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.
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer ...
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.
Skeletal Traction Pins, Full Pin with Cove Point,Full pin skeletal traction pins with cove point.,medicine,medical supply,medical supplies,medical product
Skeletal Traction Pins, Half Pin with Cove Point,Half pin skeletal traction pins with cove point.,medicine,medical supply,medical supplies,medical product
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
Fractures are commonly obvious, since femoral fractures are often caused by high energy trauma. Signs of fracture include ... because femoral neck fractures can lead to osteonecrosis of the femoral head. The fracture may be classed as open, which occurs ... pathologic fractures due to osteoporosis, low-energy falls). In Germany, femoral fractures are the most common type of fracture ... A femoral fracture is a bone fracture that involves the femur. They are typically sustained in high-impact trauma, such as car ...
... Posterior view. *"Prevention and Management of Hip Fracture on Older People. Section 7: Surgical ... "Subtrochanteric Hip Fractures". Retrieved 2017-04-25. Updated: Jun 22, 2016 Area of femoral neck fractures: Page 333 in: Paul ... A fracture of the femoral neck is classified as a type of hip fracture. It is often due to osteoporosis; in the vast majority ... The femoral neck (femur neck or neck of the femur) is a flattened pyramidal process of bone, connecting the femoral head with ...
Introduced in 1935, this system was the first biomechanical classification for femoral neck fractures, and is still in use. An ... Joshua Blomberg (3 July 2014). "Femoral Neck Fractures". Orthobullets. Archived from the original on 5 August 2020. Retrieved ... 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- ... increasing angle leads to a more unstable fracture and an increase in the shear stress at the fracture site. This shear leads ...
Green's Fractures in Adults. pp. 1579-1586. Wikimedia Commons has media related to Hip fractures. Fractures of the Femoral Neck ... Femoral head fractures are a rare kind of hip fracture that may also be the result of a fall but are more commonly caused by ... This treatment can also be offered for displaced fractures after the fracture has been reduced.[citation needed] Fractures ... "Fractures of the femoral neck (31-B)". OA Foundation. Archived from the original on 27 April 2017., citing: Rüedi TP, Buckley ...
... 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 ...
"Early versus delayed stabilization of femoral fractures. A prospective randomized study". J Bone Joint Surg Am. 71 (3): 336-340 ... EAC prescribes that definitive management of unstable axial skeleton and long bone fractures should only be undertaken within ... when studies showed early definitive fixation of long bone fractures lead to better outcomes, with a reduction in incidence of ... "External fixation as a bridge to intramedullary nailing for patients with multiple injuries and with femur fractures: damage ...
"AO/OTA classification of proximal femoral fractures , Radiology Reference Article ,". Radiopaedia. Retrieved 12 ... A Revolution in Fracture Care, 1950s-1990s". The Journal of Bone and Joint Surgery, American Volume. 85 (3): 588. doi:10.2106/ ... "The History of the treatment by extension of fractures of long bones". Digital Commons at UNMC. University of Nebraska Medical ... It consisted primarily on reducing fractures and stabilizing them with splints and plaster, followed by traction. By the time ...
Femoral fracture Kenneth Koval; Joseph Zuckerman (2000). Hip Fractures: A Practical Guide to Management. Springer Science & ... The Evans-Jensen classification is a system of categorizing intertrochanteric hip fractures based on the fracture pattern of ... v t e (Hip fracture classifications, All stub articles, Orthopedics stubs). ...
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 ...
Doctors diagnosed a fracture of the femoral neck. She was transported to Roosevelt Hospital where, against the advice of her ...
Hip spicas were formerly common in reducing femoral fractures. Spica casts are used for treating hip dysplasia (developmental ... It is used to facilitate healing of injured hip joints or of fractured femurs. A hip spica includes the trunk of the body and ...
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. ...
... s are more likely to suffer femoral fractures and it is hypothesized to be caused from a weakness of ... Femoral condylar fractures in four continental giant breed rabbits. Journal of Small Animal Practice. doi:10.1111/jsap.13417. v ...
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 ...
Bone: alendronate has been linked in long-term users to the development of low-impact femoral fractures. Further, studies ... Lenart BA, Lorich DG, Lane JM (March 2008). "Atypical fractures of the femoral diaphysis in postmenopausal women taking ... Fosamax has been linked to a rare type of leg fracture that cuts straight across the upper thigh bone after little or no trauma ... Kwek EB, Goh SK, Koh JS, Png MA, Howe TS (February 2008). "An emerging pattern of subtrochanteric stress fractures: a long-term ...
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 Lidocaine Mallinson, Tom (2019). "Fascia iliaca compartment block: a short how-to guide". Journal of ...
Fracture, (or non-union) of the femoral neck. Coxa Vara (the angle between the femoral neck head and shaft is less than 120 ...
Superior femoral neck stress fractures, if left untreated, can progress to become complete fractures with avascular necrosis, ... Stress fractures can be described as small cracks in the bone, or hairline fractures. Stress fractures of the foot are ... When compared to other stress fractures, anterior tibial fractures are more likely to progress to complete fracture of the ... A stress fracture is a fatigue-induced bone fracture caused by repeated stress over time. Instead of resulting from a single ...
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 ...
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 ... 1], KneeHipPain (1998) Cipriano (2002), p 356 Lau & Ramachandran (2006) "Tibial Tubercle Fractures". Archived from the original ...
Moreover, pregnancy is a well-recognized risk factor for femoral neck fatigue fracture. While fibular and metatarsal fractures ... as in scaphoid fracture). Of the three types of occult fractures mentioned above, the latter two, fatigue fracture secondary to ... the risk of insufficiency fracture. Pelvic, sacral, and proximal femoral fractures are of increasing significance especially ... In a bony region with a high proportion of cancellous bone (e.g., femoral neck), a fatigue fracture appears as an ill-defined ...
"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. "Meconium ...
... rare cases of knee insufficiency fracture in non-weight-bearing femoral condyle". Clinical Imaging. 58: 80-83. doi:10.1016/j. ... There are three fracture sites said to be typical of fragility fractures: vertebral fractures, fractures of the neck of the ... Pathological fractures present as a chalkstick fracture in long bones, and appear as a transverse fractures nearly 90 degrees ... Fragility fracture is a type of pathologic fracture that occurs as a result of an injury that would be insufficient to cause ...
210 Fractures of the Femoral Neck in Elderly Patients with hyperparathyroidism. Clinical Orthopaedics 229 (1988), 125-130 ...
Of note, femoral neck fractures, femoral head fractures, and incarcerated fracture fragments preventing joint reduction are ... when associated with femoral head fractures). Anterior dislocations is when the femoral head lies anteriorly after dislocation ... Fractures of the femoral head and other loose bodies should be determined prior to reduction. ... Femoral head fractures accompany 10% of posterior dislocations and 25-75% of anterior dislocations. Lastly, recurrent ...
May be caused by a valgus force combined with axial loading that leads to the lateral femoral condyle being driven into the ... Tibial plateau fractures may be divided into low energy or high energy fractures. Low energy fractures are commonly seen in ... The fracture pattern of the condyles is variable and all types of fractures can occur. This is a high energy injury with a ... Approximately half of the people who sustain a tibial plateau fracture are aged over 50 years old. "Fractures of the Proximal ...
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. ...
It originates from the lateral edge of the medial femoral condyle and the roof of the intercondyle notch then stretches, at a ... These include cartilage/meniscus injuries, bone bruises, ACL tears, fractures, posterolateral injuries and collateral ligament ...
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, ...
