovery. He was discharged 27 days after arrival in hospital. Outpatient follow-up at 3 months has shown that the patient has returned to a similar level of preinjury function and is still able to carry out his daily activities with walking aids and bilateral leg prostheses.
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TRIGEN INTERTAN is an intertrochanteric antegrade proximal femoral nailing system used to treat hip fractures. TRIGEN INTERTAN can also be used as an intramedullary and cephalomedullary nailing system.
In a retrospective study performed at a Level I trauma center, we considered all adult patients with major trauma (ISS , 15) and femoral shaft fracture admitted between January 2003 and July 2006. Patients were separated into two groups according to the management strategies for the femoral fracture: group 1, no surgery within 72 hours after primary admission; group 2, surgical stabilization within 72 hours (DCO). To compare the two groups we considered age, ISS, RTS, TRISS, SAPS II, GCS, comorbidity, and other associated surgery. Parameters of evaluation were: mortality in the ICU, ICU length of stay, respiratory failure and length of ventilation, and daily SOFA collected for 8 days. Statistics were determined with the Student t and chi-squared tests; P , 0.05 was considered significant. ...
3 Because almost all femur fractures in battle (usually from bullet and shrapnel wounds) were open, the Thomas splint saved lives mostly by controlling bleeding. Even in a closed femur fracture, however, the patient can lose more than a liter of blood internally, so traction splinting is still important. The Thomas splint was made from a 3/8″ steel rod bent to fit on either side of the leg, with a V-notch in the cross piece beyond the foot. The upper ends of the rod were attached to a padded ring, which had to be slid up the leg until it was braced against the perineum and buttocks. This ring made the splint awkward to apply to a fractured leg, so it was soon modified into the Keller-Blake hinged half-ring splint (which can be improvised from two ski poles, with the interlaced wrist straps replacing the half-ring). The half-ring is eased under the crease of the buttocks, and secured by an attached strap that goes over the top of the thigh. A variation on the Thomas splint was also developed ...
It is extremely important to choose the correct therapeutic approach because there are several post-operative complications following surgery for SFF. Even with modern implants, the complication rates in the treatment of the SFF remain high. Screw cut-out, femur fracture, varization, procurvatum malunion or nonunion, lack of consolidation and implant failure are the most common post-operative complications in SFF 1.. In the SFF, screw cut-out is between 1.1 and 6.3% and represents 85% of fixation failures. The main causes of the cut-out are the instability of the fracture and, in particular, incorrect positioning of the lag screw which consists of the distance from the screw tip to the subchondral bone 14. Thus, it is important for the surgeon to position the lag screw in the femoral head, in order to avoid serious implant failure due to screw cut-out 15.. Studies show the diameter and the length of the nail play an important role in the surgery outcomes. Nails with a greater distal diameter ...
Risedronate and even more notably alendronate use is linked to what are called atypical subtrochanteric fractures and femoral shaft fractures, both linked to bone insufficiency (Angthong and Angthong, 2011). More worrying is the fact that a longer duration of the biphosphonate treatment increases the odds of insufficiency fractures (Meier et al., 2012), which certainly raises concerns about how long the patients should be taking these drugs. Other side effects confirm that bone solidity does not necessarily reflect bone density. Dental practitioners should be aware of the increased risk of implant failure associated with oral biphosphonate use in the population (Yip et al., 2012). Practically speaking, it is well known that many dentists specializing in dental implants do not accept patients following these biphosphonate treatments due to the excessive risk of implant failure. Another concern lies in the association between biphosphonate use and jaw osteonecrosis (Arrain and Masud, 2011). ...
Which femur fracture repair surgeons in New Hampshire get the best outcomes? Find/compare surgeons plus their death and complication rates.
Which femur fracture repair surgeons in Ohio get the best outcomes? Find/compare surgeons plus their death and complication rates.
Stress fractures are injuries that occur when repetitive and excessive stress on a bone is combined with limited rest. This leads to muscle weakness and a lower shock absorbing capacity of the leg and in turn can lead to bone damage. Stress fractures of the femur are relatively uncommon, and data from the literature suggest that they constitute only 2.8-7% of all sport related stress fractures. Anatomy The femur is the longest bone in the body, connects the pelvis to the lower limb and is the so
During the conference, Judge Higbee stated that she hopes to try a group, or at the very least, one of the Fosamax femur fracture lawsuits next spring. She noted that while discovery in the Fosamax femur fracture lawsuits is still in its infancy, many of the ONJ documents used in those cases will overlap and are relevant to the Fosamax femur fracture lawsuits. While there is a degree of overlap, counsel involved in the Fosamax femur fracture lawsuits noted that there have been supplemental requests dealing solely with Fosamax and femur fractures. Defense counsel is in the process of responding to those requests. Regarding discovery of documents, Judge Higbee made clear that relevancy is not a basis for withholding documents. Clarifying that statement, Judge Higbee stated that documents that refer to Fosamax are relevant or could lead to relevant information and must be produced. She reminded counsel that New Jersey has very broad discovery rules.. ...
As patients who were afflicted with poliomyelitis during the outbreaks in the past are aging, lower extremity osteoporotic fractures are becoming more freq
A new method for fluoroscopic tracking of a proximal bone fragment in femoral fracture reduction is presented. The proposed method combines 2-D and 3-D image registration from single-view fluoroscopy with tracking of the head center position of the proximal femoral fragment to improve the accuracy of fluoroscopic registration without the need for repeated manual adjustment of the C-arm as required in stereo-view registrations. Kinematic knowledge of the hip joint, which has a positional correspondence with the femoral head center and the pelvis acetabular center, allows the position of the femoral fragment to be determined from pelvis tracking. The stability of the proposed method with respect to fluoroscopic image noise and the desired continuity of the fracture reduction operation is demonstrated, and the accuracy of tracking is shown to be superior to that achievable by single-view image registration, particularly in depth translation.
The Use of Liposomal Bupivacaine in Orthopaedic Trauma - Hank L. Hutchinson, MD. Hank L. Hutchinson, MD, from the Tallahassee Orthopedic Clinic in Tallahassee, Florida, is an orthopaedic trauma surgeon, and he said liposomal bupivacaine has a made a big difference in his ability to provide pain control for a variety of patients.. Dr. Hutchinson shared a number of cases, including the case of a 63-year-old female with history of bisphosphanate use and prior subtrochanteric fracture. The fracture was treated in 2011 with a cephalomedullary nail, but was referred to Dr. Hutchinson for management of fracture nonunion.. When Dr. Hutchinson rounds on patients who have surgery to repair a subtrochanteric fracture, they are usually asleep from the opioids they have taken to control their pain.. With this patient, however, he infiltrated the site with liposomal bupivacaine, and when he saw her 30 hours after surgery, she was able to flex her knee and lift her leg off the bed. That is typical of his ...
A 40-year-old man with no past medical history was riding his bicycle when he rode over a large pothole in the road, fell to the curb, and sustained a closed mid-shaft right femur fracture. He has no other trauma, is neurologically intact with normal distal perfusion. He will need a Steinmann traction pin placed in the ED and will be on call to the OR tomorrow. Your colleague suggests ketofol for sedation for the ED procedure. Which of the following is BEST supported by the current evidence ...
Date Presented 3/30/2017. This study describes a geriatric population at a medical center admitted for femur fracture to determine the impact of a multidisciplinary team specializing in geriatric trauma. Results show a significant increase in utilization of occupational therapy services and cognitive assessment and a decrease in length of stay.. Primary Author and Speaker: Amanda Wilson. Contributing Authors: Traci Norris, Lindsey Foster, Catherine Royal, Heidi Tymkew, Dean Klinkenberg ...
Fosamax femur fracture attorneys at Arentz Law Group can help victims hold Merck accountable for their physical, emotional, and financial damages.
Tibia and Fibula Shaft Fractures. Ed Smith discusses leg fractures resulting from motor vehicle accidents. Evaluation, classification and treatment.
We included seven studies that involved a total of 444 adults with distal femur fractures. Each of the included studies was small and assessed to be at substantial risk of bias, with four studies being quasi-randomised and none of the studies using blinding in outcome assessment. All studies provided an incomplete picture of outcome. Based on GRADE criteria, we assessed the quality of the evidence as very low for all reported outcomes, which means we are very uncertain of the reliability of these results.. One study compared surgical (dynamic condylar screw (DCS) fixation) and non-surgical (skeletal traction) treatment in 42 older adults (mean age 79 years) with displaced fractures of the distal femur. This study, which did not report on PROMs, provided very low quality evidence of little between-group differences in adverse events such as death (2/20 surgical versus 1/20 non-surgical), re-operation or repeat procedures (1/20 versus 3/20) and other adverse effects including delayed union. ...
For people with hip fractures, traction involves either using tapes (skin traction) or pins (skeletal traction) attached to the injured leg and connected to weights via a pulley. The application of traction before surgery is thought to relieve pain and make the subsequent surgery easier. Where traction is not used, the injured limb is usually placed on a pillow and the patient encouraged to adopt a position of greatest comfort.. This review summarising the evidence from randomised controlled trials included 11 trials with 1654 participants. Consistent with the general hip fracture population, most of the trial participants were older persons of around 80 years of age and the majority were female. Ten trials compared traction versus no traction and two trials, including one of the preceding 10 trials, compared skin and skeletal traction. As well as limitations in the trial methods, there were very limited data for pooling and a lack of information about the longer-term consequences of applying or ...
Femoral Diaphysis - Fracture of the femoral shaft treated with the Centronail Titanium Universal Femoral Nailing System. Antegrade insertion.
Oszwald M., Westphal R., Sattler S., Wahl F., Krettek C., Gösling T.. 2010. X-ray based compensation of relative motions for non-invasive robotic reduction of femoral shaft fractures. 18th European Conference on Orthopaedics, the conference of the European Orthopaedic Research Society. ...
Surgical treatment Intact female Sprague Dawley rats at 6, 26 or 52 weeks of age, weighing 154 eleven g, 281 25 g, and 330 thirty g respectively, were anaes thetized with an intraperitoneal injection of ketamine and xylazine as described earlier. The left knee was shaved, scrubbed with Betadine Solution, and draped with sterile sheets. A medial incision was made with the knee, the patella was deflected laterally as well as a Inhibitors,Modulators,Libraries one. 0 mm hole was drilled in to the inter condylar notch. An intramedullary rod was placed retrograde to the left femur. The incision was closed with wound clips. A closed simple transverse mid diaphyseal femoral fracture was induced using a Bonnarens and Einhorn gadget. Ran domly selected rats from amongst those scheduled for sur gery have been used for 0 time no fracture sham controls. Rats had been euthanized at 0, 0.. four, 1, 2, four, and 6 weeks right after frac ture for a complete of six time points at just about every of the 3 ages. ...
Left femur of pig (Sus domesticus)Photo author: Albert Fischer - Date: 27/04/2014.For more information, refer to the presentation of the corpus of the author. - Sus-domesticus-Femur-Left.jpg
Joshua Blomberg (3 July 2014). "Femoral Neck Fractures". Orthobullets. Retrieved September 2014. Check date values in: , ... An increasing angle leads to a more unstable fracture and an increase in the shear stress at the fracture site. This shear ... Pauwel's angle is the angle between the line of a fracture of the neck of the femur and the horizontal as seen on an anterio- ...
This torsional error is a major problem for femoral and tibial fractures, and occurs in 17 to 35% of patients who receive these ... For femoral malrotation, the scan involves doctors measuring the angle between a line through the axis of the femoral neck and ... Whilst tibial fractures are the most common long bone fractures, it is malrotation of the femur which can cause the most ... 2, 2. Johnson KD, Greenberg M. (1987). "Comminuted femoral shaft fractures". Orthopaedics Clinic of North America. 18:133-47. ...
Doctors diagnosed a fracture of the femoral neck. She was transported to Roosevelt Hospital where, against the advice of her ...
... fractures of femur Ender's nail for fixing intertrochanteric fracture Grosse-Kempf nail for tibial or femoral shaft fracture ... Carstensen JP, Noer HH (1998). "[Medial migration of a Hansson hook-pin after femoral neck fracture]". Ugeskr Laeger. 160 (36 ... Walters, Johan; Schepherd-Wilson, William; Lyons, Timothy; Close, Roger (1990). "Femoral shaft fractures treated by Ender nails ... a hook-pin used for fractures of the femoral neck Harrington rod for fixation of the spine Hartshill rectangle for fixation of ...
A fracture of the leg can be classified according to the involved bone into: *Femoral fracture (in the upper leg) ... Additionally, a line drawn through the femoral neck superimposed on a line drawn through the femoral condyles forms an angle, ... The posterior femoral cutaneous nerve (S1-S3) contributes sensory branches to the skin on the posterior thigh.[44] The sciatic ... See also: Superficial femoral artery and Arcuate artery of the foot. The arteries of the leg are divided into a series of ...
Femoral fracture *Hip fracture (anatomically a fracture of the femur bone and not the hip bone) ... Spinal fracture *Cervical fracture *Fracture of C1, including Jefferson fracture. *Fracture of C2, including Hangman's fracture ... Arm fracture *Humerus fracture (fracture of upper arm) *Supracondylar fracture. *Holstein-Lewis fracture - a fracture of the ... a) closed fracture (b) open fracture (c) transverse fracture (d) spiral fracture (e) comminuted fracture (f) impacted fracture ...
