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.
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Injuries of the femur and patella in children : Oxford Textbook of Trauma and Orthopaedics - oi
BoneLateralManagement of femoral shaft fracturesMedialInjuriesTibiaNeck fractureUncomplicated femoral shaft fracturesLimbDislocationSkeletal TractionIncidenceTransverseHead FracturesComminutionIntra-articularTibialType of fractureFragmentArticularLeft femurAcetabularSplintRight femurPosteriorOpen fracturesIntertrochanteric fracturesRegion of the femurGreater trochanterSubtrochantericTreatment of femoralIndicationsPatientsReduce the fractureOccur in a bimodal distributionIntracapsularPathological fracturesComplicationTYPES OF FRACTURESPediatric femoralSupracondylarBroken femurOsteoporoticOutcomesIntramedullary nailStabilizationPelvicObliqueOsteosynthesisOrthopedicSplintsDiaphyseal Femur Fractures
Bone97
- Progressive loss of bone matrix, biopsy, and minor trauma are some of the reasons for the occurrence of a pathological fracture. (hindawi.com)
- All had staging studies including bone scan, MRI scan of the proximal femur, and CT of the chest. (hindawi.com)
- A broken femur bone is dangerously close to the femoral artery and can easily sever it, causing the injured person to bleed uncontrollably. (wikihow.com)
- To avoid this, you need to apply a traction splint that keeps the severed parts of the bone separated. (wikihow.com)
- Applying traction means that you will need to stretch out the leg to make sure the pieces of the broken bone don't rub up against each other. (wikihow.com)
- A hip fracture is a break that occurs in the upper part of the femur (thigh bone). (wikipedia.org)
- Stress fractures may occur in the hip region with metabolic bone disease. (wikipedia.org)
- Benign or malignant primary bone tumors are rare causes of hip fractures. (wikipedia.org)
- Metastatic cancer deposits in the proximal femur may weaken the bone and cause a pathological hip fracture. (wikipedia.org)
- Infection in the bone is a rare cause of hip fracture. (wikipedia.org)
- While osteoarthritis and osteoporosis are associated with bone fracture as we age, these diseases are not the cause of the fracture alone. (wikipedia.org)
- This method had been devised to meet the dual problems of an infected wound and a fractured bone. (army.mil)
- 5. Remove the majority of bone fragments that are completely denuded of periosteum or displaced, and all foreign bodies found at the site of fracture. (army.mil)
- Even in cutting edge institutions, orthopedists will sometimes opt for traction pins drilled through bone to hang weights, rather than employ the newer traction technologies available today. (rescue-essentials.com)
- It aims to restore and maintain straight alignment and length of bone following fractures. (rch.org.au)
- The femur (/ˈfiːmər/, pl. femurs or femora /ˈfɛmərə, ˈfɛmrə/) or thigh bone, is the most proximal (closest to the hip joint) bone of the leg in tetrapod vertebrates capable of walking or jumping, such as most land mammals, birds, many reptiles such as lizards, and amphibians such as frogs. (wikipedia.org)
- The head of the femur articulates with the acetabulum in the pelvic bone forming the hip joint, while the distal part of the femur articulates with the tibia and kneecap forming the knee joint. (wikipedia.org)
- By most measures the femur is the strongest bone in the body. (wikipedia.org)
- The femur is also the longest bone in the human body. (wikipedia.org)
- The femur is the only bone in the leg. (wikipedia.org)
- The femur is the longest and, by most measures, the strongest bone in the human body. (wikipedia.org)
- The femur is categorised as a long bone and comprises a diaphysis (shaft or body) and two epiphyses (extremities) that articulate with adjacent bones in the hip and knee. (wikipedia.org)
- The head of the femur, which articulates with the acetabulum of the pelvic bone, comprises two-thirds of a sphere. (wikipedia.org)
- Fractures heal with normal bone, not with scar tissue. (thefreedictionary.com)
- Once closed reduction is accomplished, the bone is immobilized by application of a cast or by an apparatus exerting traction on the distal end of the bone. (thefreedictionary.com)
- avulsion fracture separation of a small fragment of bone cortex at the site of attachment of a ligament or tendon. (thefreedictionary.com)
- Bennett's fracture fracture of the base of the first metacarpal bone, running into the carpometacarpal joint, complicated by subluxation. (thefreedictionary.com)
- comminuted fracture one in which the bone is splintered or crushed, with three or more fragments. (thefreedictionary.com)
- complete fracture one involving the entire cross section of the bone. (thefreedictionary.com)
- dislocation fracture fracture of a bone near an articulation with concomitant dislocation of that joint. (thefreedictionary.com)
- double fracture fracture of a bone in two places. (thefreedictionary.com)
- fissure fracture a crack extending from a surface into, but not through, a long bone. (thefreedictionary.com)
- greenstick fracture one in which one side of a bone is broken and the other is bent, most commonly seen in children. (thefreedictionary.com)
- incomplete fracture one that does not involve the complete cross section of the bone. (thefreedictionary.com)
- intrauterine fracture fracture of a fetal bone incurred in utero. (thefreedictionary.com)
- lead pipe fracture one in which the bone cortex is slightly compressed and bulged on one side with a slight crack on the other side of the bone. (thefreedictionary.com)
- Unstable fracture pattern, higher age and higher weight have been reported as potential risk factors associated with poor outcomes in children and adolescents treated with ESIN for displaced long bone fractures of the lower extremity, in particular femur shaft fractures. (springer.com)
- Despite these findings, data reporting exclusively on ESIN-treated long bone fractures in children weighing 50 kg (110 lb) or more remain scant. (springer.com)
- Backstrom IC, MacLennan PA, Sawyer JR, Creek AT, Rue LW, Gilbert SR (2012) Pediatric obesity and traumatic lower-extremity long-bone fracture outcomes. (springer.com)
- In a fracture due to direct violence, the bone breaks at the spot where the force was applied, as in fracture of a crushed tibia. (tabers.com)
- In a fracture due to indirect violence, the bone is fractured by a force applied at a distance from the site of fracture and transmitted to the fractured bone, as a fracture of the clavicle by a fall on an outstretched hand. (tabers.com)
- In a fracture due to muscular contraction, the bone breaks from a sudden, violent contraction of the muscles. (tabers.com)
- Signs include loss of the power of movement, pain with acute tenderness over the site of fracture, swelling and bruising, deformity and possible shortening, unnatural mobility, and crepitus or grating heard when the ends of the bone rub together. (tabers.com)
- Radiography should be used to identify the fracture and the exact position of the bone fragments. (tabers.com)
- The patient is evaluated for fat embolism after long bone fractures, for infection in open fractures, for excessive blood loss and hypovolemic shock, and for delayed union or nonunion during healing and follow-up. (tabers.com)
- A femoral fracture is a bone fracture that involves the femur. (wikipedia.org)
- 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. (wikipedia.org)
- Fractures of the inferior or distal femur may be complicated by separation of the condyles, resulting in misalignment of the articular surfaces of the knee joint, or by hemorrhage from the large popliteal artery that runs directly on the posterior surface of the bone. (wikipedia.org)
- The bone is re-aligned, then a metal rod is placed into the femoral bone marrow, and secured with nails at either end. (wikipedia.org)