SCFE is a Salter-Harris type 1 fracture through the proximal femoral physis. Stress around the hip causes a shear force to be ... Slipped capital femoral epiphysis (SCFE or skiffy, slipped upper femoral epiphysis, SUFE or souffy, coxa vara adolescentium) is ... Slipped Capital Femoral Epiphysis at eMedicine Kaneshiro, Neil. "Slipped capital femoral epiphysis". U.S. National Library of ... femoral neck). Because the physis has yet to close, the blood supply to the epiphysis still should be derived from the femoral ...
... team threw in the towel due to Saunders having suffered a fractured orbital bone as a result of an uppercut landed by Álvarez. ... "I share that today I had to undergo an arthroscopic surgery to repair the internal femoral cartilage and eliminate a ...
... shaped appearance known as an Erlenmeyer flask deformity Alternating radiolucent femoral metaphyseal bands Pathologic fractures ... Failure of remodeling of the distal femoral and proximal humeral metaphyses giving the affected bones a funnel ...
"Comparison of Mechanical Properties and Fracture Behaviour of Co-Base and Ni-Base Alloys - available online" (PDF). "Femoral ... Femoral components (10 various types of cobalt-based knee replacements). "Czech Business Register". "Regional Online Magazine ... spinner disks for insulation wool and femoral components), cryogenic technology (helium expansion turbines, compressors and ...
The presence of radiolucent area in the epiphyseal region and flattening of the femoral condyle can be found in late stages of ... and tibial plateau fracture. SONK usually has a sudden onset of knee pain, while osteoarthritis has a progressive, gradual ... Spontaneous osteonecrosis of the knee is the result of vascular arterial insufficiency to the medial femoral condyle of the ...
138: Fracture Dislocations of the Upper End of the Humerus". The Lancet. London. 206 (5323): 512-1054. doi:10.1016/S0140-6736( ... April 1923). "A Note on the Operation for the Radical Cure of Femoral Hernia". British Journal of Surgery. London: John Wright ... January 1922) [1916]. On Modern Methods of Treating Fractures (2nd ed.). New York: William Wood and Company. pp. 1-435. hdl: ... Hey Groves experimented with grafts and pins to stabilise the fractures and used medical illustrators to record the operations ...
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 ... National Institute for Health and Care Excellence (UK). Mughal, M. Zulf (26 June 2014). "Fractures in Children with Cerebral ... Children with CP are prone to low trauma fractures, particularly children with higher Gross Motor Function Classification ...
This process takes place over months to years and eventually causes disabling arthritis, particularly of the femoral head (hip ... Symptomatic lesions usually involve joint surfaces, and fracture where attempted healing occurs. ... in the femoral head (hip), 40% in the lower end of the femur (lower thigh at the knee) and 15% in the upper tibia (knee below ... Divers who have suffered from DON are at increased risk of future fracture of a juxta-articular lesion during a dive, and may ...
... limited incision plating technique in management of clavicle fracture and describing new patterns of distal clavicle fractures ... TIRR Memorial Hermann Journal "Osseointegration: A New Solution for Trans-femoral Limb-loss Patients". TIRR Memorial Hermann ... This article by Al Muderis describes the seriousness of missing to diagnose radial head fractures and properly treat them. ... Arthroscopically assisted fixation of the lesser trochanter fracture: a case series. This paper presents the first three cases ...
Increased wound pain Increased scar formation Risk of fracturing the patella during harvesting of the graft Increased risk of ... and Anterolateral Ligament Reconstruction With Quadriceps Tendon Autograft and Gracilis Allograft Through a Single Femoral ...
... such as a slipped capital femoral epiphysis in the hip. This is a Salter I or II fracture with the deforming forces directed ... Colles fracture is a common fracture in people with osteoporosis, second only to vertebral fractures.[citation needed] ... A Colles' fracture is a type of fracture of the distal forearm in which the broken end of the radius is bent backwards. ... The term Colles fracture is classically used to describe a fracture at the distal end of the radius, at its cortico-cancellous ...
The Redskins lost right tackle Jon Jansen for the year when he fractured his ankle in the second quarter. GameBook at Lincoln ... critically wounding him by severing his femoral artery. His girlfriend tried to call the police from the house line, but ...
In 1808 he tried the same with the external iliac artery for a femoral aneurysm and in 1817 he ligated the aorta for an iliac ... Dislocations and Fractures (1822); Lectures on Surgery (1824-1827); Illustrations of Diseases of the Breast (1829); Anatomy of ...
Sacral insufficiency fractures are an infrequent but often disabling cause of severe low back pain. At times, the pain can be ... The interventional radiologist gains access through a large vein in the groin, called the femoral vein, by using a small ... Sacral insufficiency fractures result from an axial loading mechanism on abnormal bone, such as osteoporosis or underlying ... When possible, these catheters are placed in the right internal jugular vein, but the left internal jugular and femoral veins ...
... and a lateral femoral condylar fracture during an 81-127 blowout loss to the Toronto Raptors hosted on February 23. This injury ...
Open fractures take longer to heal, and infection will delay union. For tibial fractures union is generally achieved after ... Patil S, Montgomery R (2006). "Management of complex tibial and femoral nonunion using the Ilizarov technique, and its cost ... This is particularly relevant for open fractures. For open comminuted fractures of the tibial plateau the use of circular ... For simpler fractures where no deformity is present the struts may still be adjusted post-surgery to achieve better bone ...
However, fractures and septic synovial structures (such as an infected joint pouch or tendon sheath) can also cause non-weight ... Suprascapular nerve damage will lead to atrophy of the main muscles of the shoulder (sweeny). Femoral nerve paralysis causes ... For example, racehorses are more likely to have fatigue-related injuries such as stress fractures and injury to the flexor ... Hind limb lameness or pelvic fracture can cause unilateral atrophy of the middle gluteal or gracilis muscles. Damage to the ...
2015). "Time to Surgery is Associated with Thirty-day and Ninety-day Mortality after Proximal Femoral Fracture: A Retrospective ... "Different reimbursement influences surviving of hip fracture in elderly patients". Injury. 42 (2): 128-132. doi:10.1016/j. ... Observational Study on Prospectively Collected Data from the Danish Fracture Database Collaborators". The Journal of Bone and ... an innovative research that explored different reimbursement methods to influence higher survivability among hip fracture ...
An ultrasound with a blood clot visible in the left common femoral vein. (The common femoral vein is distal to the external ... Minor injuries, lower limb amputation, hip fracture, and long bone fractures are also risks. In orthopedic surgery, venous ... DVT most frequently affects veins in the leg or pelvis including the popliteal vein (behind the knee), femoral vein (of the ... Iliofemoral DVT has been described as involving either the iliac or common femoral vein; elsewhere, it has been defined as ...
Slipped capital femoral epiphysis (SCFE) is a condition in which the growth plate of the head of the femur slips over the ... Accidental or deliberate physical trauma may result in either a fracture, muscle bruising, or a contusion. It is the leading ... Other important causes are infectious arthritis, osteomyelitis, and slipped capital femoral epiphysis in children.[citation ... such as septic arthritis or slipped capital femoral epiphysis, may be present. The diagnostic approach involves ruling out ...
Scintigraphy (A), sagittal T1 (B), and coronal PD fat sat of a patient with a subchondral fracture of the femoral head with ... Femoral torsion is the angle between a line along the femoral head and neck axis and a second line that is touching the ... Flattening of the femoral head in a patient with Perthes disease. Step in the femoral head-neck junction in a patient with SCFE ... These fractures were diagnosed by bone marrow edema and a low signal fracture line, mainly on T1 or T2 weighted images (Figure ...
JavaScript is disabled for your browser. Some features of this site may not work without it ...
