Femoral Fractures: Fractures of the femur.Traction: 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)Femur: The longest and largest bone of the skeleton, it is situated between the hip and the knee.Fracture Healing: The physiological restoration of bone tissue and function after a fracture. It includes BONY CALLUS formation and normal replacement of bone tissue.Hip Fractures: 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).Fracture Fixation, Intramedullary: The use of nails that are inserted into bone cavities in order to keep fractured bones together.Fracture Fixation, Internal: The use of internal devices (metal plates, nails, rods, etc.) to hold the position of a fracture in proper alignment.Fractures, Bone: Breaks in bones.Bone Nails: Rods of bone, metal, or other material used for fixation of the fragments or ends of fractured bones.Femoral Neck Fractures: 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.Fracture Fixation: The use of metallic devices inserted into or through bone to hold a fracture in a set position and alignment while it heals.Periprosthetic Fractures: Fractures around joint replacement prosthetics or implants. They can occur intraoperatively or postoperatively.Bone Plates: 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)Fractures, Comminuted: A fracture in which the bone is splintered or crushed. (Dorland, 27th ed)Spinal Fractures: Broken bones in the vertebral column.Fractures, Spontaneous: Fractures occurring as a result of disease of a bone or from some undiscoverable cause, and not due to trauma. (Dorland, 27th ed)Bone Screws: Specialized devices used in ORTHOPEDIC SURGERY to repair bone fractures.Osteoporotic Fractures: Breaks in bones resulting from low bone mass and microarchitectural deterioration characteristic of OSTEOPOROSIS.Radius FracturesBony Callus: The bony deposit formed between and around the broken ends of BONE FRACTURES during normal healing.Fractures, Closed: Fractures in which the break in bone is not accompanied by an external wound.Fractures, Stress: 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.Diaphyses: The shaft of long bones.Ulna Fractures: Fractures of the larger bone of the forearm.Casts, Surgical: 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.Leg Length Inequality: 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.Insurance, Long-Term Care: 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.Hip Prosthesis: Replacement for a hip joint.Internal Fixators: 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.Arthroplasty, Replacement, Hip: Replacement of the hip joint.Treatment Outcome: 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.Rib FracturesProsthesis Failure: Malfunction of implantation shunts, valves, etc., and prosthesis loosening, migration, and breaking.Skull Fractures: 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).Postoperative Complications: 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.Bone Wires: 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.Mandibular Fractures: Fractures of the lower jaw.Range of Motion, Articular: 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.Reoperation: A repeat operation for the same condition in the same patient due to disease progression or recurrence, or as followup to failed previous surgery.Osteoporosis: 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.Bone Density Conservation Agents: Agents that inhibit BONE RESORPTION and/or favor BONE MINERALIZATION and BONE REGENERATION. They are used to heal BONE FRACTURES and to treat METABOLIC BONE DISEASES such as OSTEOPOROSIS.Bone Density: 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.Retrospective Studies: 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.Tooth Fractures: Break or rupture of a tooth or tooth root.Femur Neck: The constricted portion of the thigh bone between the femur head and the trochanters.Bone Transplantation: The grafting of bone from a donor site to a recipient site.Biomechanical Phenomena: The properties, processes, and behavior of biological systems under the action of mechanical forces.Bone Cements: 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.Accidental Falls: Falls due to slipping or tripping which may result in injury.Prosthesis Design: The plan and delineation of prostheses in general or a specific prosthesis.Fractures, Compression: 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)Alendronate: 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.Intra-Articular Fractures: Fractures of the articular surface of a bone.Femur Head: The hemispheric articular surface at the upper extremity of the thigh bone. (Stedman, 26th ed)Prospective Studies: 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.Follow-Up Studies: 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.Orthopedic Procedures: Procedures