- factors such as fracture location and configuration, bone stock, physiological age, mobility, comorbidity, and implant selection are only some of the considerations in such cases. (intechopen.com)
- In patients with polyostotic fibrous dysplasia of bone, the peak incidence of fractures is during the first decade of life, followed by a decrease thereafter. (wiley.com)
- Anatomic biomechanical superior acetabular weight bearing area (ABSAWBA) of the femoral head can be identified as radiographic subchondral bone density at superior acetabular dome. (ijoonline.com)
- A fracture is a broken bone. (healthtap.com)
- It seems that many believe that a "fracture" is a lesser injury or an incomplete break in the bone, but this is not correct. (healthtap.com)
- Mri, mild joint efusion seen, thickning lateral colateral legamnt sugest tendinosis, bone edema involve femora condyle n tibial plateu further treatment? (healthtap.com)
- PCLavulsion fracture of tibia (6-7mm displacement) with adj tibial bone edema.grade1 strain of ACL.grade2strain lateral coll lig strain.is surgery req? (healthtap.com)
- MRI report "PCL Avulsion fracture of tibia (6-7mm displacement) with adjacent tibial bone edema. (healthtap.com)
- Because this type of fracture diminishes and can sometimes stop the flow of blood to the broken part of the bone, surgery is almost always done to correct it. (aplaceformom.com)
- Just below the femoral neck, this is where the thigh bone juts out. (aplaceformom.com)
- On a standard table, elevation of the femur into the superficial part of the wound is primarily accomplished with a manual bone hook and a trochanteric retractor, with variable degrees of extension, adduction, and external rotation of the leg. (icjr.net)
- Although a bone hook pulls the femur superiorly and laterally, a trochanteric retractor must be inserted over the lateral portion of the greater trochanter to elevate the proximal femur, using the skin and tensor muscle mass as a fulcrum. (icjr.net)
- The goal in treating supracondylar femur fractures, as in treating any periarticular fracture in a weightbearing bone, is restoration of a stable limb for functional, pain-free ambulation. (medscape.com)
- The distal femur is funnel-shaped, and the area where the stronger diaphyseal bone meets the thinner and weaker metaphyseal bone is prone to fracture with direct or indirect trauma. (medscape.com)
- Supracondylar femur fractures usually occur as a result of low-energy trauma in osteoporotic bone in elderly persons or high-energy trauma in young patients. (medscape.com)
- Fractures proximal to knee replacements may be caused by notching of the anterior cortex when the surgeon placed the prosthesis or may be secondary to the stress riser effect of the interface between the rigid metal and soft bone. (medscape.com)
- [ 18 , 19 ] The treating physician must also be aware of the potential for pathologic fractures through metastatic lesions or primary bone tumors in this area. (medscape.com)
- Comminuted: small fragments of bone are broken from fractured shaft and lie in surrounding tissue. (studystack.com)
- Repetitive stress on a leg that has areas of weakness, such as is seen in metastatic disease, metabolic bone disease, or bony tumors, can create nondisplaced stress fractures. (autoaccident.com)
- In other cases, the leg can fracture secondary to osteoporosis or to cancers and other tumors of the bone. (autoaccident.com)
- In those cases, the bone is more likely to fracture. (autoaccident.com)
- Most of the symptoms of this fracture are located in the area of the fracture in the thigh bone. (autoaccident.com)
- If there is a nondisplaced fracture or if there is suspicion of a tumor or cancer in the bone, a CT scan or MRI scan of the thigh can be done to see the pathology of the bone around the area of the fracture. (autoaccident.com)
- Due to severe vascular damage, less soft tissue coverage, local pain and swelling, if not promptly treated, infection, skin necrosis, bone exposure and disability may happen after fracture [ 3 ]. (alliedacademies.org)
- Gently tap the nail with angled tamp so that the hockey bend fixes itself into cancellous bone of the proximal femur. (ipodindia.org)
- In fragility fractures, poor bone quality can make adequate reduction challenging. (jomi.com)
- The femur ( / ˈ f iː m ər / , pl. femurs or femora / ˈ f ɛ m ər ə / ) , or thigh bone , is the proximal bone of the hindlimb in tetrapod vertebrates . (wikipedia.org)
- both can cause progressive resorption of subchondral bone with loss of the physiological sphericity of the femoral head ( Fig. 1 ). (loscalpellojournal.com)
- The pieces of bone may line up correctly or be out of alignment (displaced), and the fracture may be closed (skin intact) or open (the bone has punctured the skin). (emoryhealthcare.org)
- Comminuted fracture - The bone has broken into three or more pieces. (emoryhealthcare.org)
- Open fracture - If a bone breaks in such a way that bone fragments stick out through the skin or a wound penetrates down to the broken bone, the fracture is called an open or compound fracture. (emoryhealthcare.org)
- Skeletal traction is a pulley system of weights and counterweights that holds the broken pieces of bone together. (emoryhealthcare.org)
- In this type of operation, metal pins or screws are placed into the bone above and below the fracture site. (emoryhealthcare.org)
- Graham AE, Xie SQ, Aw KC et al (2006) Design of a parallel long bone fracture reduction robot with planning treatment tool. (springermedizin.de)
- The axial CT image indicates the injury details including but not limited to dislocation direction, femoral head fracture extent and comminution, acetabular posterior wall injury, loose fragments within the joint, the overall bone quality, patient body habitus, underlying conditions such as inguinal hernia , pelvic ring and soft tissue assessment, and status of the femoral neck. (blogspot.com)
- Lesser trochanter fractures are due to pathologic bone or avulsion injury (iliopsoas). (emdocs.net)
- The femur is classed as a long bone, only bone in the thigh, and the longest bone in the body. (howtorelief.com)
- On the posterior surface of the femoral shaft, a roughened ridges of bone, these are also described as the linea aspera. (howtorelief.com)
- In elderly patients, fractures frequently occur after a minor slip and fall on a flexed knee, leading to comminuted fractures through compromised osteoporotic bone. (scrigroup.com)
- In females the femora converge more than in males because the pelvic bone is wider in females. (infogalactic.com)
- The femur is categorised as a long bone and comprises a diaphysis , the shaft (or body) and two epiphysis or extremities that articulate with adjacent bones in the hip and knee. (infogalactic.com)
- Orthopaedic surgeons have long been fascinated with fractures of the femur, the largest and strongest bone in the body. (musculoskeletalkey.com)
- In contrast, older women sustain femur shaft fractures (spiral) from moderate- to low-energy trauma, mainly because of their poor bone stock and underlying osteoporosis. (musculoskeletalkey.com)
- They looked critically at the available lit (and there were no class I studies for this question - it was all class 2 or 3) and felt that there was little data to support the idea that early stabilization of long bone fractures in patients with brain injury either worsened or improved outcome. (hwbf.org)
- First of all I wish to say deepest gratitude because given the opportunity to finish this assignment namely 'Long Bone Fracture- femur fracture' in Malaysia especially. (scribd.com)
- Several observational studies have shown improved bone density and reduced hip fracture risk with supplementation. (jsoaonline.com)
- Its effect on bone fracture and soft tissue injury has been promising in animal models, but is not adequately studied in human trials. (jsoaonline.com)
- The reusable drill and disposable drill were compared by having volunteers insert traction pins within a foam bone, fully encased, knee joint model using both systems. (jsoaonline.com)