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 ...
Non Operative Treatment of Supracondylar Femoral Fractures. Non Operative Treatment of Supracondylar Femoral Fractures. - ... Supracondylar femoral fractures in the frail elderly. Fractures in need of treatment. ... few indications, except in elderly and osteoporotic patients w/ low energy extra-articular fractures;. - these fractures have a ...
... has been recommended for femoral neck fractures in order to avoid complications and reduce mortality rate, regardless of ... be useful in order to better assess risk related factors of patients requiring surgical treatment for femoral neck fracture. ... There were 101 lateral fractures (30%) and 235 medial fractures (70%); 148 right fractures (44%) and 188 left fractures (56%). ... Yeoh, C.J.C. and Fazal, M.A. (2014) ASA Grade and Elderly Patients with Femoral Neck Fracture. Geriatric Orthopaedic Surgery & ...
SafetyLit is produced by the SafetyLit Foundation in cooperation with San Diego State University and the World Health Organization.
Fracture below the trochanters (subtrochanteric femoral fracture) - Femoral shaft fracture - Femoral head fracture - Fracture ... The following fractures are shown on the hip joint: - Medial femoral neck fracture - Lateral femoral neck fracture - Fracture ... Fracture or avulsion of the lesser trochanter (avulsion fracture of the lesser trochanter) Femoral fracture and hip ... Femoral Fracture Anatomy Model. (No reviews yet) Write a Review Write a Review. ...
... their ability to forget about the knee joint after knee fracture is compromised. We identified several important risk factors ... Although knee fracture patients have relatively high knee function and quality of life, ... Distal femoral fracture; EQ5D-5L; Forgotten Joint Score-12; Oxford Knee Score; Patellar fracture; Proximal tibial fracture. ... Comorbidity burden, distal femoral fracture, and treatment with external fixation and knee arthroplasty were risk factors for ...
... there has been an increase in the incidence of hip fractures from 1.17 per 1000 females ,60 years old in 1965 to 1.5 per 1000 ... The incidence of hip fractures rises with increasing age, doubling for each decade beyond 50 years of age. With the increase in ... Cancellous Screw Fixation for Femoral Neck Fractures: One Hundred and Sixteen Patients. KBL Lee, TS Howe, HC Chang ... There were 104 (90%) cases of undisplaced (Garden 1 and 2) fractures and 12 (10%) displaced (Garden 3 and 4) fractures. The ...
Retrieval of fractured cemented femoral stems. In: Journal of Bone and Joint Surgery - Series A. 1989 ; Vol. 71, No. 6. pp. 918 ... Retrieval of fractured cemented femoral stems. Journal of Bone and Joint Surgery - Series A. 1989;71(6):918-919. doi: 10.2106/ ... title = "Retrieval of fractured cemented femoral stems",. author = "Welch, {R. B.} and McGann, {W. A.} and T. Floyd and Picetti ... Welch, R. B., McGann, W. A., Floyd, T., & Picetti, G. D. (1989). Retrieval of fractured cemented femoral stems. Journal of Bone ...
We undertook a comparative biomechanical study of type B1 fractures around the femoral prosthesis following cemented hip ... Fixation of periprosthetic femoral shaft fractures associated with cemented femoral stems: a biomechanical comparison of locked ... were used to fix a B1 fracture model with a femoral periprosthetic fracture. Axial compression and torsion experiments were ... Kang L, Liu H, Ding Z, Ding Y, Hu W, Wu J. Ipsilateral proximal and shaft femoral fractures treated with bridge-link type ...
She was immediately brought to a partner veterinary clinic for radiographs and it was determined that she has a fractured femur ...
Can plate osteosynthesis of periprosthethic femoral fractures cause cement mantle failure around a stable hip stem? A ... Dive into the research topics of Can plate osteosynthesis of periprosthethic femoral fractures cause cement mantle failure ...
Thirty-one (94%) of the femoral shaft fractures healed primarily. In two patients, the shaft fracture failed to unite and was ... Ipsilateral fractures of the femoral neck and shaft.. Wiss DA Sima W Brien WW. ... Nailing Femoral Shaft Fractures: Starting Point Tips & Tricks - Anjan R. Shah, MD (CSOT #29, 2016) ... However, only 27 (82%) of the femoral neck fractures healed after initial fixation. In six patients (18%), a symptomatic varus ...
... the bulk indentation and fracture resistance properties of the inferomedial femoral neck in osteoporotic fracture, severe OA ... In addition, osteoporosis or osteoarthritis do not seem to further influence fracture toughness of the inferomedial femoral ... The femoral neck, in close proximity to the most pertinent osteoporotic fracture site and near the hip joint affected by ... detects differences between cortical bone from the femoral neck of healthy, osteoporotic fractured and osteoarthritic hip ...
Femoral shaft fractures are a common orthopedic injury occurring in high energy trauma or low energy trauma in the elderly. ... Femoral shaft fractures are frequently associated with other comorbidities necessitating a thorough trauma life support ... Outline the common complications of femoral shaft fracture treatment. *Explain the importance of improving care coordination ... among the interprofessional team to enhance the functional outcome for patients with femoral shaft fractures. ...
... ... Title : Incidence of femoral fractures in postmenopausal women. Before and after water fluoridation. Personal Author(s) : ... Incidence of femoral fractures in postmenopausal women. Before and after water fluoridation. ... Hospitalization for fractures and bone loss in adults. Why do we regard these phenomena as dull? Cite ...
During fixation of a femoral neck fracture in a 23-year-old male patient with cannulated screws, a broken guide wire fragment ... femoral nail hole. Chin J Traumatol. 2014; 17(1):50-3.. 11. Koval K, Zuckerman J. Hip fractures: a practical. guide to ... During fixation of a femoral neck fracture in a 23-year-old male patient with cannulated screws, a broken guide wire fragment ... "Intrapelvic Protrusion of a Broken Guide Wire Fragment during Fixation of a Femoral Neck Fracture". The Archives of Bone and ...
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. ... 3] Of those patients who develop stress fractures, about 5-10% of the fractures are in the femoral neck. [8] Stress fractures ...
A review of the presentation and management of femoral neck stress fractures by Dr. Aimee Monahan, Dr. Brendan Parker, and Dr. ... Femoral neck stress fracture (FNSF). *Pearl: FNSF diagnosis is difficult because the physical exam is non-specific. Patients ... Pearl: There are two sites where the stress fracture can occur.*Compression side (inferior femoral neck) which is seen in this ... Tension side (superior femoral neck). These fractures are less common but require surgical fixation [1,2].*Orthopedics should ...
keywords = "Avascular necrosis, Femoral head, Femoral neck, MRI, Stress fracture",. author = "Jean, {J. L.} and Tang, {H. L.} ... Early diagnosis of femoral neck stress fractures using MRI : A case report and review of the literature. / Jean, J. L.; Tang, H ... Early diagnosis of femoral neck stress fractures using MRI: A case report and review of the literature. Formosan Journal of ... Early diagnosis of femoral neck stress fractures using MRI : A case report and review of the literature. In: Formosan Journal ...
Subject: Femoral neck fracture Hello All, A female 40 y.o. transferred to us from elsewhere. Two weeks ago she stumbled at home ... Fracture treatment may also be more a function of the pathological entity than the fracture pattern. Osteopetrosis tarda seems ... With a pathological fracture primary emphasis should be on the pathological condition and secondary empahsis on the fracture ... Rather than a fatigue fracture, I would look for a pathological fracture and rule out either metastases or metabolic disease. ...
keywords = "Athletic hip injuries, Fatigue fracture, Femoral neck stress fracture, Stress fracture, Tensile stress fracture", ... Atypical tensile-sided femoral neck stress fractures: The value of magnetic resonance imaging. American Journal of Sports ... Atypical tensile-sided femoral neck stress fractures : The value of magnetic resonance imaging. In: American Journal of Sports ... Atypical tensile-sided femoral neck stress fractures : The value of magnetic resonance imaging. / Provencher, Matthew T.; ...