used to treat and correct deformities, diseases, and injuries to the MUSCULOSKELETAL SYSTEM, its articulations, and associated structures.Recovery of Function: A partial or complete return to the normal or proper physiologic activity of an organ or part following disease or trauma.Orbital Fractures: Fractures of the bones in the orbit, which include parts of the frontal, ethmoidal, lacrimal, and sphenoid bones and the maxilla and zygoma.Surgical Procedures, Minimally Invasive: 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.Hip Joint: The joint that is formed by the articulation of the head of FEMUR and the ACETABULUM of the PELVIS.Embolism, Fat: 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.Orthopedics: 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.Colles' Fracture: Fracture of the lower end of the radius in which the lower fragment is displaced posteriorly.Injury Severity Score: 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.External Fixators: 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.Weight-Bearing: 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.Diphosphonates: 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.Stress, Mechanical: A purely physical condition which exists within any material because of strain or deformation by external forces or by non-uniform thermal expansion; expressed quantitatively in units of force per unit area.Fractures, Open: Fractures in which there is an external wound communicating with the break of the bone.Tibial FracturesTime Factors: Elements of limited time intervals, contributing to particular results or situations.Femoral NeoplasmsInsurance Claim Reporting: The design, completion, and filing of forms with the insurer.Accidents, Traffic: 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.DislocationsAlabamaLength of Stay: The period of confinement of a patient to a hospital or other health facility.Wrist Injuries: Injuries to the wrist or the wrist joint.Rotation: 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)Osteoporosis, Postmenopausal: 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.Age Factors: 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.Incidence: 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.Tibia: The second longest bone of the skeleton. It is located on the medial side of the lower leg, articulating with the FIBULA laterally, the TALUS distally, and the FEMUR proximally.Knee Joint: A synovial hinge connection formed between the bones of the FEMUR; TIBIA; and PATELLA.Maxillary Fractures: Fractures of the upper jaw.Risk Factors: 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.Intraoperative Complications: 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.Zygomatic Fractures: Fractures of the zygoma.Lumbar Vertebrae: VERTEBRAE in the region of the lower BACK below the THORACIC VERTEBRAE and above the SACRAL VERTEBRAE.Forearm Injuries: Injuries to the part of the upper limb of the body between the wrist and elbow.Knee Prosthesis: Replacement for a knee joint.Bone and Bones: A specialized CONNECTIVE TISSUE that is the main constituent of the SKELETON. The principle cellular component of bone is comprised of OSTEOBLASTS; OSTEOCYTES; and OSTEOCLASTS, while FIBRILLAR COLLAGENS and hydroxyapatite crystals form the BONE MATRIX.Arthroplasty, Replacement, Knee: Replacement of the knee joint.Northern IrelandThoracic Vertebrae: A group of twelve VERTEBRAE connected to the ribs that support the upper trunk region.Absorptiometry, Photon: A noninvasive method for assessing BODY COMPOSITION. It is based on the differential absorption of X-RAYS (or GAMMA RAYS) by different tissues such as bone, fat and other soft tissues. The source of (X-ray or gamma-ray) photon beam is generated either from radioisotopes such as GADOLINIUM 153, IODINE 125, or Americanium 241 which emit GAMMA RAYS in the appropriate range; or from an X-ray tube which produces X-RAYS in the desired range. It is primarily used for quantitating BONE MINERAL CONTENT, especially for the diagnosis of OSTEOPOROSIS, and also in measuring BONE MINERALIZATION.Spinal Injuries: Injuries involving the vertebral column.Pelvic Bones: Bones that constitute each half of the pelvic girdle in VERTEBRATES, formed by fusion of the ILIUM; ISCHIUM; and PUBIC BONE.Surgical Wound Infection: Infection occurring at the site of a surgical incision.Multiple Trauma: Multiple physical insults or injuries occurring simultaneously.Fibula: The bone of the lower leg lateral to and smaller than the tibia. In proportion to its length, it is the most slender of the long bones.Osteotomy: The surgical cutting of a bone. (Dorland, 28th ed)Humerus: Bone in humans and primates extending from the SHOULDER JOINT to the ELBOW JOINT.Clavicle: A bone on the ventral side of the shoulder girdle, which in humans is commonly called the collar bone.