Lateral25
- In addition to the static forces placed on the proximal femur, this region experiences increased stress secondary to the multiple muscular attachments in the region, which include the lateral hip abductors, medial hip adductors, the iliopsoas, and short external rotators. (hindawi.com)
- The greater trochanter is almost box-shaped and is the most lateral prominent of the femur. (wikipedia.org)
- A fracture of the medial and lateral malleoli of the ankle joint. (tabers.com)
- The present retrospective study aims to evaluate the outcome in 41 patients of femoral shaft fractures, who had closed intramedullary nailing in lateral decubitus position without fracture table or image intensifier. (biomedsearch.com)
- From March 2006 to October 2008, closed diaphyseal fractures of the femur (AO type 32) in 41 nonconsecutive patients were stabilized without the use of image intensifier on ordinary operation table in lateral decubitus position and were retrospectively evaluated. (biomedsearch.com)
- Because most cases of femur fracture are displaced and foreshortened, the fracture can easily be seen on an anterior-posterior and lateral plain film x-ray. (autoaccident.com)
- Furthermore, the femur is considerably more lateral to the line of force from the center of gravity of the body than is the tibia so that there is a greater force present to cause angulation. (oandplibrary.org)
- Fractures more proximal will angulate because of the impossibility of providing a cone of support high enough to counteract the natural tendency for lateral angulation. (oandplibrary.org)
- A metal spreader hooks on to the two side pieces to avoid lateral compression of the soft tissues when traction is applied. (boneandspine.com)
- It is important to obtain anteroposterior (AP) and lateral views of the complete femur, an AP pelvis, and 45-degree oblique views of the distal femur. (jomi.com)
- Now approximately one week post-injury, we performed an antegrade IMN of Khan's left femur fracture through an enoxaparin window and chose a lateral position because of Khan's body size. (disaster-rx.com)
- Failures after treatment for medial and lateral fractures of the neck of the femur may be attributed to failed osteosynthesis, failure of the prosthetic implant, or minor complications. (loscalpellojournal.com)
- Fractures of the proximal femur can be classified under two main headings, according to the anatomical region involved: medial or intracapsular, and lateral or extracapsular, with differences in their treatment, prognosis and complications. (loscalpellojournal.com)
- The proximal femoral vascularisation, and particularly at the head, consists of a terminal circle depending mostly on perforating arterial branches, tributaries of the lateral and medial circumflex femoral arteries. (loscalpellojournal.com)
- In 2 of the patients, an indentation on the lateral femoral head was appreciated, which was hypothesized to be caused by a subluxation event. (healio.com)
- X-ray: Recommend AP pelvis, AP and cross table lateral hip, AP femur. (emdocs.net)
- Medial and lateral condyles - Rounded areas at the end of the femur. (howtorelief.com)
- Gluteus medius muscle Insert into the lateral surface of the greater trochanter of the femur. (howtorelief.com)
- The safe zone for the femur is lateral. (aofoundation.org)
- Comparison of femoral nailing in the supine position with manual reduction versus lateral decubitus position using a fracture table. (musculoskeletalkey.com)
- Lateral decubitus position for antegrade femoral nailing. (musculoskeletalkey.com)
- The distal femur consists of an expanded metaphyseal block formed by the medial and lateral femoral condyles. (musculoskeletalkey.com)
- Magnetic resonance imaging (MRI) should be performed if a hip fracture is suspected but AP pelvic and lateral hip X-rays don't show a fracture. (patient.info)
- The alignment of the Condylar LCP on the lateral aspect of the distal femur establishes the presence or absence of any extension, or flexion, deformity at the fracture site. (aofoundation.org)
- She underwent a cemented total hip arthroplasty with a trans-gluteal lateral approach: the arthroplasty included a modular metallic femoral implant with a 28mm head, and a polyethylene retentive cup (Fig. 2). (jocr.co.in)
Management of femoral shaft fractures3
- In many low- and middle-income countries, non-surgical management of femoral shaft fractures using skeletal traction is common because intramedullary (IM) nailing is perceived to be expensive. (springer.com)
- Orthopedic surgeons who use traction tables for the surgical management of femoral shaft fractures should be familiar with the associated potential dangers and risks. (physiciansweekly.com)
- The aim of this short paper is to highlight the need for early application of traction splints in the management of femoral shaft fractures. (haretractionsplint.com)
Medial5
- 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)
Injuries27
- One of the most painful and life-threatening injuries that one can suffer is a fractured femur. (wikihow.com)
- This helps prevent some pain and further internal injuries, such cutting the femoral artery. (wikihow.com)
- After the war, the Carrel-Dakin method continued to be used in the management of civilian compound fractures and joint injuries, at first enthusiastically, then with increasing dissatisfaction. (army.mil)
- Femoral shaft fractures occur during extensive trauma, and they can act as distracting injuries, whereby the observer accidentally overlooks other injuries, preventing a thorough exam of the complete body. (wikipedia.org)
- Transepiphyseal (Type VII) Ankle Fracture Versus Os Subfibulare in Pediatric Ankle Injuries. (stanford.edu)
- Musculoskeletal injuries, such as femur fractures and open tibia fractures, are substantial but understudied contributor to this burden. (frontiersin.org)
- Pediatric femoral neck fractures are rare injuries that are associated with a high risk of osteonecrosis of the femoral head. (healio.com)
- Fractures of the femoral neck in children are rare injuries that typically result from high-energy trauma and account for fewer than 1% of all pediatric fractures. (healio.com)
- Such injuries are more common in young males and include fractures sustained in motorcycle, motor vehicle, recreational vehicle , or gunshot wounds. (autoaccident.com)
- However, the condition of complex tibial plateau fractures is more serious, and the fractures are often caused by high-energy injuries and combined with different degrees of articular cartilage, anterior and posterior cruciate ligament of knee joint, meniscus injuries [ 2 ]. (alliedacademies.org)
- The fracture is often complicated with severe injuries of soft tissues around knee joint. (alliedacademies.org)
- Sciatic and femoral nerve injuries and associated femoral shaft fractures must be ruled out. (scielo.org.za)
- Head halter traction or cervical halter is a type of spinal traction used in cervical ailments and injuries. (boneandspine.com)
- In the soft tissue injuries of the neck, the traction provides rest to the tissues by limiting the movement. (boneandspine.com)
- Serious ligamentous injuries to the neck also warrant traction for the same purpose. (boneandspine.com)
- Managing vascular injuries associated with distal femoral fracture surgery requires awareness of the anatomy of the popliteal vessel and the distal femur and adequate wire placement. (researchsquare.com)
- Given the high energy associated with these injuries, it is possible that the patient can sustain both a femoral shaft fracture and a subluxation of the hip joint. (healio.com)
- BACKGROUND: Road traffic injuries disproportionately affect low- and middle-income countries (LMICs) and are associated with femur fractures that lead to long-term disability. (bvsalud.org)