Tag: femoral trochanteric fracture. Accuracy analysis of CAS Stryker ADAPT® system for femoral trochanteric fracture using a ... Open access Accuracy analysis of computer-assisted surgery for femoral trochanteric fracture using a fluoroscopic navigation ... surgery system which intraoperatively shows the distance from the tip of the screw to the surface of the femoral head, tip-to- ...
Inas, N. E. - H., M. B. Mostafa, A. M. El Habak, and H. F. Harb, Biomechanical Studies on Femoral Fracture Repair Fixed By ... Biomechanical Studies on Femoral Fracture Repair Fixed By Different Fixation Methods in Dogs. *View ...
MODESTO, Rosana Fortunato; NASCIMENTO, Edinalva Neves e GIMENIZ-PASCHOAL, Sandra Regina. Incident of femoral fracture and ... Femoral fractures in the elderly can cause physical, emotional, family and social problems. The objective of these studies was ... Palavras-chave : care for the elderly; femoral fractures; depression; comprehensive health care; accident prevention. ... We concluded that there was a high number of hospitalizations for hip fractures and signs of depression among the elderly, ...
Atypical Femoral Shaft Fracture. Atypical, low-energy, or low-trauma fractures of the femoral shaft (see WARNINGS AND ... Atypical Subtrochanteric and Diaphyseal Femoral Fractures. Atypical, low-energy, or low-trauma fractures of the femoral shaft ... 5. Unusual thigh bone fractures.. Some people have developed unusual fractures in their thigh bone. Symptoms of a fracture may ... These fractures can occur anywhere in the femoral shaft from just below the lesser trochanter to above the supracondylar flare ...
2004). Treatment of unstable trochanteric fractures. Randomised comparison of the gamma nail and the proximal femoral nail. ... Treatment of unstable trochanteric fractures. Randomised comparison of the gamma nail and the proximal femoral nail. Journal of ... Treatment of unstable trochanteric fractures. Randomised comparison of the gamma nail and the proximal femoral nail. In: ... Treatment of unstable trochanteric fractures. Randomised comparison of the gamma nail and the proximal femoral nail. / Schipper ...
We help you select the appropriate treatment of Fracture proximal to the femoral component located in our module on Knee ...
Oakland Broken Femoral Neck Lawyers. A femoral neck fracture is a break of the bone just below the ball of the ball-and-socket ... San Mateo Femoral Neck Fracture Lawyers. Depending on the severity of the fracture, the age of the patient and the amount of ... If you or someone you love has suffered a femoral neck fracture, talk with one of the attorneys at the law firm of Galine, Frye ... This region of the bone is referred to as the femoral neck, and when a fracture occurs, the ball becomes disconnected from the ...
  • Radiograph showing a tension-side, completed femoral neck stress fracture. (
  • In cases of badly displaced femoral neck fractures, the decreased blood supply prevents these fractures from healing. (
  • Factors associated with avascular necrosis of the femoral head and nonunion in patients younger than 65 years with displaced femoral neck fractures treated with reduction and internal fixation. (
  • Ipsilateral fractures of the femoral neck and shaft. (
  • Thirty-three patients with ipsilateral intracapsular femoral neck and shaft fractures were treated with antegrade reamed intramedullary (IM) nails and cancellous screw fixation of the femoral neck. (
  • The shaft fractures were fixed prior to definitive neck stabilization. (
  • Thirty-one (94%) of the femoral shaft fractures healed primarily. (
  • Closed reamed antegrade IM nailing with supplemental screw fixation of ipsilateral femoral neck and shaft fractures did not produce uniformly successful results because of high rates of varus nonunion of the femoral neck fracture. (
  • Femoral shaft fractures are a common orthopedic injury occurring in high energy trauma or low energy trauma in the elderly. (
  • Femoral shaft fractures are frequently associated with other comorbidities necessitating a thorough trauma life support assessment and interdisciplinary care. (
  • Review the pathophysiology of femoral shaft fractures. (
  • Describe the workup of femoral shaft fractures. (
  • Outline the common complications of femoral shaft fracture treatment. (
  • Explain the importance of improving care coordination among the interprofessional team to enhance the functional outcome for patients with femoral shaft fractures. (
  • The femoral neck lies between the femoral head and femoral shaft, demarcated by the greater and lesser trochanters. (
  • In Dr. Shane's editorial, she noted that compared with typical fractures of the hip that are prevented by bisphosphonates, atypical femoral shaft fractures are rare, accounting for 2% to 4% of all hip fractures. (
  • The current study investigators indicate that several recent case reports and series have identified a subgroup of atypical fractures of the femoral shaft associated with bisphosphonate use. (
  • Alendronate use is associated with low-energy femoral shaft fractures. (
  • We performed intramedullary nailing for his femoral shaft fracture with an interlocking femoral nail made of stainless steel with fluted structure and roughened surface. (
  • Femoral neck length (NL) was defined as the distance from the cross point (B) of the shaft axis and central axis of the femoral neck (AC) to the head center (C) measured along the central axis of the femoral neck. (
  • A femoral shaft fracture is a break that occurs anywhere along the femoral shaft, long, straight part of the femur. (
  • to compress the femoral in the adductor canal, pressure should be made laterally against the medial surface of the shaft of the femur. (
  • Early surgical treatment (within 48 hours) has been recommended for femoral neck fractures in order to avoid complications and reduce mortality rate, regardless of presence and severity of comorbidity and preoperative status (ASA score). (
  • X-rays for FNSF usually are not positive early in the course and if missed can lead to complications such as complete fracture, displacement, non-union, and avascular necrosis. (
  • If the diagnosis is missed or delayed, displacement of the stress fracture may develop, and serious complications such as avascular necrosis of the femoral head, nonunion and varus deformity may occur. (
  • 2 Complications with intertrochanteric fractures arise primarily from fixation rather than union or delayed union because the intertrochanteric area is made of cancellous bones. (
  • Femoral head fractures are rare injuries often associated with poor functional outcomes and complications . (
  • The purpose of this study was to evaluate the incidence , treatment methods and approaches, complications , and functional outcomes of femoral head fractures. (
  • In this study, we report the functional outcomes and complications of all treatment approaches for femoral head fracture based on the Pipkin classification . (
  • However, the anterior approach does have some limitations, including difficulties preparing the femur, femur fractures, wound complications and injury to the sensory nerve on the front of the thigh. (
  • A 20-year-old male soldier with a compression type stress fracture of the right femoral neck was presented. (
  • Twenty four (53.3%) patients had right femoral diaphyseal fracture. (
  • What alpine adjective describes the appearance of the right femoral head and what is the cause? (
  • Mixed osteolytic and blastic lesion right femoral condyles. (
  • Clinical image : adductor muscle strain in an elderly patient with suspected femoral neck fracture. (
  • Retrieval of a broken guide wire transfixing the hip through the proximal femoral nail hole. (
  • Among the various generations of cephalomedullary nails, proximal femoral nail antirotation II (PFN A-II) is specifically designed for Asian population, with helical blade, modified proximal diameter, and modified mediolateral angle. (
  • The proximal femoral nail antirotation II (PFN A-II) utilizes a helical blade instead of the conventionally used two screws. (
  • One PTCS in the proximal neck functions as a sliding implant to provide dynamic compression during surgery, while two FTHCSs in the distal neck play the role of asymptotical sliding and as an "interosseous buttress" in the medial quadrant of the femoral neck postoperatively. (
  • A CT image showed fracture lines that radiated in three directions (posterior, medial, and lateral) and a narrow, newly formed intramedullary bone that was the same in configuration as the nail surface ( Fig. 4 ). (