"Early versus delayed stabilization of femoral fractures. A prospective randomized study". J Bone Joint Surg Am. 71 (3): 336-340 ... Early total care (ETC) became widespread in the 1980s, when studies showed early definitive fixation of long bone fractures ... EAC prescribes that definitive management of unstable axial skeleton and long bone fractures should only be undertaken within ... "External fixation as a bridge to intramedullary nailing for patients with multiple injuries and with femur fractures: damage ...
Lewis, Sl; Pozo, Jl; Muirhead-Allwood, Wf (1 January 1989). "Coronal fractures of the lateral femoral condyle". The Journal of ... Ferris, Bd; Kennedy, C; Bhamra, M; Muirhead-Allwood, W (1 May 1989). "Morphology of the femur in proximal femoral fractures". ...
Bone: alendronate has been linked in long-term users to the development of low-impact femoral fractures. Further, studies ... fractures, wrist fractures, hip fractures, and all non-vertebral fractures. In the Fracture Intervention Trial, the women with ... "Randomised trial of effect of alendronate on risk of fracture in women with existing vertebral fractures. Fracture Intervention ... Lenart BA, Lorich DG, Lane JM (March 2008). "Atypical fractures of the femoral diaphysis in postmenopausal women taking ...
Strömqvist, B.; Hansson, L. I.; Nilsson, L. T.; Thorngren, K. G. (1984-10-01). "Two-year follow-up of femoral neck fractures. ... Killian, J. T.; Conklin, M. J.; Kramer, T.; White, S. (1999-01-01). "Improved percutaneous slipped capital femoral epiphysis ... "Simultaneous biplanar fluoroscopy for the surgical treatment of slipped capital femoral epiphysis". Journal of Pediatric ...
Coe JD, Murphy WA, Whyte MP (September 1986). "Management of femoral fractures and pseudofractures in adult hypophosphatasia". ... "Adult-onset hypophosphatasia diagnosed following bilateral atypical femoral fractures in a 55-year-old woman". Clinical Cases ... One case report details a 35-year old female with low serum ALP and mild pains but no history of rickets, fractures or dental ... Bony deformities and fractures are complicated by the lack of mineralization and impaired skeletal growth in these patients. ...
Fascia iliaca block is indicated for pain relief for hip fractures in adults and femoral fractures in children. It works by ... 3-in-1 nerve block is indicated for pain relief for hip fractures. The femoral nerve block is indicated for femur, anterior ... "Nerve blocks for initial pain management of femoral fractures in children". Cochrane Database of Systematic Reviews (12): ... lateral femoral cutaneous, femoral, and obturator nerves. Since the plexus is located deep, there is an increased risk of local ...
Chesters, A; Atkinson, P (October 2014). "Fascia iliaca block for pain relief from proximal femoral fracture in the emergency ... and by non-medical practitioners FIC can be used to offer pain relief for hip fractures in adults and femoral fractures in ... "Nerve blocks for initial pain management of femoral fractures in children". Cochrane Database of Systematic Reviews (12): ... Femoral nerve block Regional Anaesthesia Lidocaine Mallinson, Tom (2019). "Fascia iliaca compartment block: a short how-to ...
Fracture, (or non-union) of the femoral neck. Coxa Vara (the angle between the femoral neck head and shaft is less than 120 ...
Renal Fat Embolization and Urostealith Formation Complicating Femoral Fracture. Journal of the American Medical Association, ...
Just days before, he had suffered a femoral fracture in Miami, Florida. "Eccentric actor, businessman Ricardo Fort dies at 45 ...
The most common injury to the lateral femoral condyle is an osteochondral fracture combined with a patellar dislocation. The ... "Lateral femoral condyle osteochondral fracture combined to patellar dislocation: A case report". Orthopaedics & Traumatology: ... For a Type B1 partial articular fracture of the lateral condyle, interfragmentary lag screws are used to secure the bone back ... Typically, the condyle will fracture (and the patella may dislocate) as a result of severe impaction from activities such as ...
The Pipkin classification is a system of categorizing femoral head hip fractures based on the fracture pattern. Femoral neck ... Pipkin, G. (October 1957). "Treatment of grade IV fracture-dislocation of the hip". The Journal of Bone and Joint Surgery. ...
Femoral fracture Seinsheimer, F. "Subtrochanteric fractures of the femur." The Journal of Bone and Joint Surgery 60.3 (1978): ... They noted that "Earlier studies of pertrochanteric [sic] and femoral neck fractures show that the use of classification ... classification is a system of categorizing subtrochanteric hip fractures based on the fracture pattern of the proximal femoral ... In the published work, fifty-six patients were treated for subtrochanteric fractures, and their fractures were "classified ...
Tibial tuberosity fractures are infrequent fractures, most common in adolescents. In running and jumping movements, extreme ... These quadriceps muscles are innervated by the femoral nerve. The tibial tuberosity thus forms the terminal part of the large ... However, if the fracture fragment is displaced, then surgery is necessary to allow for normal function. Tenderness in the ... ISBN 0-7817-3552-1. Lau, Kelvin; Ramachandran, Manoj (2006). "Tibial Tubercle Fracture". eMedicine. Retrieved 31 December 2008. ...
... is associated with an increased risk of osteoporosis and bone fractures.[30][31][32][33][34] A potential risk for ... and oophorectomy on lumbar spine and femoral neck bone densities". Obstet Gynecol. 72 (4): 631-8. PMID 3419740.. ... Melton, L. J.; Khosla, S.; Malkasian, G. D.; Achenbach, S. J.; Oberg, A. L.; Riggs, B. L. (2003). "Fracture Risk After ... "Postmenopausal bilateral oophorectomy is not associated with increased fracture risk in older women". J Bone Miner Res. 20 (5 ...
"Birth-related femoral fracture in newborns: risk factors and management". Journal of Children's Orthopaedics. 6 (3): 177-180. ... Bone fractures can occur during a difficult delivery. Fracture of the clavicle is the most common birth injury. Meconium is a ... "Newborn Clavicle Fractures". Nationwide Children's. Nationwide Children's Hospital. Retrieved 13 December 2017. http:// ...
210 Fractures of the Femoral Neck in Elderly Patients with hyperparathyroidism. Clinical Orthopaedics 229 (1988), 125-130 ...
Fractures of the femoral head and other loose bodies should be determined prior to reduction. Of note, femoral neck fractures ... when associated with femoral head fractures). Anterior dislocations is when the femoral head lies anteriorly after dislocation ... Femoral head fractures accompany 10% of posterior dislocations and 25-75% of anterior dislocations. Lastly, recurrent ... Complications include osteonecrosis, femoral head fractures, and posttraumatic osteoarthritis. Males are affected more often ...
A serious but common complication of a fractured femoral neck is avascular necrosis. The vasculature to the femoral head is ... The Garden classification is a system of categorizing intracapsular hip fractures of the femoral neck. This fracture often ... Femoral Neck Fracture Imaging Akhtar M Khan, Fractures of the Lower Limb. ... Common practice is to repair Garden 1 and 2 fractures with screws, and to replace Garden 3 and 4 fractures with arthroplasty, ...
It is widely used for femoral fractures, low back pain, acetabular fractures and hip fractures. Skin traction rarely causes ... Dunlop's traction - humeral fractures in children Russell's traction Although the use of traction has decreased over the years ... fracture reduction, but reduces pain and maintains the length of the bone. ...
However, only two structures enter and then leave through the hiatus; namely the femoral artery and femoral vein. Those vessels ... Fracture at the supracondylar area of femur, where the adductor part of the adductor magnus attaches, will most likely cause ... Schema of the arteries arising from the external iliac and femoral arteries. Adductor hiatus is seen as hole in the adductor ... Popliteal artery can also be damaged by the fracture of distal femur. Abnormality in the relationship between the adductor ...
The majority of stent fractures are diagnosed by routine imaging and are not clinically relevant. Stent fractures leading to ... The heart is typically reached by passing through the femoral vein, jugular vein, or subclavian vein. A balloon dilation test ... More severe fractures may require surgery. Risk factors for stent fractures include younger age, smaller tract diameter, and ... Stent fractures can be prevented by using pre-stenting, using a bare metal stent before PPVI. After the valve is implanted, ...
"Tillaux' apparatus": A device used to reduce and maintain femoral diaphysis fractures in constant steady extension. "Tillaux' ... In honor of his discovery, a fracture of the anteriolateral tibial epiphysis is now called a Tillaux fracture - often ... This fracture is unique because it occurs during a certain period of adolescence, when there is a differential rate of growth ... A similar fracture to the posterolateral tibia was later identified by surgeon Henri Chaput, thus being referred to as a ...
... Other names. Metacarpal neck fracture of the little finger, scrapper's fracture,[1] bar room fracture, street ... 20% of hand fractures[4]. A boxer's fracture is the break of the 5th metacarpal bones of the hand near the knuckle.[4] ... X-ray is used to display the fracture and the angulations of the fracture. A CT scan may be done in very rare cases to provide ... Therefore, fractures of the second or third metacarpals are rare, with fractures of the 4th and 5th metacarpals comprising the ...
I. Fractures and luxations of permanent teeth". Dental Traumatology. 23 (2): 66-71. doi:10.1111/j.1600-9657.2007.00592.x. PMID ... Fracture of the mandible. Trauma injuries involving the alveolus can be complicated as it does not happen in isolation, very ... Fracture of the maxilla : Le Fort fracture, zygomatic fracture, orbital blowout. * ... Gingivae across the fracture line often lacerated. Investigation : Require more than one radiographic view to identify the ...
Holdsworth, F. (1970). Fractures, dislocations, and fracture dislocations of the spine. The Journal of Bone and Joint Surgery. ... ultrasound is the imaging study of choice as the proximal femoral epiphysis has not significantly ossified at this age.[13] ... A traumatic dislocation of the tibiotarsal joint of the ankle with distal fibular fracture. Open arrow marks the tibia and the ... X-rays are usually taken to confirm a diagnosis and detect any fractures which may also have occurred at the time of ...
Leadless pacemakers can be implanted into the heart using a steerable catheter fed into the femoral vein via an incision in the ... Large and/or sudden increases in impedance can be indicative of a lead fracture while large and/or sudden decreases in ...
These children generally have fractures in the legs, whereas non-affected children mostly fracture their arms in the context of ... Advanced degrees of hip migration or dislocation can be managed by more extensive procedures such as femoral and pelvic ... Mughal, M. Zulf (26 June 2014). "Fractures in Children with Cerebral Palsy". Current Osteoporosis Reports. 12 (3): 313-318. doi ... Children with CP are prone to low trauma fractures, particularly children with higher GMFCS levels who cannot walk. This ...
Risk of fracturing the patella during harvesting of the graft. *Increased risk of tendinitis. ...
Hip fractures often affect the elderly and occur more often in females, and this is frequently due to osteoporosis. There are ... This change in the angle of the femoral head gives the female gait its characteristic (i.e. swinging of hips). Each side of the ... When standing, with the hip joint extended, the ligaments get twisted around the femoral neck, pushing the head of the femur ... The zona orbicularis assists in maintaining the contact in the joint by acting like a buttonhole on the femoral head. The ...
His advocacy of the use of Thomas splint for the initial treatment of femoral fractures reduced mortality of compound fractures ... External fixation of fractures was refined by American surgeons during the Vietnam War but a major contribution was made by ... The use of intramedullary rods to treat fractures of the femur and tibia was pioneered by Gerhard Küntscher of Germany. This ... This fracture of the lower cervical vertebrae is one of the conditions treated by orthopedic surgeons and neurosurgeons. ...
Fracture Rib fractures, common in breast, prostate and other cancers with rib metastases, can cause brief severe pain on ... Chronic steroid therapy can result in aseptic necrosis of the humoral or femoral head, resulting in shoulder or knee pain ... sudden onset limb or back pain may indicate pathological bone fracture (most often in the upper femur). Skull The base of the ... and may increase the likelihood of osteoporosis and consequent fractures. Radiotherapy may affect the connective tissue ...
2009). „High-density association study of 383 candidate genes for volumetric BMD at the femoral neck and lumbar spine among ... 2009). „Serum osteocalcin/bone-specific alkaline phosphatase ratio is a predictor for the presence of vertebral fractures in ...
Increased risk of fracture has also been linked to bariatric surgery.[22] ... "Bariatric Surgery Linked to Increased Fracture Risk". Science Daily. Retrieved 2011-06-05.. ...
Common fractures include wrist fractures and hip fractures, associated with osteoporosis, vertebral fractures associated with ... A common long bone fracture in children is a Salter-Harris fracture.[49] When fractures are managed, pain relief is often given ... Fractures and their underlying causes can be investigated by X-rays, CT scans and MRIs.[48] Fractures are described by their ... Not all fractures are painful.[48] When serious, depending on the fractures type and location, complications may include flail ...