- Kendrick Extrication Traction Splints Ferno provides a complete range of splinting and traction devices to treat fractures and injuries in a variety of patient, An intelligent compact traction device for splinting lower extremities. (expertonomy.com)
- Depends on type of fracture, as femoral head fractures typically are associated with other injuries. (emdocs.net)
- In such patients there may be considerable fracture displacement, comminution, open wounds, and associated injuries. (scrigroup.com)
- While skeletal fractures and muscular injuries can occur anywhere on the body, the extremities are disproportionately affected. (nysora.com)
- Because of the high-energy trauma sustained, femoral fractures are often associated with other complex injuries, forming a life-threatening injury pattern. (musculoskeletalkey.com)
- In young males, femoral fractures present with other life-threatening injuries. (musculoskeletalkey.com)
- Injuries to the supracondylar area and the condyles themselves are described separately from diaphyseal fractures because of their distinct anatomic and biomechanical features (see Chapter 59 ). (musculoskeletalkey.com)
- In younger patients hip fractures are usually caused by high-energy trauma and are often associated with other serious injuries. (patient.info)
- Femoral shaft fractures account for 1.6% of all Pediatric bony injuries. (ijrhs.org)
Tibia14
- Unlike the distal femur or proximal tibia where fracture haematomas are often contained by muscle (vastus intermedius and popliteus, resp. (hindawi.com)
- A retrospective review of 44 patients who underwent proximal tibia and/or distal femur endoscopic-assisted epiphysiodesis was carried out. (stanford.edu)
- A search of the PubMed/MEDLINE, EMBASE and Cochrane Database of Systematic Reviews databases from 1954 to September 2017 was performed to identify papers related to pediatric tibia and femur fractures in children weighing more than 50 kg (110 lb). (springer.com)
- Overall, seven full-text articles dealing with pediatric tibia or femur fractures in patients weighing more than 50 kg (110 lb), and one article reporting on both femur and tibia fractures in this patients' population, have been identified ( n = 8 full-text article included). (springer.com)
- In particular, 48/438 femur shaft fractures (mean weight: 51.7 kg or 113.9 lb) and 91/241 tibia fractures (mean weight: 53.3 kg or 117.5 lb) met the inclusion criteria. (springer.com)
- Elastic stable intramedullary nailing (ESIN) has become the treatment of choice for displaced tibia and femur shaft fractures in children between six and 12-15 years of age. (springer.com)
- Care must be taken to avoid creating an ankle or tibia fracture with the traction boot device, as well as to avoid iatrogenic proximal femur fracture from excessive force application with the hydraulic hook device. (icjr.net)
- At the most distal end, the femoral condyles form the knee joint along with the tibia and fibula in the lower leg. (autoaccident.com)
- With this in mind, there were some advocates of early ambulation and weight-bearing on the fractured tibia. (oandplibrary.org)
- This principle has been proven adequately in the case of the tibia, and can also be applied to the femur. (oandplibrary.org)
- The femur, however, poses a problem more difficult than the tibia. (oandplibrary.org)
- Application of a traction splint across a bad knee will distract the tibia and the femur, potentially causing more injury. (thetraumapro.com)
- The tibia must not be fractured. (thetraumapro.com)
- The main function of the femur is to transmit forces from the tibia to the hip joint . (howtorelief.com)
Neck fracture8
- After institutional review board approval was obtained, the authors identified 53 patients who were treated for femoral neck fracture between 2003 and 2012. (healio.com)
- Muscles and tendons are positioned around the prosthesis and the incision is closed.If the patient has arthritis or a previous injury that has damaged the joint and they are physiologically sound, a total hip replacement may be done for a femoral neck fracture. (aplaceformom.com)
- Type 1 is fracture below fovia/ligamentum, Type 2 is fracture above fovea/ligamentum, Type 3 is a Type 1/2 + femoral neck fracture, Type 4 is a type 1/2 + acetabular fracture. (emdocs.net)
- Femoral neck fracture: Usually minimal bruising. (emdocs.net)
- Femoral neck fracture on amputated limb is an uncommon lesion and challenging to manage. (jocr.co.in)
- We report a case of a displaced neck fracture of the left femur in a 57-year-old female. (jocr.co.in)
- We report a rare case of femoral neck fracture in a patient with homolateral transtibial amputation, managed by a primary total hip arthroplasty. (jocr.co.in)
- She was diagnosed with a grade IV femoral neck fracture, according to Garden's classification (Fig. 1). (jocr.co.in)
Uncomplicated femoral shaft fractures2
- We analyzed the early spica casting outcomes of 50 children age 2 to 10 years with uncomplicated femoral shaft fractures treated at Johns Hopkins Hospital between October 1987 and October 1990. (elsevier.com)
- We conclude that children 2 to 10 years of age with uncomplicated femoral shaft fractures and a negative telescope test can be safely treated with early spica casting and have a 95% chance of having a successful outcome with this treatment. (elsevier.com)
Limb9
- Limb shortening and external rotation are strong evidence for femur fracture, while limb shortening and internal rotation suggest hip dislocation. (rescue-essentials.com)
- Skin traction is applied by strapping the patient's affected lower limb and attaching weights. (rch.org.au)
- When using an orthopedic traction table, the proximal femur may be exposed by dropping the limb spar to the floor, thereby hyperextending the hip. (icjr.net)
- Contralateral femoral views will be helpful for assessing the injured limb and for pre-procedural planning. (jomi.com)
- The need for application of the traction splint has higher priority than the need to image the bony deformity, which can be done with greater patient comfort and less threat to the limb, after application of the traction splint. (haretractionsplint.com)
- The Prometheus Traction Splint is designed to be used on those patients with a suspected limb fracture. (expertonomy.com)
- Spasm and irritability in the quadriceps and hamstrings usually lead to limb shortening and angulation at the fracture site. (scrigroup.com)
- The patient was on traction for the left lower limb. (jocr.co.in)
- When the patient presented to us patient was non ambulatory and on traction for the left lower limb. (jocr.co.in)
Dislocation8
- But the location and nature of a fracture or dislocation is rarely certain. (rescue-essentials.com)
- Due to their mechanism of occurrence, they are often secondary to posterior femoral dislocation. (medical-actu.com)
- 2 Currently traumatic hip dislocations in children are classified descriptively, according to direction of dislocation and associated hip fractures. (scielo.org.za)
- A screening pelvic anteroposterior radiograph identified a right hip fracture-dislocation. (blogspot.com)
- A displaced and comminuted femoral head fracture-dislocation along with a peripheral posterior wall acetabular fracture were noted on the imaging. (blogspot.com)
- The inlet pelvic image also shows the dislocation and tight relationship of the dislocated proximal femur and the posterior acetabulum cortical surface, alerting the treating physician to the possibility of an irreducible injury using standard closed manipulative techniques. (blogspot.com)
- Femoral head fracture with posterior dislocation: leg is shortened, adducted, internally rotated. (emdocs.net)
- Femoral head fracture with anterior dislocation: leg is shortened, abducted, externally rotated. (emdocs.net)
Skeletal Traction13
- The historical method of temporizing these fractures has been to place a distal femoral or proximal tibial skeletal traction pin. (clinicaltrials.gov)
- 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. (clinicaltrials.gov)