  • Medial circumflex femoral artery so that the medical pro- factors as ed. (
  • Deeper glands also are met with deep to the fascia cribrosa, close to the medial side of the femoral vein, and there is generally one in the femoral canal. (
  • Comorbidity burden, distal femoral fracture, and treatment with external fixation and knee arthroplasty were risk factors for poor outcome at long-term follow-up, for all four PROMs. (
  • For all hip and femur fractures, fracture records and radiographs (when available) were reviewed to identify femur fractures below the lesser trochanter (subtrochanteric fractures) and above the distal metaphyseal flare (diaphyseal fractures). (
  • Fracture of the distal femur may involve the cartilaginous surface of the knee as well and result in arthritis. (
  • A distal femur (top part of knee joint) fracture is a break in thighbone that occurs just above your knee joint. (
  • With most distal femur fractures the surgery can be delayed unless the fracture is open to the environment. (
  • Surgical intervention is dependent on the type of fracture. (
  • Often, more than one piece of bone is broken in this type of fracture. (
  • This type of fracture is common among older adults and can be related to osteoporosis. (
  • This type of fracture may cause a complication because the break usually cuts off the blood supply to the head of the thighbone, which forms the hip joint. (
  • This type of fracture does not usually interrupt the blood supply to your bone and may be easier to repair. (
  • Another type of fracture, called a stress fracture of the hip, may be harder to diagnose. (
  • Rehabilitation of the femur fracture depends upon several factors such as age, general health of the patient and the type of fracture. (
  • IMSEAR at SEARO: Rotational Alignment of Femoral Fractures : Does Fluoroscopic Assessment of the Lesser Trochanter be Helpful? (
  • Paget's disease of bone), post-Perthes deformity, osteomyelitis, and post traumatic (due to improper healing of a fracture between the greater and lesser trochanter). (
  • When femoral prostheses are well fixed (type A, type B1, and type C), PPFx can be achieved either non-surgically or through an open reduction and internal fixation (ORIF) procedure, whereas types B2 and B3 require prosthesis revision [4,12-13]. (
  • Although the main treatment for Vancouver B1 fractures is open reduction and internal fixation, no consensus has been reached concerning the optimal method of reduction and fixation [14-17]. (
  • The autograft group included 18 patients with depressed tibial plateau fractures treated with autogenous bone grafting from the ipsilateral femoral condyle following open reduction and internal fixation. (
  • The use of autogenous graft from the ipsilateral femoral condyle following open reduction and internal fixation of depressed tibial plateau fractures provided enough bone to maintain the height of the tibial plateau and was not associated with any donor site morbidity. (
  • 2. All patients who had open reduction and internal fixation with retrograde femoral interlocking nail. (
  • This study, adds to the growing literature on femoral head fracture and provides a reference for the clinical treatment to guide patient management. (
  • What causes a femoral head fracture? (
  • The classic mechanism of injury for femoral head fracture is traumatic posterior dislocation of the hip [6]. (
  • Shear forces against the femoral head as it exits the contained acetabulum are thought to cause the femoral head fracture during hip dislocation [7]. (
  • If you sustain a femoral head fracture, you will usually not be able to walk on your leg due to pain. (
  • How is a femoral head fracture treated? (
  • The influence of ageing on the fracture mechanics of cortical bone tissue is well documented, though little is known about if and how related material properties are further affected in two of the most prominent musculoskeletal diseases, osteoporosis and osteoarthritis (OA). (
  • RPI (using the Biodent device) and fracture toughness tests were conducted on samples from the inferomedial neck of bone resected from donors with: OA (41 samples from 15 donors), osteoporosis (48 samples from 14 donors) and non age-matched cadaveric controls (37 samples from 10 donoros) with no history of bone disease. (
  • In addition, osteoporosis or osteoarthritis do not seem to further influence fracture toughness of the inferomedial femoral neck beyond natural ageing. (
  • Females with the female athlete triad (ie, disordered eating, menstrual dysfunction, premature osteoporosis) are also at increased risk for stress fractures. (
  • Patients who are being treated with bisphosphonates for osteoporosis should not stop taking their medications because of fear about these fractures," Elizabeth Shane, MD, professor of medicine, Division of Endocrinology, Columbia University College of Physicians & Surgeons, New York, NY, and author of an accompanying editorial told Medscape Diabetes & Endocrinology . (
  • It is of the utmost importance to provide some reassurance to patients and physicians about the relative rarity of these fractures and to point out that bisphosphonates are effective in treating osteoporosis and preventing fractures. (
  • Dennis Black, PhD, lead author of the current study, told Medscape Diabetes & Endocrinology , "We showed that in women with osteoporosis similar to those in these studies, the benefits of bisphosphonates in terms of fracture reduction outweigh any plausible risk. (
  • More than 1.5 million Americans have fractures each year because of osteoporosis. (
  • You are at risk for a hip fracture if you have osteoporosis. (
  • ABSTRACT Vertebral fracture, the hallmark of osteoporosis, usually occurs in postmenopausal women with low bone mineral density (BMD). (
  • Information on previous fracture in NHANES 2013-2014 is available from two sources: the osteoporosis questionnaire (OSQ_H) and the vertebral fracture assessment examination files. (
  • The osteoporosis questionnaire includes items on self-reported physician's diagnosis of hip fracture (OSQ010a), wrist fracture (OSQ010b), spine fracture (OSQ010c) and any other fracture (OSQ080). (
  • Patients with osteoporosis, bone tumor or infections, or a history of knee replacement are more prone to femur fractures. (
  • Long-term use of certain medicines, such as bisphosphonates to treat osteoporosis and other bone diseases, can increase the risk of hip fractures. (
  • Sometimes a patient's first fracture is the sentinel event that alerts the clinician to an underlying disorder leading to osteoporosis. (
  • Assessment of fracture risk and its application to screening for postmenopausal osteoporosis: synopsis of a WHO report. (
  • Osteoporosis case manager for patients with hip fractures: results of a cost-effectiveness analysis conducted alongside a randomized trial. (
  • Fractures attributable to osteoporosis:​ report from the National Osteoporosis Foundation. (
  • Osteoporosis is characterized by bone mineral density (BMD), thus increasing bone fragility and fracture risk. (
  • The BMD of the mandible was correlated with the BMD of the lumbar spine and femoral neck, in osteopenia and osteoporosis cases 8 . (
  • Early Surgery in Femoral Neck Fractures in Elderly: Does Preoperative ASA Score Matter? (
  • Femoral fractures in the elderly can cause physical, emotional, family and social problems. (
  • The objective of these studies was to identify the occurrence of hip fractures and to screening signs of depression in the elderly. (
  • We found that a period of one year, there were 94 admissions of elderly with hip fractures, mainly by falls in their homes, resulting in loss of autonomy, pain, and sorrow. (
  • We concluded that there was a high number of hospitalizations for hip fractures and signs of depression among the elderly, signaling the necessity of further investigations and actions which change that reality. (
  • Fifty percent of fractures around hip in elderly patients involves trochanteric fracture that are of unstable type. (
  • A fall is the most common reason for a hip fracture among the elderly. (
  • In the elderly, even a simple fall from a standing position may result in a fracture as the bones tend to become weak and fragile with advancing age. (
  • The study supports the use of FICB in acute management of hip fracture pain because it is an effective, easily learned procedure that also may reduce opioid side effects in this fragile, elderly group of patients. (
  • HIP fracture patients are in severe pain upon arrival at the emergency department (ED). 1 Pain treatment is traditionally based on systemic opioids, 2 which have a large potential for side effects in these frail and elderly patients. (