ಪ್ರಾಚೀನ ಗ್ರೀಸ್ ನಲ್ಲಿ, ರೋಗಗಳನ್ನು ಗುಣಪಡಿಸುವ ದೇವರು ಎನ್ನಲಾದ ಎಸ್ಕ್ಲೆಪ್ಯಸ್ ದೇವಾಲಯಗಳನ್ನು ನಿರ್ಮಿಸಿ ಅರ್ಪಿಸಲಾಗುತ್ತಿತ್ತು, ಇದನ್ನು ಎಸ್ಕ್ಲೆಪಿಯಾ ಎಂದು ಕರೆಯಲಾಗುತ್ತಿತ್ತು(Greek: Ασκληπιεία, ಅಂದರೆ ಸ್ತುತಿಸುವುದು. ಎಸ್ಕ್ಲೆಪಿಯಿಯೊನ್ Ασκληπιείον )ಗಳು ವೈದ್ಯಕೀಯ ಸಲಹೆ, ತಪಾಸಣೆ ಮತ್ತು ಗುಣಪಡಿಸುವ ಸ್ಥಳಗಳಾಗಿ ಕಾರ್ಯನಿರ್ವಹಿಸುತ್ತಿದ್ದವು.[೫] ಇಂತಹ ದೇವಾಲಯಗಳ ಆವರಣಗಳಲ್ಲಿ ಪ್ರವೇಶಿಸಿದ ರೋಗಿಗಳು ಯಾವದೋ ಒಂದು ಕನಸಿನ ಸ್ಥಿತಿಗೆ ಕಾಲಿಟ್ಟು ...
Henry II with his horse fell from a rotten bridge near Melk and suffered a femoral neck fracture. Henry II succumbed to his ...
... extensively fracturing and degrading the material.[5] PMO 214.136 was discovered in 2007, following the collection of ... but the rounded edge on the distal end of the femur and lack of separation between the femoral capitulum and trochanter ...
It most commonly affects leg veins, such as the femoral vein. Three factors are important in the formation of a blood clot ... Falls and hip fracture. related to immobility. [17] Selective estrogen-receptor modulators. [8] ...
DEXA assessment of bone mineral density of the femoral neck (A) and the lumbar spine (B): T scores of - 4.2 and - 4.3 were ... The ISCD states that there is no clearly understood correlation between BMD and the risk of a child's suffering a fracture; the ... 2.5 standard deviations below the young adult female reference mean in the presence of one or more fragility fractures. ... history of parental hip fracture, chronic renal and liver disease, chronic respiratory disease, long-term use of phenobarbital ...
X-ray: decreased neck shaft angle, increased cervicofemoral angle, vertical physis, shortened femoral neck decrease in femoral ... It is commonly caused by injury, such as a fracture. It can also occur when the bone tissue in the neck of the femur is softer ... The femoral deformity is present in the subtrochantric area where the bone is bent. The cortices are thickened and may be ... In early skeletal development, a common physis serves the greater trochanter and the capital femoral epiphysis. This physis ...
"Percutaneous versus open pedicle screw fixation for treatment of thoracolumbar fractures: Systematic review and meta-analysis ...
The femoral nerve can also be affected[26] and cause the patient to experience a numb, tingling feeling throughout one or both ... fractures, etc. In spite of these limitations, X-ray can still play a relatively inexpensive role in confirming the suspicion ...
The fracture may be preventable by using wrist guards during certain activities.[1] In those in whom the fracture remains well ... Scaphoid fractures are often diagnosed by PA and lateral X-rays. However, not all fractures are apparent initially.[5] ... Treatment of scaphoid fractures is guided by the location in the bone of the fracture (proximal, waist, distal), displacement ( ... Waist fractures in the middle 1/3 is the most frequent fracture site and has moderate risk of AVN. ...
He is known to have performed surgical treatments of head injuries, skull fractures, spinal injuries, hydrocephalus, subdural ... The Lancet, "On a new method of treating compound fracture, abscess, etc.: with observation on the conditions of suppuration". ...
It can also be indicated in small animals with pelvic fractures, particularly fractures of the acetabulum (socket of the pelvis ... Other names are excision arthroplasty of the femoral head and neck, Girdlestone's operation, Girdlestone procedure, and femoral ... A femoral head ostectomy is a surgical operation to remove the head and neck from the femur. It is performed to alleviate pain ... Squire KR, Fessler JF, Toombs JP, Van Sickle DC, Blevins WE (1991). "Femoral head ostectomy in horses and cattle". Vet Surg. 20 ...
Coiling is performed through the large blood vessels (endovascularly): a catheter is inserted into the femoral artery in the ... Traumatic SAH usually occurs near the site of a skull fracture or intracerebral contusion.[16] It often happens in the setting ...
Distal radius fractures are the most common fractures seen in adults, accounting for 17.5% of all adult fractures with an ... of wrist fractures.[4] About 57% to 66% of the fractures are extra-articular fractures, 9% to 16% are partial-articular ... partial articular fractures, displaced articular fractures, and metaphyseal unstable extra- or minimal articular fractures.[4] ... A distal radius fracture, also known as wrist fracture, is a break of the part of the radius bone which is close to the wrist.[ ...
Jones fracture - a fracture of the fifth metatarsal. *March fracture - a fracture of the distal third of one of the metatarsals ... Calcaneal fracture. Foot sweat is the major cause of foot odor. Sweat itself is odorless, but it creates a beneficial ... TheFreeDictionary , Lisfranc's fracture Citing: Mosby's Medical Dictionary, 8th edition. 2009 *^ "Overpronation, Explained". ... Lisfranc fracture - in which one or all of the metatarsals are displaced from the tarsus[15] ...
It is an effective alternative to surgical treatment of non-healing fractures.[19] ... shock wave to repair and reconstruct osseous tissue framework in the treatment of avascular necrosis of the femoral head (ANFH ...
The Lancet, "On a new method of treating compound fracture, abscess, etc.: with observation on the conditions of suppuration". ... Al-Zahrawi pioneered techniques of neurosurgery and neurological diagnosis, treating head injuries, skull fractures, spinal ...
Fractures[edit]. *Femoral fracture. *Tibial fracture. *Patella fracture[1]. Diseases[edit]. Some of the diseases of cause of ...
Stress fractures of the femoral neck are uncommon injuries (see image depicted below). ... encoded search term (Femoral Neck Fracture) and Femoral Neck Fracture What to Read Next on Medscape ... In 1961, Garden described the classification of femoral neck fractures. In this classification, femoral neck fractures are ... Markey reported that femoral neck fractures comprise 5-10% of all stress fractures. [5] Certain groups of athletes, including ...
These fractures can occur with as little as 2-3 weeks of training, be very mild, causing only minimal changes to the bone which ... Stress fractures are a problem in various populations including runners and military trainees. ... eventually heals, or they may progress to a complete fracture that requires surgical fixation. ... encoded search term (Femoral Neck Stress Fracture) and Femoral Neck Stress Fracture What to Read Next on Medscape ...
Closed transverse femoral shaft fractures were created in both groups. … On post-fracture days 5, 7, 11, 14, 21, and 28, miRNA ... Non-traumatic Atypical Peri-implant Femoral Fracture at the Distal Screw after Short Femoral Nail Fixation for a ... Case of femoral neck insufficiency fracture in childhood with Loeys-Dietz syndrome [in Japanese] 吉村 眞 , 清水 淳也 , 舘田 健児 , 小助川 維摩 ... A CASE OF ATYPICAL FEMORAL FRACTURE AFTER DOSING DENOSUMAB [in Japanese] 高橋 俊文 , 伊藤 克弘 , 寒野 徹 , 岡田 崇 , 東 義人 , 山田
Implant selection is traditionally based upon the fracture pattern, fracture location,... ... Many fixation methods have been proposed for the surgical management of pediatric diaphyseal femur fractures. ... Cramer KE, Paul Tornetta III, Spero CR, Alter S, Miraliakbar H, Teefey J (2000) Ender rod fixation of femoral shaft fractures ... McClure P., Riccio A.I. (2018) Comminuted Femoral Fracture Treated with Locked Enders Nails. In: Iobst C., Frick S. (eds) ...
... , Intracapsular Hip Fracture, Subcapital Femur Fracture, Transcervical Femoral Neck Fracture. ... femoral neck fracture, femoral neck fractures, Fracture;neck of femur, femoral fracture neck, femur fractures neck, fracture ... Femoral Neck Fracture. Femoral Neck Fracture Aka: Femoral Neck Fracture, Intracapsular Hip Fracture, Subcapital Femur Fracture ... Femoral Neck Fracture Femoral Neck Stress Fracture Femoral Shaft Fracture Femoral Shaft Stress Fracture Femoroacetabular ...
Helping you find trustworthy answers on Femoral Neck Stress Fracture , Latest evidence made easy ... Find all the evidence you need on Femoral Neck Stress Fracture via the Trip Database. ... represent treatment response Trauma Osteoporotic fracture (especially vertebral body, ribs, sacrum) Stress fracture, Bone ... and fracture with the initiation of a prostate-selective alpha antagonist: a population based cohort study. BMJ, 2015. 351: ...
Helping you find trustworthy answers on Femoral Neck Stress Fracture , Latest evidence made easy ... Find all the evidence you need on Femoral Neck Stress Fracture via the Trip Database. ... 8. Femoral Neck Stress Fracture Femoral Neck Stress Fracture Femoral Neck Stress Fracture Toggle navigation Brain Head & Neck ... Femoral neck fractures after removal of hardware in healed trochanteric fractures. (PubMed). Femoral neck fractures after ...
The fracture has a propensity for non-union and avascular necrosis. It is a... ... Fracture of the femoral neck continues to be a vexing clinical and therapeutic challenge for the orthopedic surgeon. ... Non-union after femoral neck fracture can be defined as a lack of radiographic evidence of union 6 months after the fracture [5 ... Femoral neck fractures remain a difficult clinical problem for orthopaedic surgeons. Attempting to conserve the femoral head ...
Proximal femoral fractures in arthrodesed hips need to be recognized as a fracture between the pelvis and femur. Rotational ... Proximal Femoral Fracture in Hip Arthrodesis Treated with Double Reconstruction Plates. Shunsuke Asakawa, Takeo Mammoto, and ... We present a rare clinical case of a 90-year-old female who sustained a proximal femoral neck fracture following long-standing ... Since the fracture occurred relatively proximally and involved the pelvis, double-plate fixation was chosen to achieve rigid ...
Patients with thigh pain on alendronate therapy should be investigated for femoral stress fractures.(iv)Insufficiency fractures ... there is a recent concern regarding the association of cortical insufficiency fractures and low-energy femoral fractures with ... Y.-C. Ha, M.-R. Cho, K. H. Park, S.-Y. Kim, and K.-H. Koo, "Is surgery necessary for femoral insufficiency fractures after long ... Bilateral Femoral Insufficiency Fractures Likely Related to Long-Term Alendronate Therapy. Ravindra Gudena, Jason Werle, and ...
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Cannulated Screws for Femoral Neck Fracture. Cannulated Screws for Femoral Neck Fracture. - Indications for Closed Reduction ... Intracapsular fractures of the femoral neck. Results of cannulated screw fixation. Femoral neck fractures in skeletally mature ... Complications following young femoral neck fractures.. - Failure Patterns of Femoral Neck Fracture Fixation in Young Patients ... Articular penetration is more likely in Garden-I fractures of the hip. - Subchondral screw fixation for femoral neck fractures. ...
Femoral Fracture. (Femur Fracture; Thigh Bone Fracture; Broken Leg). by Cynthia M. Johnson, MA ... Stress fracture of the pelvis and lower limbs including atypical femoral fractures-a review. Insights Imaging. 2015 Feb;6(1):97 ... Femoral stress fracture. EBSCO DynaMed website. Available at: ... A femoral fracture is a break in the thigh bone. It runs from the hip to the knee. ...
... of patients had atypical femoral fractures, which are a rare type of femoral stress fracture. The researchers also found a ... Study finds strong link between bisphosphonates use and risk of atypical femoral fractures. *Download PDF Copy ... Previous studies have linked bisphosphonates use to atypical femoral fractures in patients with osteoporosis. However, these ... called a periprosthetic femoral fracture. In a study of such patients published in the Journal of Bone and Mineral Research, ...
The association between supracondylar-intracondylar distal femoral fractures and coronal plane fractures NORK S ... Femur-LISS and distal femoral nail for fixation of distal femoral fractures : are there differences in outcome and ... Outcomes after displaced fractures of the femoral neck : a meta-analysis of one hundred and six published reports LU-YAO G ... Intramedullary nailing of femoral and tibial shaft fractures * * WOOD GEORGE W. II ...
Facts about hip fracture: * About 250,000 people suffer hip fractures in the US each year. * ... ... Another name for Fractured Femoral Neck is Hip Fracture. ... Fractured Femoral Neck Incidence. Facts about hip fracture:. * ... PubMed Fractured Femoral Neck References *Dominguez S, Liu P, Roberts C, Mandell M, Richman PB. Prevalence of traumatic hip and ... Continue to Fractured Femoral Neck Risk Factors Last Updated: Jul 1, 2008 References Authors: Stephen J. Schueler, MD; John H. ...
Accuracy of hospital activity analysis data in estimating the incidence of proximal femoral fracture.. Br Med J (Clin Res Ed) ... Accuracy of hospital activity analysis data in estimating the incidence of proximal femoral fracture. Br Med J (Clin Res Ed) ... Accuracy of hospital activity analysis data in estimating the incidence of proximal femoral fracture. ... Accuracy of hospital activity analysis data in estimating the incidence of proximal femoral fracture. ...