- This study assessed the cost of IM nailing and skeletal traction for treatment of femoral shaft fractures in Malawi. (springer.com)
- We used micro-costing methods to quantify the costs associated with IM nailing and skeletal traction. (springer.com)
- Savings from IM nailing as compared with skeletal traction were achieved by shortened LOS. (springer.com)
- Only occasional fractures were put up in skeletal traction, and plaster was not generally used because freedom of joint movement was considered desirable. (army.mil)
- Skeletal traction may be used instead of a cast or external fixator for certain fractures, such as femoral shaft fractures. (tabers.com)
- For the time between initial emergency care and your surgery, your doctor will place your leg either in a long-leg splint or in skeletal traction. (emoryhealthcare.org)
- District hospitals offered only non-operative treatment, though 24/25 reported barriers to performing skeletal traction. (bvsalud.org)
- All four central hospitals reported barriers to performing skeletal traction. (bvsalud.org)
- External fixator and skeletal traction are two modes of treatment. (traumamon.com)
- The aim of this randomized study was to compare the use of skeletal traction and external fixator for treatment of osteoporotic intertrochanteric fracture patients. (traumamon.com)
- Skeletal traction pins are inserted as part of emergent stabilization of lower extremity fractures. (jsoaonline.com)
Incidence15
- The overall incidence rate of fractures of the proximal femur is found to be approximately 230 per 100,000 patients with approximately 5-10% of these fracture occurring within the ST region [ 1 , 2 ]. (hindawi.com)
- In terms of gender, females have been found to be at high risk for ST femur fractures with up to a 33% higher incidence rate compared to males [ 2 , 4 ]. (hindawi.com)
- Overall, due to the prevalence of this injury in the field of orthopedic trauma and with no apparent changes in the incidence in these fractures since 1996 [ 2 ] it is prudent for the orthopedic surgeon to have a good understanding of the anatomy of the ST region, presentation, initial work-up, preoperative management, operative stabilization, and postoperative care. (hindawi.com)
- With an increasing global incidence of hip fractures, designing appropriate treatment strategies for hip fractures is fundamentally important to healthcare professionals, policymakers, and payers of healthcare services. (intechopen.com)
- The incidence of the neck of femur fracture is increasing alongside the increasing proportion of elderly patients with multiple comorbidities in our population statistics [ 1 ]. (intechopen.com)
- Phosphaturia is associated with an earlier incidence and increased frequency of fractures. (wiley.com)
- Although fractures occur frequently in PFD/MAS, fracture incidence and the effect of age and co-existing metabolic abnormalities (endocrinopathy and/or phosphaturia) on fractures are ill defined. (wiley.com)
- The incidence of this type of fracture goes up in patients who are elderly. (autoaccident.com)
- The higher the energy, the higher the incidence of comminuted fractures. (autoaccident.com)
- Thirty-nine fractures (78%) healed without incidence. (disaster-rx.com)
- 1066. Occult hip # incidence, indications for further testing, and test of choice // Traction for femoral #s? (emupdates.com)
- Interest in fractures of the proximal femur is growing today not only on account of their important clinical and economic impact, but also their steadily rising incidence. (loscalpellojournal.com)
- Epidemiologic data from North America in the 1990s revealed an incidence of 13 femoral shaft fractures per 100,000 people. (musculoskeletalkey.com)
- Our own data from 22,500 reported road traffic accidents between 1985 and 2003 showed that 447 patients sustained femoral shaft fractures (incidence of 2%), with 10% being bilateral. (musculoskeletalkey.com)
- Evidence suggesting reduced incidence of complex regional pain syndrome following distal radius fracture when treated with adjuvant ascorbic acid has prompted much debate but has received an endorsement of moderate support from the American Academy of Orthopaedic Surgeons. (jsoaonline.com)
Transverse6
- If there is a significant perpendicular force, this can result in a transverse fracture. (autoaccident.com)
- Transverse fracture - The break is a straight horizontal line going across the femoral shaft. (emoryhealthcare.org)
- In the first instance, a male motorcyclist had sustained a simple transverse fracture of the femoral shaft at the junction of the middle and distal third. (haretractionsplint.com)
- The final case again involved a male motorcyclist who had sustained a transverse fracture of the distal left femur with slight comminution. (haretractionsplint.com)
- All of these fractures may present with significant soft tissue damage, and predominant fracture types include transverse, butterfly, segmental, and compound fractures. (musculoskeletalkey.com)
- 1: transverse) non-displaced fracture of the right patella. (clinmedjournals.org)
Head Fractures3
- Femoral Head Fractures in Children. (ebooks.com)
- A femoral prosthesis may be used for femoral neck or head fractures. (thefreedictionary.com)
- Computer tomography (CT) or magnetic resonance imaging (MRI) scans are useful to rule out soft tissue interposition, intra-articular fragments or associated acetabular or femoral head fractures. (scielo.org.za)
Comminution2
- Femoral shaft fractures can be classified with the Winquist and Hansen classification, which is based on the amount of comminution. (wikipedia.org)
- INDICATIONS: Complex distal radius fractures with dorsal and/or palmar comminution and little to no reconstruction possibilities, radiocarpal ligamentous injury, need for early weight bearing through the affected wrist (walking aids). (bvsalud.org)
Intra-articular6
- The entirety of the pediatric femur is considered, including femoral head and neck fractures, diaphyseal, physeal and epiphyseal fractures, and intra-articular fractures of the distal femur. (ebooks.com)
- Physeal, Epiphyseal, & Intra-Articular Fractures of the Distal Femur. (ebooks.com)
- It often begins with changes in anatomical structures of the tibial and femoral joints due to internal and external violence or vertical compression violence, and then intra-articular fracture happens [ 1 ]. (alliedacademies.org)
- In this case, a displaced intra-articular distal femoral fracture was seen. (jomi.com)
- The purpose of this study was to describe cases of intra-articular hip pathology following traumatic femoral shaft fracture. (healio.com)
- Three patients presented with symptomatic intra-articular hip pathology following traumatic ipsilateral femoral shaft fracture. (healio.com)
Tibial11
- 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)
Type of fracture6
- Mortality rates after hip fracture are influenced by the patient's age, general physical health, and the type of fracture. (thefreedictionary.com)
- The need for additional assistance for the activities of daily life occur in 50% of patients with this type of fracture, beyond which their life expectancy may be reduced by up to 25%, thus greatly harming their quality of life . (scribd.com)
- The range of this type of fracture is wide. (autoaccident.com)
- The type of fracture depends on where the forces come from. (autoaccident.com)
- The most common causes of this type of fracture are accidents, such as motor vehicle accidents, all-terrain vehicle fractures, motorcycle fractures, and other vehicle fractures. (autoaccident.com)
- A twisting force to the thigh causes this type of fracture. (emoryhealthcare.org)
Fragment8
- Colles' fracture fracture of the lower end of the radius, the distal fragment being displaced backward. (thefreedictionary.com)
- depressed fracture ( depressed skull fracture ) fracture of the skull in which a fragment is depressed. (thefreedictionary.com)