  • Background: Femoral neck fractures in the elderly are frequent, represent a great health care problem, and have a significant impact on life of the patient as well as the family. (
  • Compression-side fractures may be treated conservatively. (
  • Compression-side fractures should be referred as appropriate for expert care if not familiar with their treatment. (
  • This treatment regimen is most appropriate for compression (as opposed to tension) fractures. (
  • Rarely, conservative treatment such as for compression-side fractures is attempted for small, nondisplaced tension-side FNSFs. (
  • Compression-side fractures can be treated with conservative therapy. (
  • We undertook a comparative biomechanical study of type B1 fractures around the femoral prosthesis following cemented hip arthroplasty using the Ortho-Bridge System (OBS) and a locking compression plate/locking attachment plate structure (LCP+LAP), and aimed to determine the effectiveness and advantages of the OBS when treating this fracture type. (
  • Axial compression and torsion experiments were then performed using simple and comminuted fracture models. (
  • When simulating simple oblique fractures, no significant difference was found in terms of stiffness between the four groups in the axial compression experiment (P = 0.257). (
  • In the axial compression failure test, the fixed failure mode in the LCP+LAP system involved destruction of the contact cortex at the fracture site, while the failure modes in the three OBS combinations involved destruction of the contact cortex at the fracture site and the fracture around the screws above the osteotomy. (
  • [ 8 ] Stress fractures on the compression side (the inferior aspect) of the femoral neck are more common than stress fractures on the tension side (the superior aspect). (
  • Compression side (inferior femoral neck) which is seen in this case. (
  • If you have an intertrochanteric fracture (the area below the femur neck), your surgeon will use a special metal plate and special compression screws to repair it. (
  • The helical blade is believed to provide stability, compression as well as rotational control of the fracture. (
  • A novel fixation strategy, compression buttress screw (CBS) fixation, was proposed for femoral neck fractures. (
  • The differential diagnosis of an atraumatic compression fracture may include osteomalacia, tumor, osteonecrosis, infection, and other bone-softening metabolic disorders. (
  • The femoral neck, in close proximity to the most pertinent osteoporotic fracture site and near the hip joint affected by osteoarthritis, is a site of particular interest for investigation. (
  • This data file contains two versions of FRAX scores for hip fracture and major osteoporotic fracture, in order to allow flexibility for data users regarding the definition of previous fracture used to calculate the FRAX scores. (
  • This data file contains two versions of FRAX scores for hip fracture and major osteoporotic fracture. (
  • EMAS position statement: The management of postmenopausal women with vertebral osteoporotic fracture. (
  • These patients do not appear to be at increased long-term risk for avascular necrosis of the femoral head or osteoarthritis. (
  • The hip joint model shows the femoral fractures that occur most commonly in practice as well as typical wear and tear symptoms of the hip joint (coxarthrosis or hip osteoarthritis). (
  • Femoral fracture and hip osteoarthritis mounted on base. (
  • The latter included 17 patients who had an excellent outcome following treatment of split and/or depressed lateral plateau fractures, using a similar surgical technique but grafting with bone substitutes (allografts). (
  • Users can choose to assign FRAX scores that reflect previous fracture defined only by self-reported fracture data, or they can assign FRAX scores that reflect both self-reported fracture data and morphometric vertebral fracture obtained from a lateral spine scan. (
  • Information on vertebral fracture from a lateral dual-energy x-ray absorptiometry (DXA) scan is available in the vertebral fracture assessment examination file (DXXVFA_H) and can also be defined using vertebral dimensions provided in the vertebral morphometry files. (
  • This study represents the results of displaced intracapsular femoral neck fracture managed with hemiarthroplasty by bipolar with transgluteal approach (direct lateral approach). (
  • Methods: In this prospective observational study we included thirty patients of intracapsular neck of femur fracture treated with hemiarthroplasty using bipolar prosthesis by transgluteal approach (direct lateral approach). (
  • Hazards of internal fixation in the treatment of slipped capital femoral epiphysis. (
  • 6. Lehman WB, Grant A, Rose D, Pugh J, Norman A. A method of evaluating possible pin penetration in slipped capital femoral epiphysis using a cannulated internal fixation device. (
  • If it is mets, then the decision may change, but otherwise, internal fixation with multiple screws would be the way to go, One could either do a closed reduction (which should not be a problem in a basal fracture like this one, or an open reduction if one cannot achieve a closed reduction. (
  • Eight (16%) patients were managed successfully with closed reduction without surgery and thirty-seven (74%) patients required operative reduction and internal fixation (ORIF) of the femoral head and acetabulum , and 5 (10%) patients required immediate THR. (
  • Biomechanical evaluation of internal fixation implants for femoral neck fractures: A comparative finite element analysis. (
  • Dive into the research topics of 'Biomechanical evaluation of internal fixation implants for femoral neck fractures: A comparative finite element analysis. (
  • Fracture Type and Injury-to-Surgery Interval as Risk Factors for Avascular Necrosis of the Femoral Head after Internal Fixation of Intracapsular Femoral Neck Fracture]. (
  • Osteosynthesis of ununited femoral neck fracture by internal fixation combined with iliac crest bone chips and muscle pedicle bone grafting. (
  • External or internal fixation or a knee replacement may be required depending on the extent of the fracture. (
  • If the pain is more than a very mild intensity, the stress fracture may not have healed completely yet and needs additional rest. (
  • Stress fractures are a problem in various populations including runners and military trainees. (
  • Certain stress fractures have a higher risk of poor outcome, including anterior tibial and femoral neck stress fractures (FNSFs). (
  • See also the article Femoral Neck Stress and Insufficiency Fractures . (
  • Stress fractures may develop in up to 15% of runners and military trainees. (
  • [ 3 ] Of those patients who develop stress fractures, about 5-10% of the fractures are in the femoral neck. (
  • Improper training is the most obvious cause for a stress fracture. (
  • In the military population, trainees who have initially lower levels of fitness and higher body mass indexes are at an increased risk of stress fractures. (
  • [ 1 ] A history of a previous stress fracture is also a risk factor for a recurrence. (
  • [ 9 ] Finally, a study on male US Marine Corps recruits showed a higher risk of stress fracture with low body weight and small femoral diaphysis. (
  • Plebes undergoing training at the US Naval Academy who had significant weight loss and smaller muscle mass were associated with a much higher incidence of stress fracture than their fitness-matched cohorts. (
  • A study by Goldin et al suggested that femoral neck stress injury patients have a higher incidence of bony abnormalities associated with pincer impingement, including coxa profunda and acetabular retroversion, however, further studies are needed to evaluate this relationship. (
  • Femoral neck stress fractures are usually a result of repetitive abductor muscle contraction [1]. (
  • Femoral neck stress fractures are uncommon injuries, but are prevalent among long-distance runners and military recruits. (
  • There are two sites where the stress fracture can occur. (
  • Management and Treatment of Femoral Neck Stress Fractures in Recreational Runners: A Report of Four Cases and Review of the Literature. (
  • Clough, T. Femoral Neck Stress Fracture: The Importance of Clinical Suspicion and Early Review. (
  • Rapid Magnetic Resonance Imaging Evaluation of Femoral Neck Stress Fractures in a U.S. Active Duty Military Population. (
  • It looks like there is an early fatigue (stress) fracture of the opposite hip as well. (