Femoral Fracture. Intervention ICMJE *Other: Goal directed haemodynamic treatment Treatment by fluids and Dobutamine to attain ... Goal Directed Haemodynamic Treatment for Patients With Proximal Femoral Fracture (GDHT). The safety and scientific validity of ... Goal Directed Haemodynamic Treatment for Patients With Proximal Femoral Fracture. Official Title ICMJE Evaluation of Costs and ... Patients´ scheduled for operation of proximal femoral fracture during office hours. *Patient who have a witnessed or written ...
This study compared pediatric patients with fully displaced femoral neck fractures treated with either open reduction and ... Pediatric femoral neck fractures are rare injuries that are associated with a high risk of osteonecrosis of the femoral head. ... Pediatric femoral neck fractures are rare injuries that are associated with a high risk of osteonecrosis of the femoral head. ... Pediatric femoral neck fractures are rare injuries that are associated with a high risk of osteonecrosis of the femoral head. ...
... who had closed intramedullary nailing in lateral decubitus position without fracture table or image intensifier. Mean age was ... The present retrospective study aims to evaluate the outcome in 41 patients of femoral shaft fractures, ... Patients with pathological fractures, open fractures, severely comminuted fractures (AO type 32 C3), ipsilateral femoral ... Intramedullary nailing of acute femoral shaft fractures using manual traction without a fracture tableJ Orthop TraumaYear: ...
Fibrinolytic capacity of arm and leg veins after femoral shaft fracture and acute myocardial infarction. Br Med J 1975; 2 :61 ... Fibrinolytic capacity of arm and leg veins after femoral shaft fracture and acute myocardial infarction.. Br Med J 1975; 2 doi ... Fibrinolytic capacity of arm and leg veins after femoral shaft fracture and acute myocardial infarction. ... Fibrinolytic capacity of arm and leg veins after femoral shaft fracture and acute myocardial infarction. ...
It also describes the options for failure of femoral neck fracture treatmentalong with the advantages/disadvantages for the ... describe the general treatment strategy for treatment of femoral neck fractures in younger adults. ... various fixation options available for femoral neck fracture fixation.,/p, ... It also describes the options for failure of femoral neck fracture treatmentalong with the advantages/disadvantages for the ...
... Laura C. Decoster, ATC, CSCS. Laura C. Decoster is Director at HEALTHSOUTH Rehab ... The case of a 14-year-old football player who sustained a Salter-Harris III fracture of his medial femoral condyle is presented ... Lombardo SJ, Harvey JP., Jr Fractures of the distal femoral epiphyses. Factors influencing prognosis: a review of thirty-four ... Fractures of the proximal humeral epiphysial plate. Clin Orthop Relat Res. 1965 Jul-Aug;41:24-31. [PubMed] ...
... femoral fractures should carefully scrutinize preoperative radiographs to assess the primary fracture geometry and fracture ... fractures, green arrows: 31-A3.3 fractures, black arrows : other fractures; 43 cases, central cut-out has not been considered. ... Critical factors in cut-out complication after Gamma Nail treatment of proximal femoral fractures.. Bojan AJ1, Beimel C, ... Critical factors in cut-out complication after gamma nail treatment of proximal femoral fractures ...
age between 18 and 60 years, with a closed fracture in their femoral diaphysis or an open fracture secondary to a low-speed ... with a closed fracture in their femoral diaphysis or an open fracture secondary to a low-speed bullet; treated with open or ... Electromagnetic Stimulation as Coadjuvant in the Healing of Diaphyseal Femoral Fractures. The safety and scientific validity of ... Fracture healing [ Time Frame: up to 18 weerks ]. Percentage (%) of patients with their fracture healed six months after the ...
A nail for the osteosynthesis of fractures of femoral necks, formed of a resilient pre-curved rod having an inner end ... Nails for femoral fractures Download PDF Info. Publication number. US4483335A. US4483335A US06500646 US50064683A US4483335A US ... US06500646 1982-06-02 1983-06-02 Nails for femoral fractures Expired - Fee Related US4483335A (en) Priority Applications (2). ... 1. In a nail for the osteosynthesis of fractures of femoral necks, formed of a resilient pre-curved rod having an inner end ...
"Integrity of the Lateral Femoral Wall in Intertrochanteric Hip Fractures: An Important Predictor of a Reoperation" is presented ... "Integrity of the Lateral Femoral Wall in Intertrochanteric Hip Fractures: An Important Predictor of a Reoperation." ... A letter to the editor is presented in response to the article "Low bone mineral density and fracture burden in post-menopausal ... Polymorphism of the Collagen Type Iα1 Gene and Ethnic Differences in Hip-Fracture Rates. Beavan, Sian; Prentice, Ann; Dibba, ...
Regional Nerve Blocks For Hip and Femoral Neck Fractures in the Emergency Department: A Systematic Review - Volume 18 Issue 1 ... Femoral nerve block in extracapsular femoral neck fractures. J Bone Joint Surg Br 1995;77(6):922-923. ... Equimolar nitrous oxide/oxygen combined with femoral nerve block for emergency analgesia of femoral neck fractures. JEUR 2006; ... Femoral nerve blocks in fractures of femur: variation in the current UK practice and a review of the literature. Emerg Med J ...
Antibiotic prophylaxis for surgery for proximal femoral and other closed long bone fractures. Cochrane Database of Systematic ... Antibiotic prophylaxis for surgery for proximal femoral and other closed long bone fractures. ...
  • Radiographs are often initially negative for stress fractures, including femoral neck stress fractures. (
  • Many fixation methods have been proposed for the surgical management of pediatric diaphyseal femur fractures. (
  • Flexible intrameduallary fixation is often considered the "gold standard" for treatment of femoral shaft fractures in children between the ages of 5 and 11 years. (
  • Because many flexible nails do not have distal interlocking capability to maintain fracture length, submuscular plating, open plating and external fixation are all viable options for restoration of femoral alignment and maintenance of length in comminuted fractures. (
  • This case highlights the use of locked flexible intrameduallary stainless steel Enders nails (Smith & Nephew, Memphis, TN) for fixation of a comminuted femoral shaft fracture in a 9-year-old child. (
  • Cramer KE, Paul Tornetta III, Spero CR, Alter S, Miraliakbar H, Teefey J (2000) Ender rod fixation of femoral shaft fractures in children. (
  • Displaced fractures in healthy, active patients are best treated by reduction and internal fixation. (
  • Since the fracture occurred relatively proximally and involved the pelvis, double-plate fixation was chosen to achieve rigid fixation. (
  • The value of washers in internal fixation of femoral neck fractures with cancellous screws: A biomechanical evaluation. (
  • Internal fixation of femoral neck fractures. (
  • This study compared pediatric patients with fully displaced femoral neck fractures treated with either open reduction and internal fixation (ORIF) or closed reduction and internal fixation (CRIF). (
  • It also describes the options for failure of femoral neck fracture treatmentalong with the advantages/disadvantages for the various fixation options available for femoral neck fracture fixation. (
  • The most common mechanical failure in the internal fixation of trochanteric hip fractures is the cut-out of the sliding screw through the femoral head. (
  • The source of continued hip pain following fixation of traumatic femoral shaft fracture is not always clear. (
  • Three patients were identified with residual, disabling groin pain after femoral shaft fracture fixation following a traumatic motor vehicle accident. (
  • and operative fixation is often necessary to stabilize the fracture. (
  • We reviewed the results in 22 patients with femoral neck fractures who were managed with cannulated screw fixation in Ankara University İbn-i Sina Hospital between January 1996 and December 1997. (
  • We think immediate reduction and parallel cannulated screw fixation, femoral neck fractures can be managed effectively with low morbidity. (
  • Conclusions: Minimally invasive plate fixation for distal femur fractures after TKA showed good results. (
  • Calcaneal plate fixation of distal femoral fractures. (
  • Open reduction and internal fixation of the irreducible femoral head fracture-dislocation with miniature fragment screw fixation using a Smith-Petersen exposure. (
  • For those femoral neck fractures that are displaced (which is usually the most common presentation), treatment typically involves anatomical reduction (i.e. re-alignment of the fracture via careful manipulation under anaesthetic) followed by surgical internal fixation to stabilize the fracture (using rods, plates, pins or screws). (
  • Incomplete compression fractures, or50%, surgical fixation with dynamic hip screws is necessary. (
  • Tension or displacement fractures require immediate surgical fixation. (
  • In a patient with a major head injury and a femoral shaft fracture, intraoperative hypotension during femoral fixation has been associated with? (
  • 13. Wu Y, Watson JT, Kuldjanov D, Jackman J. Rotationally stable fixation for intertrochanteric hip fractures: the Intertan experience, surgical technique, and outcomes. (
  • We developed a decision board presenting descriptions and potential outcomes and complications of two treatment options, hemiarthroplasty (HA) and internal fixation (IF), for displaced femoral neck fractures. (
  • The treatment for displaced femoral neck fracture is a choice between internal fixation, total hip arthroplasty and hemiarthroplasty. (
  • In a 10-year follow-up of a randomized multicenter trial on 450 mentally lucid and relatively healthy patients above 70 years with displaced femoral neck fractures, patients treated with internal fixation had continuously higher rates of major complications compared to those treated with arthroplasty (46 % compared to 9 % at 10 years). (
  • Revision rates were similar after acute fracture procedures and procedures performed secondary to failed internal fixation. (
  • Contrasting, hemiarthroplasties in the Swedish Hip Arthroplasty Register performed secondary to failed internal fixation were associated with a doubled risk of re-operation compared to those performed for acute fracture. (
  • Nationwide, the proportion of hemiarthroplasty procedures for acute fractures increased from 2005 through 2009 at the expense of those secondary to failed internal fixation. (
  • Patients above 70 years, with total hip arthroplasty reported less pain and were more satisfied than those treated with internal fixation or hemiarthroplasty at a median of 14 months after the fracture. (
  • MAIN OUTCOME MEASUREMENTS: Radiographic femoral neck shortening at a minimum of 6 weeks after fixation. (
  • METHODS: We conducted a retrospective cohort study of 194 diaphyseal femoral fractures in 189 children and adolescents treated with elastic stable intramedullary nail fixation, external fixation, rigid intramedullary nail fixation, or plate fixation. (
  • Eight of the 104 patients (105 fractures) treated with elastic nail fixation underwent a reoperation (two each because of loss of reduction, refracture, the need for trimming or advancement of the nail, and delayed union or nonunion). (
  • One fracture treated with plate fixation required refixation following refractures. (
  • CONCLUSIONS: External fixation was associated with the highest rate of complications in our series of adolescents treated for a femoral fracture. (
  • Although the other three methods yielded comparable outcomes, we cannot currently recommend one method of fixation for all adolescents with a femoral fracture. (
  • The choice of fixation will remain influenced by surgeon preference based on expertise and experience, patient and fracture characteristics, and patient and family preferences. (
  • The ideal mode of fixation for patients with femoral neck fractures is not well defined in the current literature. (
  • The National Hospital Discharge Survey was used to identify femoral neck fractures in the United States between 1990 and 2007 (n = 1,155,960) treated with open reduction and internal fixation (ORIF), total hip arthroplasty (THA), or hemiarthroplasty (HA). (
  • Aim of this study was to investigate the incidence and extent of femoral shortening in non-geriatric patients after internal fixation of femoral neck fractures in relation to the clinical outcome at mid-term follow-up. (
  • Femoral neck shortening is common in non-geriatric patients after internal fixation of femoral neck fractures. (
  • To our knowledge, there are no mid-to-long-term follow-up data available regarding femoral shortening in non-geriatric patients with femoral neck fractures after internal fixation. (
  • The total costs of a displaced femoral neck fracture: comparison of internal fixation and total hip replacement. (
  • We randomised 143 patients -age 75 years or older-with displaced femoral neck fracture to either internal fixation or total hip replacement (THR) and compared the socio-economic consequences. (
  • To study whether stable fractures led to higher infection clearance, mouse femoral osteotomies were fixed with either stable or unstable fixation and the surgical site was contaminated with either Staphylococcus epidermidis ( S. epidermidis )or Staphylococcus aureus ( S. aureus )clinical isolates. (
  • Biomechanical effect of different femoral neck blade position on the fixation of. (
  • Background: Some surgeons believe that internal fixation of fractures carries too high a risk of infection in low-income countries (LICs) to merit its use there. (
  • The type B1 fractures were treated with open reduction and internal fixation in 9 hips, 6 of which were reinforced with bone grafts. (
  • These findings suggest that most cases of type B1 fracture after revision using a long stem have been treated successfully with open reduction and internal fixation. (
  • Ankle Fracture - Broken Left Fibula with Fixation Surgery. (
  • This 3D medical animation depicts a fractured (broken) ankle with a surgical fixation plate applied to it for stabilization. (
  • A variety of treatment methods have been described for repair of distal femoral physeal fractures including closed reduction and external fixation, normograde or retrograde placement of a single intramedullary pin with or without an anti-rotational Kirshner wire, multiple intramedullary pins, paired Rush pins, Steinman pins, or Kirshner wires employed in Rush pin technique, cross pins, bone plates, and lag screws. (
  • While closed reduction and external fixation may be successful in selected cases, every attempt should be made to satisfactorily stabilize the fracture internally so that early return to function is achieved and restricted joint movement is avoided. (
  • Single intramedullary pin fixation, Rush pinning and modified Rush pin technique, and cross pinning are the most commonly employed techniques used to treat Salter Type 1 and 2 fractures. (