- impacted fracture fracture in which one fragment is firmly driven into the other. (thefreedictionary.com)
- The ratio of the width of the fibula at its largest point on the anterior posterior view to the width of the fibular fragment was significantly larger in the type VII ankle fractures (P=0.05). (stanford.edu)
- Furthermore, the radiographic width of the fragment in the type VII fractures is significantly larger in width than the os subfibulare.LEVEL OF EVIDENCE: Level II. (stanford.edu)
- 25 mm of fracture fragment overlap at 3 to 4 weeks follow-up. (elsevier.com)
- The threads of the screws must go right down into the fragment of the head, beyond the edge of the fracture. (loscalpellojournal.com)
- Results Significant differences were found between the D and U groups for age (32.2±14.1 vs. 25.3±9.6 years), open fracture ratio (35.3% vs. 11.8%), and displacement of the third fragment (13.7±6.4 vs. 9±6.3 mm). (bmj.com)
Articular7
- Fractures that may involve the articular surface of the distal femur should be imaged with computed tomography (CT) for adequate evaluation of fracture pattern and pre-procedural planning. (jomi.com)
- This comprises the distal 9 cm of the femur, as measured from the articular surface. (scrigroup.com)
- The Condylar LCP is a modification of the former condylar buttress plate, which was used over the last three decades for treatment of multifragmentary articular fractures. (aofoundation.org)
- This is most common in extraarticular and complete articular fractures with a simple articular component. (aofoundation.org)
- A careful preoperative plan will allow the surgeon to know where the central 7.3 mm screw should be positioned in the distal femoral articular block. (aofoundation.org)
- In extra-articular wedge and multifragmentary fractures, the Condylar LCP functions as a bridging device, by passing the comminuted metaphyseal zone. (aofoundation.org)
- The gastrocnemius typically causes a hyperextension deformity of the distal femoral articular block. (aofoundation.org)
Left femur2
- Left femur seen from behind. (wikipedia.org)
- He was taken to the operation room where we conducted first an antegrade intramedullary nailing of the left femur with a Synthes Expert femoral nail, using a traction table. (clinmedjournals.org)
Acetabular7
- 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)
Splint23
- Are you able to splint the leg in a box leg splint or do you need to call other team members to bring up a traction splint? (bestbets.org)
- With some ingenuity and know how, you will be able to make a preliminary splint for a fractured femur when emergency services are not readily available. (wikihow.com)
- You can also remove their shoelaces, if they have some, and use them to tie on the splint or to create traction. (wikihow.com)
- While you are putting on the splint it is important to keep traction applied the entire time. (wikihow.com)
- Since Dr. Hugh Owen Thomas (1834-1891) and his "Thomas Splint," the topic of femoral traction has been a lesson in engineering evolution. (rescue-essentials.com)
- Metacarpal spiral fracture -- cast or splint? (healthtap.com)
- The company that makes the Hare traction splint gives the sole indication as a suspected femur fracture, and the sole contraindication as an open femur fracture. (thetraumapro.com)
- I agree that the traction splint should only be applied on femur fractures, known or suspected. (thetraumapro.com)
- If it's edematous or discolored, no traction splint. (thetraumapro.com)
- Prompt application of a Hare traction splint resulted in brisk restoration of popliteal and pedal pulses. (haretractionsplint.com)
- Prompt application of a Hare traction splint was all that was necessary to realign the femoral shaft and restore the pulses, avoiding unnecessary radiography or vascular studies. (haretractionsplint.com)
- Emergency Traction Splint Sager SX404. (expertonomy.com)
- Kendrick Traction Device Use: The Kendrick Splint is an excellent Stored in a practical compact pouch, this adjustable device is suitable for adult or paediatric use. (expertonomy.com)
- The orginial traction splint, Kendrick - KTD, (Kendrick EMS) is without a doubt, the best traction splint on the market. (expertonomy.com)
- A wide variety of kendrick traction options are available to you, such as paid samples, Tags: Traction Splinting Kendrick Traction Splint Instructions Emergency Traction Splint Sager SX404. (expertonomy.com)
- HISTORY OF TRACTION SPLINTING An Extract from use the same cord pulley system as with the Thomas splint. (expertonomy.com)
- Hare Traction Splint Indications And Traction Splint to be selected by instructions for use, amount of traction applied Kendrick Extrication. (expertonomy.com)
- What is a sager traction splint keyword after analyzing the system lists the list of keywords related and the Sager traction splint instructions. (expertonomy.com)
- Optimal Traction Splint Welcome to the OPS Deck. (expertonomy.com)
- Best Price Body Splint Extrication Device Free New Listing Kendrick ORGKTD Traction Device, Colored Amazon.com: Emergency Products Research Kendrick Traction Device Traction Device Tactical Black - Model KE-810 - Each: Health & Personal Care. (expertonomy.com)
- TRACTION SPLINTING NOTE: A traction splint is the splint of and instructions for proper If the Sager splint or the Kendrick’s Traction Device Management of a mid-shaft fractured femur in the field and use of the Kendrick Traction Device. (expertonomy.com)
- With the Kendrick EMS KTD, you never need to Emergency Traction Splint Sager SX404. (expertonomy.com)
- Temporarily stabilize the femoral fracture in a Thomas's splint. (aofoundation.org)
Right femur1
- She fitted again day 0 post-operatively, causing a re-fracture of her right femur resulting in the blade plate pulling out of her femoral neck ( Figure 3 ). (scielo.org.za)
Posterior9
- The size of the tubercle varies and it is not always located on the intertrochanteric crest and that also adjacent areas can be part of the quadrate tubercel, such as the posterior surface of the greater trochanter or the neck of the femur. (wikipedia.org)
- These two entities constitute equivalents of posterior vertical fracture. (medical-actu.com)
- Vertical fractures of the sacrum (posterior of the pelvis) are always associated with anterior vertical fractures of the pelvic ring. (medical-actu.com)
- The seat of the lesions then depends on the degree of abduction and flexion of the hip at the time of the impact (posterior fractures), or on the degree of external rotation (anterior fractures). (medical-actu.com)
- The finding of a fracture of the posterior wall should suggest a spontaneously dislocated luxation. (medical-actu.com)
- The patient should not have a posterior pelvic fracture. (thetraumapro.com)
- It is angled superiorly and posteriorly and can be found on both the anterior and posterior sides of the femur. (howtorelief.com)
- It is found on the posterior surface of the femur. (howtorelief.com)
- Intercondylar fossa - A depression found on the posterior surface of the femur, it lies in between the two condyles. (howtorelief.com)
Open fractures8
- In 1,073 open fractures personally treated by Trueta, the reported results were excellent. (army.mil)
- Open fractures are highly contaminated and must be débrided and copiously irrigated in the operating room. (thefreedictionary.com)
- Open fractures must undergo urgent surgery to clean and repair them, but closed fractures can be maintained until the patient is stable and ready for surgery. (wikipedia.org)
- Open fractures can result in infection, osteomyelitis, and sepsis. (wikipedia.org)
- Patients with open fractures fare worse than those with closed fractures. (medscape.com)
- Are Femoral Traction Splints Okay In Open Fractures? (thetraumapro.com)
- Open fractures often involve much more damage to the surrounding muscles, tendons, and ligaments. (emoryhealthcare.org)