  • Looks like a displaced stress fx to me. (
  • Alendronate therapy is assoaciated with an emerging pattern of increasingly prevalent subtrochanteric stress fractures. (
  • Overuse and repetitive motion can cause a stress fracture. (
  • Young women who perform weightbearing exercise regularly can increase the bone density of their femoral neck. (
  • The clinical implications are that for people at high risk of fracture, particularly those with bone density in the osteoporotic range or with an existing spine fracture, any potential risks are outweighed by the benefits of fracture reduction. (
  • Therefore further studies could be useful in order to better assess risk related factors of patients requiring surgical treatment for femoral neck fracture. (
  • Last guidelines agree that time to treatment for these fractures is within 48 hours from trauma [5] in order to reduce bedridding. (
  • This paper evaluates the efficacy and safety of the use of cancellous screw fixation in the treatment of intracapsular femoral neck fractures in our local population. (
  • The Vancouver classification proposed by Duncan [10] is the most commonly used classification for femoral PPFx that includes the anatomical site of fracture, prosthesis stability, and bone stock quality, which is helpful information when determining a final fracture treatment plan [11]. (
  • Depending on the severity of the fracture, the age of the patient and the amount of displacement, the treatment for a femoral neck fracture can vary. (
  • Treatment of unstable trochanteric fractures. (
  • The treatment of intertrochanteric fractures continues to be a challenge in orthopedic trauma, especially in geriatric population. (
  • In such circumstances, nonoperative treatment is mainly reserved for poor medical candidates and nonambulant patients with minimal discomfort after fracture. (
  • A wide variety of treatment options are available for these fractures. (
  • The sliding hip screw device has been used for more than a decade for the treatment of these fractures, which may not be an ideal implant in all cases. (
  • The rationale for operative treatment of depressed tibial plateau fractures is anatomic reduction, stable fixation and grafting. (
  • Treatment of a femoral neck fracture will depend on your age and the extent of displacement of the fractured bone. (
  • Closed locked intramedullary nailing is largely considered the preferred treatment option for fractures of the femoral diaphysis , owing to its associated high union and low complication rates. (
  • Another study , as covered by Medscape Diabetes & Endocrinology , found that these rare, low-energy femur fractures associated with long-term bisphosphonate treatment are typically transverse or slightly oblique, diaphyseal, or subtrochanteric, with thickened cortices and a unicortical beak. (
  • Age and sex matched control subjects without fragility fractures or anti-resorptive treatment were recruited. (
  • The risk for failure in treatment (FIT) associated with patient- and fracture-related factors was evaluated by logistic regression analyses. (
  • The treatment of long-bone fractures with intramedullary nailing has been a common method, and there have sporadically appeared reports about difficulties on removal of the internal fixator devices [ 1-7 ]. (
  • Non-surgical treatment comprises of immobilizing the fractured site with the help of casts or braces to prevent weight bearing and to help the healing process. (
  • Surgical treatment is considered to realign the fractured bone. (
  • Treatment of type III tibial intercondylar eminence fractures in skeletally immature athletes. (
  • The off leader of this four-horse hitch recovered from a fractured splint bone following treatment at the University of Georgia College of Veterinary Medicine and will be leading the first six-horse hitch to pull the Wells Fargo Stagecoach in the 2018 Rose Bowl Parade in Pasadena, California next weekend. (
  • This fracture orientation is most often present when found concomitantly with which of the following orthopaedic injuries? (
  • Intertrochanteric fracture is one of the most devastating injuries whose incidence increases with advancing age. (
  • Management and outcome of patients with femoral head fractures: the mid-term follow-up with injuries and associated prognostic factors. (
  • Femur fractures may be caused by high energy injuries such as a fall from height or a motor vehicle accident. (
  • The diagnosis of femur fracture is based on the patient's medical history including history of any previous injuries, complete physical examination and imaging studies. (
  • Typical injuries are sprains, dislocations, fractures, stab wounds from stepping onto pointed objects and local skin damage (corrosion, dermatitis, allergy) from contact with chemicals. (
  • [ 4 ] Failure to diagnose FSNFs may lead to catastrophic consequences, including avascular necrosis of the femoral head and the need for a hip replacement in otherwise healthy young individuals. (
  • The aim of our study was to identify the risk factors for avascular necrosis of the femoral head (AVN) and fixation failure (FF) after screw osteosynthesis in patients with valgus angulated femoral neck fractures. (
  • Avascular necrosis of the femoral head after osteosynthesis of femoral neck fracture. (
  • A predictive method for subsequent avascular necrosis of the femoral head (AVNFH) by observation of bleeding from the cannulated screw used for fixation of intracapsular femoral neck fractures. (
  • Ibandronate Sodium Tablets increases bone mineral density (BMD) and reduce the incidence of vertebral fractures. (
  • BMD values at the spine and femoral neck were compared in 34 women with vertebral fracture and 34 controls. (
  • All these comorbidities contribute to poor quality of life after femur neck fracture and to reduction of outcome quality. (
  • Few studies have described patient-reported outcome measures (PROMs) in knee fracture patients. (
  • We reported knee-specific and generic median PROM scores after knee fracture and identified risk factors for poor outcome defined by low median PROM scores. (
  • We identified several important risk factors for poor outcome measured by PROMs at different follow-up periods following knee fracture, which will help direct future quality-improvement initiatives. (
  • 4. Mueller M, Jahnich H, Butler-Manuel A. Inadvertent guide wire advancement in hip fracture fixation with fatal outcome. (
  • This study was designed to assess the outcome of open locked intramedullary nailing of femoral diaphyseal fractures. (
  • Indices affecting outcome of neglected femoral neck fractures after valgus intertrochanteric osteotomy. (
  • Hip fracture is a serious injury and needs immediate medical attention. (
  • A week after the injury, intramedullary interlocking nailing was performed using a Zimmer (Warsaw, IN) ZMS ® femoral nail. (
  • Nondisplaced tension-side fractures are usually treated with surgical pinning. (
  • Urgently refer the patient for orthopedic evaluation for surgical fixation in cases of displaced fractures. (
  • These fractures are less common but require surgical fixation [1,2]. (
  • Despite marked improvements in implant design, surgical technique, and patient care, intertrochanteric fractures continue to consume a substantial proportion of our healthcare resources and remain a challenge to date. (
  • However, femoral neck fractures are rarely stable enough to manage with only conservative therapy and usually require surgical repair. (
  • Each year there are 1.5 million femur neck fractures all over the world. (
  • About 20% of patients lose free ambulation capability after femur neck fracture and just 30% 40% of them gain complete recover. (
  • Incidence of femoral fractures in postmenopausal women. (
  • 21 female ) with 46 femoral diaphyseal fractures were studied. (
  • Atypical features were evaluated, and relative hazards for subtrochanteric and diaphyseal fractures were calculated for each study. (
  • Proximal tibial fracture. (
  • Although fractures during removal of intramedullary tibial nails have been reported [ 1-4 ], there have been few reports of difficult removal for femoral nails [ 5-7 ] and no reports of fracture during removal of a femoral intramedullary nail, to our knowledge. (
  • J. Arthroscopic retrieval of a broken guide wire fragment from the hip joint alter cannulated screw fixation of slipped capital femoral epiphysis. (
  • ADAPT is a fluoroscopic computer-assisted surgery system which intraoperatively shows the distance from the tip of the screw to the surface of the femoral head, tip-to-head-surface distance (TSD), and the tip-apex distance (TAD) advocated by Baumgaertner et al. (