  • Patients and Methods: Patients who were enrolled in the Fixation using Alternative Implants for the Treatment of Hip Fractures (FAITH) trial completed the 12-item Short Form Health Survey (SF-12), Western Ontario and McMaster Universities Arthritis Index, and EuroQol 5-Dimension at regular intervals for 24 months. (
  • For low-grade fractures (Garden types 1 and 2), standard treatment is fixation of the fracture in situ with screws or a sliding screw/plate device. (
  • The purpose of this study was to develop a decision board to elicit preferences for treatment of displaced femoral neck fractures in patients over 60 years old. (
  • The decision board is a useful and reliable tool to inform patients about the treatment options for displaced femoral neck fractures. (
  • Treatment of displaced femoral neck fractures is one of the most important, yet controversial, topics in the orthopedic literature. (
  • In addition to investigating this issue, the focus of this thesis was on identifying the optimal treatment methods for patients with this displaced femoral neck fractures, regarding choice of implant and surgical technique. (
  • In collaboration between the Swedish Hip Arthroplasty Register and the National Hip Fracture Register, all Swedish patients with displaced femoral neck fractures during 2009 received a mailed patient-reported outcomes questionnaire (79 % response rate). (
  • The results presented in this thesis support the use of arthroplasty as primary treatment for displaced femoral neck fractures and indicate that use of total hip arthroplasties could be increased even further. (
  • Displaced femoral neck fractures comprise more than a third of all hip fractures. (
  • Linhart WE, Roposch A (1999) Elastic stable intramedullary nailing for unstable femoral fractures in children: preliminary results of a new method. (
  • Dynamic Stress Fluoroscopy (DSF) For Evaluation of the Femoral Neck after Intramedullary Nails: Improved Sensitivity for Identifying Occult Fractures. (
  • Inclusion criteria were patients treated with an intramedullary rod (antegrade/retrograde), age ≥18 years, a fine-cut (2 mm) preoperative computed tomography and hip radiographs, intraoperative anteroposterior (AP)/lateral fluoroscopic view of the femoral neck before femoral nailing, and a minimum follow-up of 3 months. (
  • Four days after consultation, she tripped and sustained a transverse fracture of the left femur and underwent uneventful femoral intramedullary nailing (Figures 3(a) and 3(b) ). (
  • For femoral shaft fractures, reduction and intramedullary nailing is currently recommended. (
  • Locked intramedullary femoral nailing without fracture table or image intensifier. (
  • The present retrospective study aims to evaluate the outcome in 41 patients of femoral shaft fractures, who had closed intramedullary nailing in lateral decubitus position without fracture table or image intensifier. (
  • The cannulated reamer in proximal fragment (as intramedullary joystick) and Schanz screw in the distal fragment (as percutaneous joystick) were simultaneously used to assist closed reduction of the fracture without the use of image intensifier. (
  • We are of the opinion that the present technique is a safe and reliable alternative to achieve closed locked intramedullary nailing and is best suited to stable, less comminuted (Winquist-Hansen types I and II) diaphyseal fractures of the femur. (
  • Heffernan MJ, Leclair W, Li X. Use of the F-Tool for the removal of a bent intramedullary femoral nail with a sagittal plane deformity. (
  • Fractures were created at the mid-diaphysis of the right femur by a blunt trauma and internally fixed using an intramedullary steel wire. (
  • Femurs of 12 male Sprague-Dawley rats at 9 weeks of age were fractured and fixed with an intramedullary 1.1 mm K-wire. (
  • 52 fractures were nailed intramedullary. (
  • We reserved the intramedullary nailing for ideal cases like the transverse and the short oblique fractures in the middle 3/5 of the shaft. (
  • This classification is used with regards to management decision making, in determining whether a fracture requires an intramedullary nail or open reduction. (
  • 1. Winquist RA, Hansen Jr ST. Comminuted fractures of the femoral shaft treated by intramedullary nailing. (
  • When can pts with a comminuted femoral shaft fractures treated with statically locked intramedullary nails of appropriate diameter be WBAT? (
  • 5. Hoffmann S, Paetzold R, Stephan D, Püschel K, Buehren V, Augat P. Biomechanical evaluation of interlocking lag screw design in intramedullary nailing of unstable pertrochanteric fractures. (
  • TRIGEN INTERTAN intramedullary nail versus sliding hip screw:a prospective, randomized multicenter study on pain, function, and complications in 684 patients with an intertrochanteric or subtrochanteric fracture and one year of follow-up. (
  • A Multicenter Randomized Control Trial Comparing a Novel Intramedullary Device (InterTAN) Versus Conventional Treatment (Sliding Hip Screw) of Geriatric Hip Fractures. (
  • 15. Zehir S, Sahin E, Zehir R. Comparison of clinical outcomes with three different intramedullary nailing devices in the treatment of unstable trochanteric fractures. (
  • AIM In order to assess the effect of osteoporosis on healing time, the files of 165 patients with femoral shaft fractures that were treated in our institution with locked-reamed intramedullary nailing were retrospectively reviewed. (
  • Complications after intramedullary nailing of femoral fractures in a low-income country. (
  • Patients and methods: 137 patients with 141 femoral fractures that were treated with intramedullary (IM) nailing were included. (
  • A single intramedullary pin should provide excellent alignment and stability if the opposing surfaces of the fracture interlock following anatomic reduction. (
  • In addition, femoral intramedullary pins existing the trochanteric fossa have been associated with sciatic nerve injury. (
  • Classification of femoral neck stress fractures. (
  • Predisposing factors, such as anatomic variations, relative osteopenia, poor physical conditioning, systemic medical conditions that demineralize bone, or temporary inactivity, can make bone more susceptible to stress fractures. (
  • As reported by Monteleone, studies have indicated that women have an increased incidence of stress fractures, which may be the result of anatomic variations. (
  • Markey reported that Hersman et al documented women have a higher incidence of stress fractures. (
  • Stress fractures, especially in trabecular bone, have shown a decrease in bone mineral content. (
  • Stress fractures of the femoral neck are uncommon, but they may have serious consequences. (
  • Markey reported that femoral neck fractures comprise 5-10% of all stress fractures. (
  • [ 5 ] Certain groups of athletes, including long-distance runners who suddenly change or add activities, appear to have a higher prevalence of femoral neck stress fractures compared with the general population. (
  • [ 6 ] Brukner reported that women have a higher rate of stress fractures than men, with relative risks ranging from 1.2 to 10 for similar training volumes. (
  • DeFranco MJ, Recht M, Schils J, Parker RD. Stress fractures of the femur in athletes. (
  • Femoral neck stress fractures: outcome analysis at minimum five-year follow-up. (
  • Surgical treatment of displaced stress fractures of the femoral neck in military recruits: a report of 42 cases. (
  • Stress fractures of the femoral neck and coxa vara. (
  • Femoral Neck Stress Fractures and Imaging Features of Femoroacetabular Impingement. (
  • Atypical tensile-sided femoral neck stress fractures: the value of magnetic resonance imaging. (
  • NSAIDs should not be used in treatment of stress fractures. (
  • Functional Outcomes Following Surgical Management of Femoral Neck Stress Fractures. (
  • Early diagnosis of femoral neck stress fractures may decrease incidence of bilateral progression and surgical interventions: A case report and literature review Early intervention in femoral neck stress fractures (FNSFs) can be self- limiting, but they have an insidious presentation. (
  • Recently, however, there is an emerging concern regarding long bone stress fractures secondary to long-term alendronate intake. (
  • Computed tomography reveals bilateral femoral stress fractures. (
  • Stress fractures occur slowly over time with repetitive motion. (
  • Stress fractures in joggers are relatively common. (
  • Although the metatarsals and tibia are the most commonly affected sites, an estimated 1% of stress fractures occur at the femoral neck. (
  • The changes on the x-ray are typical of bisphosphonate-related stress fractures, which can go onto complete fractures. (
  • I went to the sports doc to check out possible femoral stress fracture or quad strain, but the doc couldn't tell, and didn't feel my symptoms were bad enough to warrant a bone scan, but given I've had tibial stress fractures in the past I'd like to figure this out. (
  • Femoral neck stress fractures have devastating consequences if not detected and treated early, since as much as 60% of athletes diagnosed fail to return to pre-injury performance levels. (
  • There are 3 classifications of femoral neck stress fractures. (
  • Stress fractures may be incomplete or complete, and either non-displaced or displaced. (
  • whereas, femoral shaft stress fractures are low-risk. (
  • Stress fractures occur in bones that undergo mechanical fatigue. (
  • Stress fractures were first described in Prussian soldiers by Breithaupt in 1855. (
  • They were named "march fractures" and their characteristics were confirmed 40 years later with the advent of radiography.In 1958, Devas made the first report on stress fractures in athletes. (
  • Stress fractures are injuries that occur when repetitive and excessive stress on a bone is combined with limited rest. (
  • Femoral neck stress fractures make up approximately 11% of stress injuries in athletes. (
  • There are 2 types of femoral neck stress fractures: tension-type (or distraction) fractures and compression-type fractures. (
  • Stress fractures of the femoral shaft are well documented in the literature, and in one study among military recruits, they represented 22.5% of all stress fractures. (
  • Stress fractures of the femur can occur in the whole bone like the neck, shaft and the condyles.Femoral stress fractures mainly develop on the medial compression side of the femoral shaft, within the proximal and middle thirds of the bone. (
  • When the patient doesn't adapt his or her training, certain stress fractures could lead to complications, even to the point of complete femoral fractures of the head or shaft [13] [14] . (
  • Osteonecrosis of the jaw and hypocalcemia have been reported in patients treated with denosumab, but there have been few reports of atypical femoral fracture (AFF). (
  • Location of atypical femoral fracture can be determined by tensile stress distribution influenced by femoral bowing and neck-shaft angle: a CT-based nonlinear finite element analysis model for the assessment of femoral shaft loading stress. (
  • Loading stress due to individual variations in femoral morphology is thought to be strongly associated with the pathogenesis of atypical femoral fracture (AFF). (
  • Stress fracture of the pelvis and lower limbs including atypical femoral fractures-a review. (
  • In a study of such patients published in the Journal of Bone and Mineral Research , investigators found that 8.3% of patients had atypical femoral fractures, which are a rare type of femoral stress fracture. (
  • The researchers also found a strong association between use of bisphosphonates and risk of atypical femoral fractures. (
  • Previous studies have linked bisphosphonates use to atypical femoral fractures in patients with osteoporosis. (
  • Our work shines light on the necessity for clinicians to better identify this subgroup of patients with atypical fractures around a femoral implant as they may benefit from different therapies,' said senior author Dr. Etienne Belzile, of CHU de Québec - Université Laval, in Canada. (
  • Although osteoporotic fracture rates can be reduced by bisphosphonates, prolonged therapy is associated with higher risk of atypical femoral fractures. (
  • We aimed to determine whether atypical femoral fractures also confer excess mortality. (
  • The fractures were classified as either atypical or ordinary. (
  • We estimated multivariable-adjusted relative risks of death after atypical femoral fractures compared with ordinary subtrochanteric or femoral shaft fractures and calculated age- and sex-standardized mortality ratios (SMRs) for atypical and ordinary fractures compared with the population average. (
  • During a mean of 4 years of follow-up, 39 of 172 (23%) patients with an atypical fracture had died compared with 588 of 952 (62%) with an ordinary fracture, corresponding to a relative risk of 0.51 (95% CI 0.38-0.68). (
  • No patient with atypical fracture died in the first year after fracture. (
  • We conclude that in contrast to ordinary subtrochanteric and femoral shaft fractures, atypical femoral fractures are not associated with excess mortality. (
  • Increasing numbers of atypical femoral fractures have been reported among long-term bisphosphonate users. (
  • We evaluated clinical characteristics of atypical femoral fractures throughout Korean multicenter studies. (
  • We retrospectively analysed the bone mineral density, prodromal symptoms before femoral fracture, and medication history of osteoporosis in 76 cases of atypical femoral fracture. (
  • With regard to the delayed union, the methods of the acceleration of fracture healing may be beneficial in atypical femoral fracture patients who had been receiving long-term bisphosphonates therapy. (
  • Careful observation is required for contra-lateral femurs due to a high incidence of bilateral atypical femoral fractures. (
  • ASBMR Updates Report on Atypical Femoral Fractures: Discussion with Task Force Co-chairs Elizabeth Shane, M.D. and David Burr, Ph.D. (
  • Earlier this year, an update to the ASBMR Task Force on Atypical Femoral Fractures (AFF) seminal 2010 report was published on JBMR ® Online . (
  • Irreversible bone loss places the patient at a higher risk for fractures. (
  • Bone scanning or magnetic resonance imaging may be necessary to rule out a stress fracture. (
  • In the x-ray film for this patient, no changes were seen, but a bone scan showed an obvious compression stress fracture of the right femoral neck. (
  • Pelvic X-ray showed thickening of the bone cortex at the lateral boarders of bilateral femur, and femoral CT showed faint fracture line in bilateral femur. (
  • Implant selection is traditionally based upon the fracture pattern, fracture location, presence of comminution or segmental bone loss, and patient weight and age. (
  • Fractures of the short, constricted portion of the thigh bone between the femur head and the trochanters. (
  • The treatment of these fractures depends on the age of the patient, fracture displacement, bone quality, timing of surgery and activity level of the patient. (
  • Recently, however, there is a concern regarding long bone insufficiency fractures related to long-term alendronate therapy. (