- Open fractures exposed to the environment urgently need to be cleansed and require immediate surgery to prevent infection. (emoryhealthcare.org)
Intertrochanteric fractures6
- Despite this risk, the overall protection from typical femoral neck and intertrochanteric fractures generated by bisphosphonate use appears to outweigh the increased risk for atypical ST fractures [ 7 ]. (hindawi.com)
- Intertrochanteric fractures account for 50% of proximal femur fractures, with more females than males affected (3:1). (emdocs.net)
- For intertrochanteric fractures, occult fractures occur in up to 10% of patients with negative X-ray. (emdocs.net)
- The aim of this study is to compare two different treatment modes for intertrochanteric fractures in elderly patients. (traumamon.com)
- Treatment with an external fixator is an effective treatment modality for intertrochanteric fractures in elderly high-risk patients. (traumamon.com)
- Compression hip screw, fixed angle blade plate, intramedullary nailing and external fixator are several methods of management of intertrochanteric fractures ( 1 ). (traumamon.com)
Region of the femur2
- 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)
Greater trochanter2
- Trochanteric: Greater trochanter fractures associated with pain with abduction and tenderness over site. (emdocs.net)
- Isolated trochanteric avulsion fractures can result from sudden violent force avulsing the insertion of gluteus medius from the greater trochanter, or iliopsoas from the lesser trochanter. (patient.info)
Subtrochanteric7
- Subtrochanteric Femur Fractures in Children. (ebooks.com)
- We included intracapsular, intertrochanteric, and subtrochanteric fractures in the study. (hindawi.com)
- Subtrochanteric femur fractures are an uncommon injury in orthopedics, but when they are encountered they may present difficulties in management. (hindawi.com)
- Anatomy of the subtrochanteric area of the femur: the subtrochanteric area of the femur is defined as the area 5 cm distal to lesser trochanter. (hindawi.com)
- A fracture of the proximal portion of the femur, i.e., of either the head, neck, intertrochanteric or subtrochanteric regions of the hip. (thefreedictionary.com)
- Shaft: Mid shaft femur fracture (subtrochanteric). (emdocs.net)
- Because of the unique biomechanical features of the subtrochanteric region and the high concentration of stresses, management of fractures in this area can be challenging. (musculoskeletalkey.com)
Treatment of femoral1
- 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)
Indications1
- Application of traction splints to the femur can be a bit tricky, mostly because of the various indications and contraindications. (thetraumapro.com)
Patients29
- Seventeen patients underwent treatment for a pathological fracture of the proximal femur due to osteosarcoma. (hindawi.com)
- Twelve patients had a fracture at diagnosis and five developed a fracture after the diagnosis. (hindawi.com)
- There are many reports on osteosarcoma and pathological fracture, [ 1 - 16 ] most of these reports only dealing with patients without metastases at diagnosis. (hindawi.com)
- We included all patients who had a diagnosis of osteosarcoma of the proximal femur with a pathological fracture. (hindawi.com)
- 54 patients (4.5%) had proximal femoral disease. (hindawi.com)
- Seventeen patients (31%) presented with a fracture or sustained a fracture of the proximal femur during the course of preoperative treatment. (hindawi.com)
- Adult patients who sustained an isolated closed femur shaft fracture and managed at Queen Elizabeth Central Hospital in Malawi were followed from admission to discharge. (springer.com)
- We followed 38 nailing and 27 traction patients admitted between April 2016 and November 2017. (springer.com)
- Converting patients from traction to nailing is cost-saving up to day 23 post-admission. (springer.com)
- One study delineated that approximately two-thirds of all ST fractures occur in patients older than 50 years of age with another 25% occurring in patients aged 17-50 [ 4 ]. (hindawi.com)
- Our objective was to develop criteria for the prospective identification of patients who can be safely and dependably treated with early spica casting without excessive shortening of the fracture fragments. (elsevier.com)
- 3 These patients often have multiple co-morbidities which predispose them to pathological femur fractures. (scielo.org.za)
- Excluded from the study were 16 patients who had fractures that were not fully displaced, 4 who were outside of the eligible age range, 1 who had insufficient radiographs, and 10 who had insufficient follow-up. (healio.com)
- Such assistance is particularly useful in muscular or obese patients, in whom access and preparation of the femoral canal can be especially difficult. (icjr.net)
- A total of 152 patients with hip fractures who underwent osteosynthesis with PFN were included. (dovepress.com)
- Seventy-nine (51.9%) patients had left hip fractures, and 73 (48.1%) had right hip fractures. (dovepress.com)
- Given that patients with smaller thigh circumference and shorter femoral length are more likely to have smaller d-H and shorter d-V, respectively, cautious measures should be taken in such cases. (researchsquare.com)
- Mortality related to these fractures in elderly patients is around 10% at one month, and 20-30% a year from the fracture. (loscalpellojournal.com)
- Current figures for mortality of elderly patients with femoral fractures are around 10% at one month 2 and 20-30% one year from the fracture 3 . (loscalpellojournal.com)
- Residual hip pain can be present in some patients after appropriate healing of the femoral shaft fracture. (healio.com)
- Over the last four weeks I have been consulted as a Vascular Surgeon, to review three patients with femoral shaft fractures, in whom absent pulses had been noted below the groin. (haretractionsplint.com)
- Intertrochanteric: Patients with non-displaced fractures may have minimal pain and be ambulatory. (emdocs.net)
- Between 2008 and 2015, a total of 105 skeletally mature patients with IMN of femoral shaft fractures underwent treatment. (bmj.com)
- Hip fractures are one of the causes of disability amongst elderly patients. (traumamon.com)
- In a study of 36 Australian emergency departments, patients who presented with hip fracture (n = 645) were found to have a mean time to first treatment of their fracture-related pain of 126 minutes. (nysora.com)
- Notably, only 7% of these patients received a femoral nerve block. (nysora.com)
- The complication rate possibly related to the traction table was 5% (5 patients): three anterior dislocations, one periprosthetic femoral fracture, and one intraoperative perforation caused by femoral rasping. (biomedcentral.com)
- From May 2012 to April 2014, 121 primary THAs were performed on consecutive patients in our institute using traction DAA. (biomedcentral.com)
- We also found that patients whose femur stabilization was delayed were more likely to develop pneumonia. (hwbf.org)
Reduce the fracture3
- Thereby, the implant, when placed in the appropriate position distally, helps the surgeon to reduce the fracture. (aofoundation.org)
- Disadvantages - Blood loss - Does not reduce the fracture. (slidegur.com)
- Different Device if not possible Retrograde IMN Don't forget to reduce the fracture first! (slidegur.com)
Occur in a bimodal distribution1
- In terms of age, many studies have found that ST femur fractures occur in a bimodal distribution. (hindawi.com)
Intracapsular6
- A pathological fracture of the proximal femur poses particular problems, because the fracture haematoma (which has to be considered to contain tumour cells) may either be intracapsular, thus contaminating the hip joint, or extracapsular when there is likely to be widespread contamination of surrounding tissues. (hindawi.com)
- Fractures are broadly categorised as intracapsular or extracapsular and can be classified as stable or unstable. (intechopen.com)