  • Osteosynthesis of intracapsular femoral neck fractures by dynamic hip screw (DHS) fixation]. (
  • Valgus osteotomy and repositioning and fixation with a dynamic hip screw and a 135º single-angled barrel plate for un-united and neglected femoral neck fractures. (
  • A study from China found that long-term (3 years) alendronate therapy significantly lowered the incidence of fractures, increased BMD in the lumbar spine and femoral neck, and reduced bone turnover biomarkers in children and adolescents with OI. (
  • 3 Blockade of the lumbar plexus has been proposed as an alternative method of acute pain control, and femoral nerve block has been evaluated in some descriptive series and a few randomized studies. (
  • Open access Accuracy analysis of computer-assisted surgery for femoral trochanteric fracture using a fluoroscopic navigation system: Stryker ADAPT® system , by Takai et al. (
  • Teriparatide improves bone quality and healing of atypical femoral fractures associated with bisphosphonate therapy. (
  • This is to report a case of femoral fracture caused by removal of a femoral intramedullary nail. (
  • The nail was removed 2 years and 5 months later, and fresh fracture lines were found in the postremoval radiograph. (
  • A case of femoral fracture during removal of a femoral intramedullary nail is presented. (
  • The fracture appeared to be closely tied in with the structure of the femoral intramedullary nail. (
  • The Flex-Thread Ulna IM Nail is intended for use in the fixation of fractures. (
  • Can plate osteosynthesis of periprosthethic femoral fractures cause cement mantle failure around a stable hip stem? (
  • Dive into the research topics of 'Can plate osteosynthesis of periprosthethic femoral fractures cause cement mantle failure around a stable hip stem? (
  • This solid feline femur with a trochanteric major fracture differentiates in corticalis and bone marrow and is ideal for the training of osteosynthesis techniques. (
  • With its comminuted fracture it is ideally suited for the training of different osteosynthesis techniques on the feline femur. (
  • If you are younger, a hip fracture is generally the result of a car accident, a fall from a great height, or severe trauma. (
  • Rarely, a trial of conservative therapy in compliant patients may be attempted if the tension-side fracture is small and not displaced. (
  • Although knee fracture patients have relatively high knee function and quality of life, their ability to forget about the knee joint after knee fracture is compromised. (
  • It achieved our aim of returning most patients to their pre-fracture level of ambulation and providing good pain relief. (
  • however, two of these patients later developed osteonecrosis of their femoral heads. (
  • We have recently shown that Reference Point micro-Indentation (RPI) detects differences between cortical bone from the femoral neck of healthy, osteoporotic fractured and osteoarthritic hip replacement patients. (
  • Patients at low-risk for fracture should be considered for drug discontinuation after 3 to 5 years of use. (
  • Patients who discontinue therapy should have their risk for fracture re-evaluated periodically. (
  • We retrospectively reviewed 50 patients who sustained femoral head fractures between January 2011 and December 2018. (
  • Medical records and radiographs of all adult patients who had open locked intramedullary nailing of fractures of the femoral diaphysis between January 1, 2013 and July 31, 2017 were retrieved. (
  • A total of 45 patients with 46 fractures of the femoral diaphysis were retrospectively studied. (
  • There were a total of 12 subtrochanteric or diaphyseal femur fractures in 10 patients, occurring at a combined rate of 2.3 per 10,000 patient-years. (
  • The aim of this study was to determine whether teriparatide therapy assists in fracture healing and improves bone quality in patients with bisphosphonate associated atypical femoral fractures. (
  • A prospective study was conducted involving 14 consecutive patients presenting during 2 years with atypical femoral fracture. (
  • Administration of 20 μg of teriparatide subcutaneously daily for 6 months to 5 of the 14 patients was associated with 2-3 fold increase in bone remodelling markers (p=0.01) and fracture healing. (
  • Of the nine patients managed conservatively or surgically, seven had poor fracture healing with ongoing pain, one sustained a contralateral atypical fracture and one had fracture union after 1 year. (
  • The severity of initial deformity predicts AVN and FF in patients with valgus angulated femoral neck fractures. (
  • Hip fracture patients are in severe pain upon arrival at the emergency department. (
  • Forty-eight patients with suspected hip fracture were included immediately after arrival in the emergency department, before x-ray confirmation of their fracture. (
  • Therefore, the current study was performed to evaluate the effect of the FICB method compared with standardized systemic morphine analgesia in acute hip fracture patients after arrival in the ED in a double-blind controlled setup with placebo blockade. (
  • In this study we included patients age above 60 years with closed displaced intracapsular fracture neck of femur. (
  • We excluded patients with open extracapsular fracture neck of femur. (
  • Radiographic image of a broken shenton's curve, which shows the relationship of the femoral head to the acetabulum, indicates a femoral neck fracture. (
  • The aim this study was to determine which BMD parameter can best predict women at high risk of fracture. (
  • T-score was not sensitive enough to identify low BMD in the spine, whereas the femoral neck T-score could recognize women at high risk of fracture with higher accuracy. (
  • Multiple X-rays and other imaging studies such as CT and MRI scans may be used to identify the location and severity of the fracture. (
  • The management of the fracture is based on the severity of the fracture, medical condition of the patient and the patient's lifestyle. (
  • Who is at risk for hip fracture? (
  • FRAX® scores are estimates of 10-year risk for hip fracture and major osteoporotic fractures (hip, clinical (symptomatic) spine, wrist, humerus). (
  • Intrapelvic Protrusion of a Broken Guide Wire Fragment during Fixation of a Femoral Neck Fracture', The Archives of Bone and Joint Surgery , 5(1), pp. 63-65. (
  • Hip fracture surgery is done to repair a break in the upper part of the thigh bone. (
  • The type of surgery you have depends on the kind of fracture you have and also your general health. (
  • Most of the problems that develop after hip fracture surgery can be prevented by getting out of bed and walking as soon as possible. (
  • Surgery for a femoral neck fracture is performed under general or spinal anesthesia. (
  • For this surgery, your surgeon will make an incision over the outside of the hip, remove the femoral head and replace it with a metal implant. (
  • Patient was implanted on an unknown side and underwent revision surgery due to implant fracture, fluid collection and squeaky noise. (
  • With most hip replacement approaches, completing the surgery requires dislocating the femoral head from the socket or placing the leg in positions the hip normally wouldn't allow, which can further damage muscle and tendons. (
  • Teriparatide may assist in healing of atypical fractures and restoration of bone quality. (
  • March 25, 2010 ( UPDATED March 30, 2010 ) - Subtrochanteric and diaphyseal femur fractures are rare, even with bisphosphonate use for up to 10 years, according to the results of an analysis of 3 trials reported online March 24 in the New England Journal of Medicine . (
  • On March 10, as reported by Medscape Medical News , the US Food and Drug Administration (FDA) issued an alert that it had no evidence to conclude that bisphosphonates increased the risk for subtrochanteric and diaphyseal femur fractures. (
  • Relative hazards for subtrochanteric or diaphyseal femur fractures vs placebo were 1.03 for alendronate use in the FIT trial (95% confidence interval [CI], 0.06 - 16.46), 1.50 for zoledronic acid use in the HORIZON-PFT trial (95% CI, 0.25 - 9.00), and 1.33 for continued alendronate use in the FLEX trial (95% CI, 0.12 - 14.67). (
  • Atypical subtrochanteric and diaphyseal femoral fractures:​ second report of a task force of the American Society for Bone and Mineral Research. (
  • The incidence of hip fractures rises with increasing age, doubling for each decade beyond 50 years of age. (