  • The bone scan raised the possible diagnosis of a healing stress fracture. (
  • A femoral fracture is a break in the thigh bone. (
  • Bearing weight on the leg will depend on how severe fracture is and what support has been attached to the bone. (
  • A child with a fracture may need to be checked over time to make sure the bone heals the right way and keeps growing. (
  • A femoral fracture is a break in the thigh bone, which is called the femur. (
  • Some fractures cause pieces of bone to separate. (
  • Following surgery, some patients experience a broken bone around the implants of a total hip replacement--called a periprosthetic femoral fracture. (
  • A femoral fracture is a bone fracture that involves the femur. (
  • The fracture may be classed as open, which occurs when the bone fragments protrude through the skin, or there is an overlying wound that penetrates to the bone. (
  • Fractures of the inferior or distal femur may be complicated by separation of the condyles, resulting in misalignment of the articular surfaces of the knee joint, or by hemorrhage from the large popliteal artery that runs directly on the posterior surface of the bone. (
  • The bone is re-aligned, then a metal rod is placed into the femoral bone marrow, and secured with nails at either end. (
  • Presents a letter to the editor in response to the article "Effect of Oral Alendronate on Bone Mineral Density and Incidence of Fractures in Postmenopausal Osteoporosis," by U. A. Liberman and colleagues in a 1993 issue of the "New England Journal of Medicine. (
  • A letter to the editor is presented in response to the article "Bone loss from the hand in women following distal forearm fracture," by B. M. Ingle and R. Eastell from a 2001 issue. (
  • A letter to the editor is presented in response to the article "Low bone mineral density and fracture burden in post-menopausal women," by A. Cranney, S. A. Jarnal and J. F. Tsang in the previous issue. (
  • Hip replacement with a collum femoris preserving (CFP) prosthetic stem allows the preservation of the femoral neck and preserves bone tissues as much as possible for prosthetic revision in the future. (
  • Skelly JD, Lange J, Filion TM, Li X, Ayers DC, Song J. Vancomycin-bearing synthetic bone graft delivers rhBMP-2 and promotes healing of critical rat femoral segmental defects. (
  • Calcium content and alkaline phosphatase activity in the femoral-diaphyseal tissues were significantly decreased in rats with fracture healing, while bone acid phosphatase activity and protein content were markedly increased. (
  • There was no radiographic evidence of any pathological bony lesion at the site of the fracture, and serum biochemistry excluded any metabolic bone disease. (
  • To evaluate the influence of nandrolone decanoate on fracture healing and bone quality in normal rats. (
  • Nandrolone decanoate is an AAS used in the musculoskeletal system to improve bone mass, resistance to fracture, and muscular tropism 3 - 9 . (
  • In modern society bone fractures affects young people (sports, work and traffic accidents) and older people (fall and fragile bones). (
  • There are currently a limited number of studies assessing the role of nandrolone decanoate on fracture healing despite its well-recognized positive effect on bone quality and muscular tropism 3 , 4 . (
  • While there are uptake on the bone scan (sternum, ribs) consistent with metastatic disease the symmetrical bilateral femoral uptake is not typical. (
  • A femoral neck fracture is a condition characterized by a break in the neck of the femur (thigh bone). (
  • Femoral neck fractures are particularly common in elderly patients who have poor balance (i.e. are prone to falls) and have reduced bone density due to osteoporosis. (
  • Due to the strength of the femoral bone, a femoral neck fracture usually requires a large amount of force in healthy young adults. (
  • Fractures were treated with the combinations of bone morphogenetic protein-7 and/or zoledronate. (
  • The results indicate the feasibility of SAXS in the investigation of mineral structure of bone fracture callus and provide complementary information with the composition analyzed with FTIR. (
  • If it's a tension stress fracture (on top of the bone) this is very serious. (
  • My GP won't send me for a bone density test either, despite getting now 6 fractures since 2004, running 60K/week with no speedwork (only LT) in those years. (
  • The femoral circumflex arteries supply blood through the femoral neck to the femoral head and upper hip bone. (
  • Bone scintigraphy further confirms the fracture. (
  • Laboratory blood tests for metabolic abnormalities in calcium or phosphate levels indicate whether low bone density is a cause of fracture. (
  • However age-related complications such as decreased bone mineral density (BMD) are emerging early, resulting in fragility fractures. (
  • Delayed union was defined as a fractured bone that did not completely heal within six months of injury. (
  • Fracture healing in general is associated with shortening of the affected bone. (
  • Calcium and vitamin D in bone fracture healing and post-traumatic bone turnover. (
  • Low-dose lithium regimen enhances endochondral fracture healing in osteoporotic rodent bone. (
  • Normal strain at the fracture surface, the minimum principal strain in the cancellous bone, and the von Mises stress in the implant itself were calculated and compared between different blade positions. (
  • The volume of cancellous bone strained to yielding in the femoral head and neck was lower for the inferior and posterior positions, whereas it was the highest for the superior position. (
  • This study showed that patients aged 55-70 years with a displaced femoral neck fracture had lower bone density and higher comorbidity compared with a gender- and age-matched population without femoral neck fractures. (
  • One was revised because of stem breakage, and the other was a transverse fracture associated with poor bone quality, which received a femoral revision with a long stem and a plate. (
  • This failed case had a bone defect at the fracture site, and revision surgery using a cementless long stem and allografts was successful. (
  • However, a transverse fracture with very poor bone quality might be considered as a type B3 fracture, and femoral revision might be a treatment of choice. (
  • The site of the fracture, stability of the prosthesis, and the quality of bone stock are the three most important parameters used in the Vancouver classification to guide the surgeon in making a decision about the treatment of these fractures. (
  • The femoral neck is a flattened pyramidal process of bone, connecting the femoral head with the femoral shaft, and forming with the latter a wide angle opening medial ward. (
  • The incision around 10.00 cm was taken from the outside of the affected area, the femoral neck on small trochanter of the patient was cut off and then the bone was taken out for measurement. (
  • The fracture can range from a small crack to a full break that allows part of the bone to separate. (
  • The dog had sustained a mid-shaft fracture of the right femur five years ago in a traffic accident, which was initially managed unsuccessfully with the application of external stabilization, and was later successfully treated using a bone plate and screws. (
  • Radiographs revealed a fracture of the mid-shaft of the femur, under the bone plate, increased radiodensity of the surrounding soft tissues and the presence of bone spicules out of the limits of the femur. (
  • in the vast majority of cases, a hip fracture is a fragility fracture due to a fall or minor trauma in someone with weakened osteoporotic bone. (
  • Most hip fractures in people with normal bone are the result of high-energy trauma such as car accidents, falling from heights, or sports injuries. (
  • In elderly patients with displaced or intracapsular fractures many surgeons prefer to undertake a hemiarthroplasty, replacing the broken part of the bone with a metal implant. (
  • Accuracy of hospital activity analysis data in estimating the incidence of proximal femoral fracture. (
  • Rees J L . Accuracy of hospital activity analysis data in estimating the incidence of proximal femoral fracture. (
  • To provide information on reducing the incidence of periprosthetic fractures during hip replacement with the CFP prosthetic stem by analyzing the risk factors for periprosthetic fractures and their effects on hip functional recovery. (
  • In femoral shaft fractures what is the incidence of femoral neck fractures and how often are they missed? (
  • OBJECTIVES: To describe the incidence and magnitude of femoral neck fracture shortening in patients age younger than 60 years. (
  • 1-8 Although the incidence appears to have decreased over recent decades, there is a projected exponential increase in the incidence of hip fractures over the next 30 years in the baby boomer population. (
  • The bilateral femoral fractures developed in 23 (30.2 %) of 76 patients and showed a high incidence in the group medicated more than three years (two/23 vs 21/23, p = 0.039). (
  • The aim of the study was to evaluate the incidence and extent of femoral shortening in relation to the clinical outcome in non-geriatric patients with femoral neck fractures treated with osteosynthesis. (
  • Therefore, the aim of the present thesis was to study the incidence, mechanism of injury and treatment methods of patients with tibial and femoral shaft fractures. (
  • [12] The highest incidence is seen at the femoral neck. (
  • National epidemiological data on characteristics of patients with femoral shaft fractures are lacking, so the purpose of this study was to analyse the incidence, admissions, causes of fracture and operations for these fractures on a nationwide basis in Sweden during 1998-2004. (
  • Sex- and age-specific fracture incidence, hospital admissions, mechanisms of injury and surgical procedures were analysed using descriptive analysis, linear-regression analysis and other methods as appropriate. (
  • RESULTS: Over a period of 7 years, 6409 patients with femoral shaft fractures were identified, corresponding to an annual incidence of 10 per 100,000 person-years. (
  • DISCUSSION: This nationwide study on femoral shaft fractures provides an update on incidence, admissions, external causes and surgical procedures. (
  • Fractures involving the distal femoral physis are relatively common in immature dogs and cats with the greatest incidence occurring between the ages of 5 and 8 months. (
  • Kocher MS (2010) American Academy of Orthopaedic Surgeons clinical practice guideline on treatment of pediatric diaphyseal femur fracture. (
  • At four months postoperatively, the left femur fracture showed good radiological union (Figure 3(c) ). (
  • Muscles weakness and imbalance are common after a femur fracture. (
  • We investigated whether early and continuous use of femoral nerve block can improve pain on movement and mobility after surgery in older participants with fragility neck of femur fracture. (
  • Male rats were assigned to four groups (n=28/group): Control group consisting of animals without any intervention, Nandrolone decanoate (DN) group consisting of animals that received intramuscular injection of nandrolone decanoate, Fracture group consisting of animals with a fracture at the mid-diaphysis of the femur, and Fracture and nandrolone decanoate group consisting of animals with a femur fracture and treatment with nandrolone decanoate. (
  • If the neck-shaft angle is smaller than normal hips, we observed that collum femoris is broken and if the neck-shaft angle is bigger than normal hips, then intertrochanteric femur fracture occurs. (
  • The present study we sought to evaluatethe external validity of an RCT comparing the results of total hip arthroplasty tohemiarthroplasty in displaced femoral neck fracture in patients 80 years of age and above. (
  • The treatment of choice for femoral neck fractures and the use of total hip arthroplasty (THA) 11 have been a topic of debate. (
  • Periprosthetic femoral fractures are becoming increasingly common and are a major complication of total hip arthroplasty and hemiarthroplasty. (
  • To compare total hip arthroplasty and hemiarthroplasty in elderly patients with femoral neck fracture. (
  • Hemiarthroplasty and total hip arthroplasty have different effect on the treatment of elder patients with femoral neck fractures, thus making it necessary to determine the surgical plan according to the patient's situation. (
  • In this paper, research on the elderly patients with femoral neck fractures admitted to hospital from 2015 to 2017 was conducted to seek appropriate treatment plan (hemiarthroplasty or total hip arthroplasty) as shown below. (
  • A metaanalysis [ 1 ] revealed a median dislocation rate of 10,7% in femoral neck fracture patients treated with THA (total hip arthroplasty), five time higher as compared to arthroplasty for osteoarthritis. (
  • Femoral shaft fracture-emergency management. (
  • Available at: (
  • Fibrinolytic capacity of arm and leg veins after femoral shaft fracture and acute myocardial infarction. (
  • Radiographs were reviewed for all patients ≥55 years of age who had experienced a subtrochanteric or femoral shaft fracture in Sweden in 2008-2010. (
  • The purpose of this study was to describe cases of intra-articular hip pathology following traumatic femoral shaft fracture. (
  • Three patients presented with symptomatic intra-articular hip pathology following traumatic ipsilateral femoral shaft fracture. (
  • Residual pain following ipsilateral femoral shaft fracture is not always related to implant. (
  • Residual hip pain can be present in some patients after appropriate healing of the femoral shaft fracture. (
  • Given the high energy associated with these injuries, it is possible that the patient can sustain both a femoral shaft fracture and a subluxation of the hip joint. (
  • In a high energy femoral shaft fracture what radiographs should be obtained? (
  • When would plating be an indication for a femoral shaft fracture? (
  • In a patient with a femoral shaft fracture with ipsilateral femoral neck, what is the order that the fractures are stabilized? (
  • During retrograde IM nailing of femoral shaft fracture which screw position places branches of the femoral nerve and deep femoral artery at greatest risk during placement of the interlocking screw? (
  • There was still persistent pain in the right femur and a definite linear lucency in the lateral femoral cortex on plain radiographs. (
  • Radiograph of both femurs showing stress fracture and lateral cortical thickening. (
  • From March 2006 to October 2008, closed diaphyseal fractures of the femur (AO type 32) in 41 nonconsecutive patients were stabilized without the use of image intensifier on ordinary operation table in lateral decubitus position and were retrospectively evaluated. (
  • A nail for the osteosynthesis of fractures of femoral necks, formed of a resilient pre-curved rod having an inner end engageable into the medullary cavity of the femur through a lateral perforation drilled through the inner side of said femur in the vicinity of the process thereof and an outer end which remains exterior to said femur. (