- Displaced intracapsular fractures are conventionally treated by hemiarthroplasty, but total hip replacement [THR] has a role either as a primary intervention in the younger more active patient or as a salvage procedure for failed osteosynthesis or hemiarthroplasty. (intechopen.com)
- Proximal: Intracapsular (femoral head or neck) and Extracapsular (intertrochanteric and trochanteric). (emdocs.net)
- Around half of all hip fractures are intracapsular. (patient.info)
- Intracapsular fractures may disrupt the blood supply to the femoral head, leading to avascular necrosis. (patient.info)
Pathological fractures3
- To our knowledge there is no published study addressing the outcome of pathological fractures of the proximal femur due to osteosarcoma, and the aim of the present study was to address this specific problem. (hindawi.com)
- In a review of the epidemiology of femur fractures in children from Cape Town, the prevalence of femoral pathological fractures related to cerebral palsy was less than three per cent. (scielo.org.za)
- Exclusion criteria included reverse obliquity fractures, previous hip fracture, pathological fractures, infection at the fracture site and open or multiple fractures. (traumamon.com)
Complication1
- The most serious and common complication after femoral neck fractures in children is osteonecrosis. (healio.com)
TYPES OF FRACTURES4
- Types of fractures. (thefreedictionary.com)
- These treatments are a far cry from the historical treatment of these types of fractures , which included casting and traction. (autoaccident.com)
- this is why motor vehicle accidents and falls from a great height cause these types of fractures. (autoaccident.com)
- The major difference in treating the two types of fractures is that in the femur some inherent stability of the fracture through healing must have taken place before ambulation is encouraged. (oandplibrary.org)
Pediatric femoral1
- RESULTS: A total of 35,205 pediatric femoral fracture cases met the inclusion criteria. (bvsalud.org)
Supracondylar8
- Supracondylar femur fractures are becoming more common as the population ages. (medscape.com)
- Before 1970, the majority of supracondylar fractures were treated nonoperatively. (scrigroup.com)
- The supracondylar area of the femur is defined as the zone between the femoral condyles and the junction of the metaphysis with the femoral shaft. (scrigroup.com)
- It is important to distinguish supracondylar fractures from low diaphyseal fractures of the distal femur because the methods of treatment and prognosis are considerably different. (scrigroup.com)
- The mechanism of injury in most supracondylar fractures is thought to be axial loading with varus/valgus or rotational forces. (scrigroup.com)
- Anterior displacement or angulation seldom occurs in supracondylar fractures. (scrigroup.com)
- There is no universally accepted method of classification for supracondylar fractures of the femur. (scrigroup.com)
- They may affect the neck, shaft or distal (supracondylar) femur. (patient.info)
Broken femur2
- Weights are then attached that will pull traction on the broken femur. (clinicaltrials.gov)
- It took Dr. Thomas' nephew, Sir Robert Jones, who cared for numerous femur fractures during World War I, to convince the medical establishment that applying traction to a broken femur just might help. (rescue-essentials.com)
Osteoporotic1
- Plating the osteoporotic femur-number and placement of screws. (musculoskeletalkey.com)
Outcomes2
- None directly assess outcomes comparing traction with no traction. (bestbets.org)
- The purpose of this review is to describe the outcomes of fractures that were internally fixed in the combat environment. (disaster-rx.com)
Intramedullary nail1
- Elastic stable intramedullary nail leads to rapid fracture union by preservation of fracture hematoma and limited soft tissue exposure. (ijrhs.org)
Stabilization1
- Who knows if it's the stabilization of the fracture or the mobilization of the patient that yields that benefit? (hwbf.org)
Pelvic8
- In such settings traction splints may gather dust for years along with MAST trousers, pelvic binders … and that donut shaped magnet that sits in every ER anxiously awaiting any pacemaker gone astray. (rescue-essentials.com)
- Human females have wider pelvic bones, causing their femora to converge more than in males. (wikipedia.org)
- Hip fractures require gentle handling and immobilization to prevent displacement of the fracture, aggravation of bleeding, or disruption of a pelvic hematoma. (tabers.com)
- Physical therapy after pelvic fracture? (healthtap.com)
- Depends on the type of pelvic fracture and treatment required. (healthtap.com)
- At its most proximal end is the head of the femoral, which connects to the pelvic bones. (autoaccident.com)
- Fractures of the pelvic girdle are common but account for only 2-3% of all fractures in public road accidents. (medical-actu.com)
- The pelvic ring and the femoral necks were uninjured. (blogspot.com)
Oblique4
- the orbital contents herniate into the maxillary sinus so that the inferior rectus or inferior oblique muscle may become incarcerated in the fracture site, producing diplopia on looking up. (thefreedictionary.com)
- Rotational forces cause spiral or oblique fractures. (autoaccident.com)
- Oblique fracture - The fracture has an angled line across the shaft. (emoryhealthcare.org)
- They include intertrochanteric or pertrochanteric and reverse oblique fractures and isolated trochanteric avulsion fractures. (patient.info)
Osteosynthesis2
- Osteosynthesis of fractures of the proximal femur with cannulated screws is indicated for types I and II fractures according to Garden's classification. (loscalpellojournal.com)
- The literature does not agree on how many screws are needed for osteosynthesis, but most authors opt for three, placed parallel, 1 cm from the joint cartilage of the femoral head. (loscalpellojournal.com)
Orthopedic7
- Orthopedic practices in general use at the end of World War I called for the management of most compound battle fractures in splints or appliances based on the general principles of splinting. (army.mil)
- Fractures of the proximal femur is a very important topic in the field of orthopedic surgery, but much of that attention is placed on fractures of the femoral neck and intertrochanteric areas. (hindawi.com)
- The proximal fractures of the femur are counted among the group of orthopedic and traumatic pathologies which consume most of the fiancial resources set aside for health worldwide. (scribd.com)
- They have difficulty with their eye sight and they have difficulty with their balance, and they become weak," says Dr. Charles A. Peterson, an orthopedic surgeon at Seattle Orthopeadic and Fracture Clinic. (aplaceformom.com)
- Although the DAA was first described in the US without the assistance of an orthopedic table by Light and Keggi, the Judets adapted an orthopedic traction table specifically to facilitate femoral exposure. (icjr.net)
- 1068. Orthopedic management of femoral neck fractures / How are intertroch fractures classified? (emupdates.com)
- indicated that only 20% of orthopedic surgeons in Australia have mastered DAA with a traction table (traction DAA) [ 14 ]. (biomedcentral.com)
Splints4
- We would advocate the continued use of traction splints until further research has been performed, but recognise that other splints may be appropriate. (bestbets.org)
- Bottom line: Treat traction splints with respect. (thetraumapro.com)
- Systemic analgesia with intravenous Morphine or inhaled nitrous oxide and reassurance and explanation, will usually allow the placement of traction splints. (haretractionsplint.com)
- The Kendrick Traction Device allows you to work Splints - Traction: Kendrick Unit comes complete with 9 1/2' wide by 3 1/2" tall storage pouch and instructions. (expertonomy.com)
Diaphyseal Femur Fractures1
- Treatment of Pediatric Diaphyseal Femur Fractures: Spica Casting & Traction. (ebooks.com)