  • Acetabular fracture involves whether superior articular weight bearing area and stability of the hip are assessed by acetabular roof arc angles comprising medial, anterior and posterior. (ijoonline.com)
  • Bend the nails: Bending length = tip to fracture distance x 2, Bending height = 3 x D Uniform smooth bend, Medial entry nail will have more bending length. (ipodindia.org)
  • Avoid suprapatellar pouch (anterior) and femoral vessels (medial). (ipodindia.org)
  • Treatment of medial fractures with cannulated screws may therefore lead to avascular necrosis, delayed consolidation and/or pseudoarthrosis. (loscalpellojournal.com)
  • Kuntscher's method consists of the passage of a curved hollow nail with a clover leaf cross-section over a guide pin from the medial femoral condyle into the medullary canal. (google.com)
  • The angle of convergence of the femora is a major factor in determining the femoral-tibial angle. (wikipedia.org)
  • In the general population of people without either genu valgum or genu varum, the femoral-tibial angle is about 175 degrees. (wikipedia.org)
  • The main objective of this paper is to review the current literature on treatment of tibial and femur fractures in children and adolescents guided by body weight in patients weighing 50 kg (110 lb) or more. (springer.com)
  • Shows the fracture sites and location of the tibial traction pin. (doereport.com)
  • Sarmiento has been somewhat disappointed with functional bracing of femoral fractures when compared to tibial fractures 7 . (oandplibrary.org)
  • To compare the clinical efficacy of modified dual plating and less invasive stabilization system for the treatment of complex tibial plateau fractures, and to analyse their effects on serum inflammatory cytokines, including interleukin-1 beta (IL-1β), interleukin -6 (IL-6) and Tumor Necrosis Factor alpha (TNF-α). (alliedacademies.org)
  • 240 patients of complex tibial plateau fractures in our hospital from February 2015 to February 2016 were selected as the research objects and divided into Groups A-C according to the different treatment, with 80 cases in each group. (alliedacademies.org)
  • As in the previous bullet point, the tibial segments will pull apart before the strong muscles in the thigh allow the femur to reduce. (thetraumapro.com)
  • In this case, again, the application of a Hare traction splint resulted in prompt restoration of pulses during the interval prior to placement of a Denham tibial pin in the Operating Theatre. (haretractionsplint.com)
  • The expanded femoral and corresponding tibial condyles are adapted for the direct downward transmission of weight. (scrigroup.com)
  • During weight bearing, the two condyles rest on the horizontal plane of the tibial condyles and the shaft of the femur inclines downward and inward. (scrigroup.com)
  • By definition total hip replacement requires prosthetic replacement of the femoral and acetabular joint surfaces. (intechopen.com)
  • ABSAWBA of femoral head was identified 68 acetabular fractures and 13 isolated pelvic fractures without unstable pelvic ring injury were enrolled. (ijoonline.com)
  • The obturator and iliac oblique reconstructed images from the CT scan demonstrate the close apposition of the dislocated proximal femur to the cortical surface of the acetabular posterior wall. (blogspot.com)
  • Acetabular defect was assessed by 3D printing of pelvis following which acetabular reconstruction with tantalum cup and augments along with femoral stem revision was done. (jocr.co.in)
  • An uncemented metal backed cup was used on acetabular side and Corail stem was used for femoral side. (jocr.co.in)
  • Meanwhile acetabular component migrated medially which went unnoticed during surgery and was detected on postoperative X-rays (Fig. 2a).The acetabular component was removed by primary surgeon at subsequent surgery while femoral stem was retained in situ. (jocr.co.in)
  • The left hip radiographs did not reveal any signs of loosening or migration of the femoral and acetabular implants, neither signs of polyethylene wear (Fig. 5, 6 & 7). (jocr.co.in)
  • An additional area that must be well understood is the subtrochanteric (ST) region of the femur, which is defined as the proximal femoral shaft located within 5 cm of the lesser trochanter (Figure 1 ). (hindawi.com)
  • Fractures in the proximal region of the femur, out of all osteoporotic fractures, present a great impact and greater severity as a direct cause or aggravation of morbid-mortality, or the social dependence of the elderly coupled with their functional restriction. (scribd.com)
  • The Prosthetic and Orthotic Division of the University of Virginia with the cooperation of the Department of Orthopedics has conducted over the past eight months a limited investigation of the treatment of femoral fractures with a temporary orthosis made from prefabricated components and plaster of Paris. (oandplibrary.org)