  • A letter to the editor is presented in response to the article "Integrity of the Lateral Femoral Wall in Intertrochanteric Hip Fractures: An Important Predictor of a Reoperation. (
  • A response by H. Palm, S. Jacobsen, S. Sonne-Holm, and P. Gebuhr to a letter to the editor on their article "Integrity of the Lateral Femoral Wall in Intertrochanteric Hip Fractures: An Important Predictor of a Reoperation" is presented. (
  • In 2 of the patients, an indentation on the lateral femoral head was appreciated, which was hypothesized to be caused by a subluxation event. (
  • Weight-bearing loads create compressive forces on the inferior-medial aspect and tensile forces on the superior-lateral aspect of the femoral neck. (
  • the newly developed INTERTAN intertrochanteric antegrade nail improves rotational fracture stability and allows for intraoperative interfragmentary compression, thereby reducing the erosion of the fracture surfaces between the lateral end of the neck fragment and the trochanteric region that might result in uncontrolled collapse with the risk of shortening. (
  • For example, the new report emphasizes that, at their point of initiation in the lateral femoral cortex, AFF are transverse to the longitudinal axis of the femur, but may become oblique as they extend across the femoral shaft. (
  • In 123 cases a standard stem was used (Original M. E. Müller® straight standard stem with a neck-shaft-angle of 135°, Zimmer, Inc.), but in two cases a high offset version was inserted (Original M. E. Müller® straight lateral stem with a neck-shaft-angle of 135°, Zimmer, Inc.). In one patient a nickel-free straight femoral component was used (Smith & Nephew, London, UK). (
  • Femoral neck fractures in young patients are usually caused by high-energy trauma. (
  • A femoral fracture is usually caused by direct trauma to the femur. (
  • Femoral fractures may also be caused by low-impact trauma or spontaneous breaks from weakened bones. (
  • Fractures of the diaphysis, or middle of the femur, are managed differently from those at the head, neck, and trochanter Fractures are commonly obvious, since femoral fractures are often caused by high energy trauma. (
  • Femoral shaft fractures occur during extensive trauma, and they can act as distracting injuries, whereby the observer accidentally overlooks other injuries, preventing a thorough exam of the complete body. (
  • Traction should not be used in femoral neck fractures or when there is any other trauma to the leg or pelvis. (
  • Since femoral shaft fractures are associated with violent trauma, there are many adverse outcomes, including fat embolism, acute respiratory distress syndrome (ARDS), multisystem organ failure, and shock associated with severe blood loss. (
  • citation needed] Femoral shaft fractures occur in a bimodal distribution, whereby they are most commonly seen in males age 15-24 (due to high energy trauma) and females aged 75 or older (pathologic fractures due to osteoporosis, low-energy falls). (
  • Fractures of the femoral neck in children are rare injuries that typically result from high-energy trauma and account for fewer than 1% of all pediatric fractures. (
  • A total of 463 patients undergoing hip fracture (hip hemiarthroplasty) surgery in a level II trauma teaching hospital between January 2011 and May 2016 were included. (
  • During a 6-year period (from January 2000 until August 2006), 72 patients with fractures of the femoral head (OTA 31C) were treated at a level I trauma center. (
  • Femoral neck fractures are most common in daily orthopaedic trauma practice. (
  • We reviewed the admission data of our Level I trauma department and identified non-geriatric patients (18-65 years) with femoral neck fractures treated with either DHS or cancellous screws between 2007 and 2015 ( n = 163). (
  • INTRODUCTION: Femoral shaft fractures are commonly thought to be primarily associated with high-energy trauma in young persons. (
  • A significant number of fractures occurred among elderly patients after low-energy trauma. (
  • 60 years) with unilateral femoral neck fracture treated by hemiarthroplasty at a single tertiary trauma referral center (university hospital). (
  • Initially the patient presented with groin pain and radiographs demonstrated a non-displaced compression type fracture of the right femoral neck without any inciting events. (
  • Fracture left femur at the level of stress fracture site, immediate postoperative, and three months postoperative radiographs. (
  • Prevalence of traumatic hip and pelvic fractures in patients with suspected hip fracture and negative initial standard radiographs--a study of emergency department patients. (
  • Excluded from the study were 16 patients who had fractures that were not fully displaced, 4 who were outside of the eligible age range, 1 who had insufficient radiographs, and 10 who had insufficient follow-up. (
  • Surgeons confronted with proximal femoral fractures should carefully scrutinize preoperative radiographs to assess the primary fracture geometry and fracture classification. (
  • Radiographs of the right hip showed a displaced basocervical fracture of the right femoral neck, which had collapsed into varus, with a neck shaft angle of 110° (fig 1). (
  • 5 In our case, no initial radiographs were taken and there was an eight week delay in diagnosis, by which time the fracture had displaced and collapsed into varus angulation (fig 1). (
  • Exclusion criteria included no available contact information, pathological fracture, incomplete postoperative clinical records and/or radiographs, concomitant or previous surgery of the ipsilateral and/or contralateral femur, and secondary arthroplasty. (
  • A trial of non-surgical management can be attempted for patients without a visible fracture line on radiographs in compression type injuries. (
  • A 43 year-old female runner suffered a displaced right femoral neck stress fracture that failed to heal with conservative treatment. (
  • The right femoral neck angle was measured as 118 degrees and the left 132 degrees. (
  • A 80-year-old female had cementless bipolar hip hemiarthroplasty due to a right femoral neck fracture. (
  • Wehren LE, Magaziner J. Hip fracture: risk factors and outcomes. (
  • The secondary aim of this study was to examine the related clinical outcomes after a delirium developed post-hip fracture surgery. (
  • This study aimed to assess the effects of SIH and DH on the mortality outcomes of traumatic femoral fracture patients with NDN and DN. (
  • Purpose: To evaluate the outcomes of the treatment of distal femoral fractures using minimally invasive plate osteosynthesis following total knee arthroplasty (TKA). (
  • Surgical procedures and experimental outcomes of closed fractures in rodent models. (
  • To study the causes and outcomes of patients with interprosthetic femoral fractures. (
  • What are the outcomes of ORIF of femoral shaft fractures with plates vs IM nailing? (
  • This study describes the recent trends in surgical management of femoral neck fractures with an analysis on perioperative outcomes. (
  • Despite superior functional outcomes reported in THA, this study found a decreased utilization of THA in all age groups along with an increase in adverse events and nonroutine discharges for patients with femoral neck fractures treated with THA. (
  • 8,9 Given that these fractures have a significant impact on patient morbidity, mortality, and quality of life, research efforts have been directed toward optimizing the treatment of affected patients and improving the outcomes. (
  • Background: Fractures of the tibial and femoral shafts are common injuries with outcomes depending on injury mechanism, fracture pattern, patient-specific data and treatment methods. (
  • We report a retrospective review of the outcomes of treatment of 11 periprosthetic fractures after femoral revision using a long stem. (
  • The case of a 14-year-old football player who sustained a Salter-Harris III fracture of his medial femoral condyle is presented to illustrate the classic natural history and prognosis of this injury. (
  • Compression-type fractures are seen in younger athletes and involve the inferior-medial femoral neck. (
  • Injuries to the distal femoral epiphysis are not common, but when they do occur, at least half of them occur in sports. (
  • Jr Fractures of the distal femoral epiphyses. (
  • Traumatic separation of the distal femoral epiphyseal cartilage plate. (
  • This is due in part to the fact that the distal femoral metaphysis has four projections that correspond to four similar deep depressions in the epiphysis in the dog while in the cat, the projections are flatter and do not interdigitate as deeply with the corresponding epiphyseal depressions. (
  • Normograde pinning of distal femoral physeal fractures is less likely to induce sciatic nerve injury then retrograde pinning. (
  • Osteoporosis-related fractures are a major public health problem and one in two women and one in four men are affected with osteoporosis-related fractures. (
  • Osteoporosis-related fractures are a major public health problem mainly in postmenopausal women and the elderly. (
  • The lifelong risk of having a fracture related to osteoporosis is one in two for women and one in four for men. (
  • Falls, osteoporosis, and hip fractures. (
  • Two patients with moderate renal failure sustained spontaneous bilateral hip fractures during treatment with fluoride, calcium, and vitamin D for osteoporosis. (
  • The most common clinical presentation of a femoral neck fracture is in older patients (greater than 60) who have weakened bones due to conditions such as osteoporosis, or sometimes, malignancy. (
  • Ioannidis G, Papaioannou A, Hopman WM et al (2009) Relation between fractures and mortality: results from the Canadian multicentre osteoporosis study. (
  • Papaioannou A, Kennedy CC, Ioannidis G, CaMos Study Group et al (2009) The impact of incident fractures on health-related quality of life: 5 years of data from the Canadian multicentre osteoporosis study. (
  • The influence of osteoporosis in femoral fracture healing time. (
  • Finally, the results suggests that anterolateral surgical approach and cemented implants are preferable in fracture-related arthroplasty surgery. (
  • Conclusions: Nationwide epidemiological data on patients with tibial and femoral shaft fractures can be used by healthcare providers to plan hospital beds, surgical interventions, risk preventions and centralization of more complicated injuries. (
  • We retrospectively identified 265 consecutive geriatric hip fracture patients who underwent surgical treatment. (
  • A displaced femoral neck fracture (FNF) in patients 55-70 years is a serious injury with a high risk of treatment failure and the optimal surgical treatment remains unclear. (
  • Patients with these fractures have a high risk of subsequent surgical complications, reduced function, hip pain and reduced health-related quality of life. (
  • e.g. surgical approach, choice of implant, and orientation of the acetabular and femoral components. (
  • Varus in the neck-shaft angle is a predictor for femoral neck fracture and valgus is a predictor for intertrochanteric fracture. (
  • In younger children, comminution and length stability of the fracture often dictate implant selection as well as the use of adjunctive postoperative cast immobilization to prevent shortening at the fracture site. (
  • Conclusions Early application of continuous femoral nerve block compared with standard systemic analgesia did not result in improved dynamic pain score or superior postoperative ambulation. (
  • A multidisciplinary, multifactorial intervention program reduces postoperative falls and injuries after femoral neck fracture. (
  • This study evaluates whether a postoperative multidisciplinary, intervention program, including systematic assessment and treatment of fall risk factors, active prevention, detection, and treatment of postoperative complications, could reduce inpatient falls and fall-related injuries after a femoral neck fracture. (
  • Standardized postoperative pelvic computed tomography scans revealed that all 7 femoral head fractures were accurately reduced. (
  • To evaluate the effect of continuous femoral nerve catheter (CFNC) for postoperative pain control in geriatric proximal femur fractures compared with standard analgesia (SA) treatment. (
  • We report a case of bilateral femoral insufficiency fractures likely related to long-term alendronate therapy, the classic symptoms, signs, and treatment of these fractures. (
  • We present a case of bilateral femoral shaft insufficiency fractures secondary to long-term alendronate therapy. (
  • As bilateral femoral neck fractures are very rare these data suggest a causal link between fractures and fluoride in patients with renal failure. (
  • Data were extracted from a prospective hip fracture database and completed by retrospective review of the hospital records. (
  • 14. Yu W, Zhang X, Zhu X, Hu J, Liu Y. A retrospective analysis of the InterTan nail and proximal femoral nail anti-rotation-Asia in the treatment of unstable intertrochanteric femur fractures in the elderly. (
  • Fully displaced pediatric femoral neck fractures treated with ORIF had a significantly higher quality of reduction, with fewer complications, including osteonecrosis, than those treated with CRIF. (
  • 5 ] recently reported that computerized navigation has the potential for increasing precision in fracture reduction while minimizing fluoroscopic requirements, but this facility is not universally available. (
  • The purpose of this study was to analyse the cut-out complication with respect to the following variables: patients' age, fracture type, fracture reduction, implant positioning and implant design. (
  • non-anatomical reduction, non-optimal lag screw position and the characteristic fracture pattern found. (
  • A typical cut-out complication in our study is represented by an unstable fracture involving the trochanteric and cervical regions or the combination of both, non-anatomical reduction and non-optimal screw position. (
  • After the reduction of the fracture, the surgeon perforates in the process or apophysis 6 of the femur 1 a hole 7 which, starting from the inner side 6a of the process, opens into the medullary cavity 4. (
  • The patient underwent closed reduction and fracture stabilisation using a dynamic hip screw and four hole 135° plate. (
  • Closed reduction of this fracture-dislocation should not be attempted. (
  • Patients with successful healed fractures reported more pain and reduction of mobility at four months than those successfully treated with arthroplasty, and they never attained a better result than the latter. (
  • Preprosthesis fracture of femoral and loosening of the femoral prosthesis during closed reduction of hip dislocation: A case report. (
  • However, closed reduction leads to preprosthesis fracture of femoral and loosening of femoral prosthesis is a rare situation, which requires incision reduction and a revision hemiarthroplasty. (
  • The patient had preprosthesis fracture and loosening of the prosthesis during closed reduction. (
  • Eventually, the patient had an open reduction and femoral stem revision. (
  • Closed reduction should be performed gently to avoid preprosthesis fracture and loosening of the prosthesis. (
  • The ultimate goal of treatment should be accurate reduction and rigid stabilization of these fractures with as little iatrogenic damage to the germinal cells of the physis and their blood supply as possible. (
  • Proximal femoral fractures in arthrodesed hips need to be recognized as a fracture between the pelvis and femur. (
  • Critical factors in cut-out complication after Gamma Nail treatment of proximal femoral fractures. (
  • Femoral neck fractures are a subset of proximal femoral fractures. (
  • Fracture of the femoral neck continues to be a vexing clinical and therapeutic challenge for the orthopedic surgeon. (
  • We present a case with persistent clinical and radiological non-union signs where the fracture eventually united after 32 months. (
  • Femoral neck fractures remain a difficult clinical problem for orthopaedic surgeons. (
  • We present a rare clinical case of a 90-year-old female who sustained a proximal femoral neck fracture following long-standing hip arthrodesis. (
  • A 2015 Cochrane review found that available evidence for treatment options of distal femur fractures is insufficient to inform clinical practice and that there is a priority for a high-quality trial to be undertaken. (
  • The investigation is an open, randomized clinical study of individuals suffering from a proximal femoral fracture. (
  • To define the unique clinical and radiographic features, operative treatment, and complications of irreducible femoral head fracture-dislocation without associated posterior wall fracture. (
  • Irreducible femoral head fracture-dislocations without associated posterior wall fractures occur rarely, but are heralded by unique clinical and radiographic features. (
  • Polytrauma patients showed a significantly slower limb rehabilitation, a longer hospitalisation and a worse clinical result than patients with isolated fractures. (
  • The purpose of this study was to identify the clinical and radiographical features of periprosthetic femoral fractures after revision using a long stem. (
  • In clinical, adequate preparation should be made before treating femoral neck fractures with artificial hip replacement, especially for the treatment of the elderly patients [ 1 , 2 ]. (
  • this substantially limits the clinical applicability of hemiarthroplasy in the treatment of femoral neck fracture. (
  • The clinical features are presented of 17 fractured Charnley femoral prostheses occurring over a period of about ten years and arising from some 6,500 operations, with more than a 3 1/2 year follow-up. (
  • Retrieved 2017-04-23.CS1 maint: multiple names: authors list (link) Area of subtrochanteric fractures: Mark A Lee. (
  • Patients were excluded if they had a pathological fracture, an open fracture from another etiology, or if they were treated after 10 days from the day of fracture. (
  • Pathological fracture of femoral neck in a middle-aged woman: a rare presentation of primary hydatid cyst disease in humans -- Salman et al. (
  • PATIENTS AND METHODS Patients with open fractures, pathological fractures, revision surgery, severe brain injuries and prolonged ITU stay were excluded. (
  • A comparison of hemiarthroplasty with a novel polycarbonate-urethane acetabular component for displaced intracapsular fractures of the femoral neck: a randomised controlled trial in elderly patients. (
  • We undertook a randomised controlled trial to compare bipolar hemiarthroplasty (HA) with a novel total hip replacement (THR) comprising a polycarbonate-urethane (PCU) acetabular component coupled with a large-diameter metal femoral head for the treatment of displaced fractures of the femoral neck in elderly patients. (
  • Evaluation of proximal femoral nail-antirotation and cemented, bipolar hemiarthroplasty with calcar replacement in treatment of intertrochanteric femoral fractures in terms of mortality and morbidity ratios. (
  • This study aims to assess the mortality and morbidity rates of patients with intertrochanteric femoral fractures who were performed proximal femoral nail-antirotation (PFNA) or cemented, bipolar hemiarthroplasty with calcar replacement. (
  • Both PFNA and cemented, bipolar hemiarthroplasty with calcar replacement are good techniques in treatment of intertrochanteric femoral fractures. (
  • Radiograph showing a tension-side, completed femoral neck stress fracture. (
  • Treatment options vary based on femoral neck stress fracture type and severity. (
  • Implementation of a standardized protocol to manage elderly patients with low energy pelvic fractures: can service improvement be expected? (
  • Orthopaedic surgeons are now frequently confronted with periprosthetic fractures in elderly patients after revision surgery using a long stem. (
  • 100 cases of elderly patients with femoral neck fractures enrolled in our hospital from October 17, 2015 to March 17, 2017 were selected and divided into 2 groups (Group A and Group B) randomly with 50 patients in each group. (
  • The best strategy for the treatment of displaced femoral neck fracture in elderly patients remains unclear. (
  • We examined the influence of pre-existing radiographic osteoarthritis of the hip on the short-term functional outcome after hemiarthroplasy for displaced femoral neck fracture in elderly patients. (
  • There have been concerns about long-term arthroplasty complications such as aseptic loosening and periprosthetic fracture. (
  • the former due to dislocation, infection and periprosthetic fracture, the latter mainly due to periprosthetic fracture. (
  • The investigators aimed to compare the costs and consequences of 'routine perioperative fluid therapy' and 'GDHT in terms of morbidity, mortality, length of hospital stay, activity of daily living, health related quality of life, cognitive functions and need of social services and up till 12 months following operations of proximal femoral fracture at elderly. (
  • The development of delirium after hip fracture surgery was subsequently found to be a significant predictor of admission to a nursing home and mortality after 1 year. (
  • Ordinary fragility fractures are linked to high mortality rates. (
  • This study demonstrated that SIH and DH patients with traumatic femoral fractures had higher mortality when compared with NDN patients, but not when compared with DN patients, with or without adjustment of the differences in patient's age, sex, co-morbidities, and injury severity. (
  • Interpretation: This cohort study indicates a higher mortality rate but comparable hip functionand quality-of-life among eligible non-consenters compared to eligible consenters whenevaluating the external validity of a RCT patients with femoral neck fracture age 80 andabove. (
  • Femoral neck fracture (FNF) is a great challenge for today´s health care and is associated with high mortality and morbidity in the elderly. (
  • Objective Fractured neck of femur is a severely painful condition with significant mortality and morbidity. (
  • Hip fracture is one of the diagnoses that increases with age and it has become a major problem, both for those suffering a fracture and for society due to the large numbers involved, the morbidity with complications such as falls, functional decline, and the high mortality rate among those affected. (
  • Femoral neck fracture is the most common form of hip fracture, with mortality rates of up to 36%, and annual treatment costs estimated to be between $10-$15 billion in the U.S. alone. (
  • Similar mortality rates in hip fracture patients over the past 31 years: A systematic review of RCTs. (
  • The aftermath of hip fracture: discharge placement, functional status change, and mortality. (
  • Haentjens P, Magaziner J, Colon-Emeric CS et al (2010) Meta-analysis: excess mortality after hip fracture among older women and men. (
  • range 55 to 98 years) who were treated due to proximal femoral fracture between January 2008 and January 2011 were compared retrospectively in terms of intraoperative mortality, total mortality, and monthly distribution of mortality rates. (
  • After institutional review board approval was obtained, the authors identified 53 patients who were treated for femoral neck fracture between 2003 and 2012. (
  • Our study concerns patients treated for femoral neck fracture in the Kaunas Medical University Hospital from July 2004 to July 2008. (
  • DISSERTATIONS.SE: Arthroplasty for Femoral Neck Fracture. (
  • Arthroplasty for Femoral Neck Fracture. (
  • Introduction: The use of a cementless femoral stem in hip arthroplasty for femoral neck fracture in a geriatric population is discussed. (
  • Recognition of the disabling complications of femoral neck fractures requires meticulous attention to detail in their management. (
  • Wroblewski, B. M. 1984-05-01 00:00:00 Two hundred five Charnley low-friction arthroplasties (LFA) were performed in 205 patients for late complications of femoral neck fractures. (
  • BACKGROUND: The optimal management of femoral fractures in adolescents is controversial. (
  • A letter to the editor is presented which describes a method for K-wire capping using nelaton rubber catheter for comminuted or complex intra-articular fractures of the finger. (
  • Swart E, Konopka G, Gardner TR, O J, Greisberg J. A rat model of chondrocyte death after closed intra-articular fracture. (
  • Unfortunately this can lead to displacement of an initially undisplaced fracture. (
  • In severe femoral fractures (with bony displacement), an obvious deformity may be noticeable. (
  • Compression fractures are less severe and can be managed conservatively for full recovery while tension fractures are more severe and have greater risk of displacement. (
  • Displacement fractures result from unchecked progression of compression or tension fractures. (
  • Even when adjusting for initial fracture displacement, fractures treated with SHS + derotation screw shortened an average of 2.2 mm more than fractures treated with screws alone (P = 0.03). (
  • The orthopaedic specialist will advise the patient as to which management is most appropriate based on a number of factors, including the location, severity and type of femoral neck fracture. (
  • Seven (9.7%) patients had irreducible femoral head fracture-dislocations without associated posterior wall acetabular fractures and underwent operative management. (
  • Based on our findings we do not recommend the use of the PCU acetabular component as part of the treatment of patients with fractures of the femoral neck. (
  • The aim of our study was to investigate the dislocation rate in acute femoral neck fracture patients operated with a posterior approach with cemented conventional or dual articulation acetabular components. (
  • We conclude that the use of a cemented dual articulation acetabular component significantly reduces the dislocation rates in femoral neck fracture patients operated via posterior approach. (
  • We are not aware of any reports on the use of dual articulation acetabular components in femoral neck fractures. (
  • In an attempt to quantify the use of THA in the treatment of femoral neck fractures and demonstrate the national trends, Miller and colleagues 5 pooled the American Board of Orthopaedic Surgery (ABOS) database and analyzed the treatment trends of surgeons taking part II of the ABOS examination from 1999 to 2011. (
  • Percentage (%) of patients with their fracture healed six months after the fracture day and 18 weeks after treatment began. (
  • At six, 12 and 18 months after the fracture, 21%, 14% and 11% of the patients respectively, were still getting prescribed opioids. (
  • Results : Study I: 10,627 admissions for tibial shaft fractures corresponding to an annual IR of 17/100,000 pyr were identified. (
  • Study IV: A total of 2,571 patients with isolated tibial shaft fractures were identified, of whom 25% filled prescriptions of strong opioids after the fracture. (
  • The fracture was fixed with 3 AO 6.5 mm cannulated screws in an inverted triangle. (
  • Randomised study to determine the effect of HA coating on the stability of lag screws used to reduce femoral neck fractures. (
  • Objective: A new device for the treatment of intertrochanteric fractures that uses 2 cephalocervical screws in an integrated mechanism allowing linear intraoperative compression and rotational stability of the head/neck fragment has been developed. (
  • Seventy-one percent were male, 75% were displaced fractures, and 78% were treated with cancellous screws. (
  • 0.001), and fractures treated with SHS + derotation screw shortened more than fractures with cancellous screws alone (10.7 vs. 5.5 mm, P = 0.03). (
  • Reviewing our admission data, we identified non-geriatric patients (18-65 years) with femoral neck fractures treated with either dynamic hip screw or cancellous screws between 2007 and 2015. (
  • HealthDay News) - For young children with diaphyseal femoral fractures, treatment with a single-leg spica cast is safe and effective, and facilitates patient care and function compared with double-leg spica casting. (
  • Dirk Leu, MD, from the Johns Hopkins Hospital in Baltimore, and colleagues conducted a prospective, randomized controlled study involving 52 patients, aged 2-6 years, with a diaphyseal femoral fracture. (
  • This guideline has been developed to provide a framework in which suitably trained staff assess and where appropriate administer a femoral nerve block to a child with a closed diaphyseal femoral fracture and fast track their transfer to Buxton ward. (
  • In a known mode of osteosynthesis of such fractures a pre-curved rod or nail of small diameter is engaged into the medullary cavity of the femur in such a manner that its end portion becomes placed in the fractured zone. (
  • Owing to the relative flexibility of such a nail, three of them are generally used for the same fracture so as to realize a sufficiently rigid armature. (
  • FIG. 1 is a diagrammatical section of a fractured femur, illustrating how a nail according to the invention is disposed in the meddulary cavity. (
  • A locking nail for treating femoral fractures has a generally cylindrical proximal portion to be positioned in the medullary canal. (
  • The present invention relates to a locking nail for treating femoral fractures in the medium and trochanter region. (
  • What are the pros and cons of a piriformis entry nail for femoral neck fractures? (
  • What are risk factors for rotational deformity when placing IM nail for femoral shaft fxs? (
  • 6. Berger-Groch J, Rupprecht M, Schoepper S, Schroeder M, Rueger JM, Hoffmann M. Five-Year Outcome Analysis of Intertrochanteric Femur Fractures: A Prospective Randomized Trial Comparing a 2-Screw and a Single-Screw Cephalomedullary Nail. (
  • 11. Zhang S, Zhang K, Jia Y, Yu B, Feng W. InterTan nail versus Proximal Femoral Nail Antirotation-Asia in the treatment of unstable trochanteric fractures. (
  • A finite element model of a femur/nail construct was utilized to analyze five possible blade positions in the femoral head. (