Simultaneous bilateral femoral neck fracture is a very rare condition, even in osteoporotic elderly individuals. We report an atypical case of a young male adult who developed simultaneous bilateral femoral neck fractures without previous trauma or overuse. A 33-year-old man presented with discomfort in the bilateral groin, which had started 2 weeks previously. Bilateral femoral neck fractures were observed on a radiograph, and in addition, a fracture line was seen at the right subchondral region of the acetabulum using magnetic resonance imaging (MRI). Although the patient had no obvious risk factors associated with bone fragility, his bone mineral density measured using dual X-ray absorptiometry indicated severe osteoporosis (lumber spine: T score − 3.4 standard deviation [SD]; femoral neck: T score − 2.8 SD). Serum 25-hydroxyvitamin D level was deficient (19 ng/mL), which was considered to be partly due to non-sunlight exposure for 3 years owing to social withdrawal. Bilateral osteosynthesis was

References 1. Parrott S : The economic cost of hip fracture in the UK (2000) www.dti.gov.uk/files/file21463.pdf2. Crossman PT, Khan RJK, MacDowell A, Gardner AC, Reddy NS, Keene GS A survey of the treatment of displaced intracapsular femoral neck fractures in the UK. Injury, 33(2002): 383-3863. Anderson GH, Harper WM, Gregg PJ: Management of the intracapsular fractures of the proximal femur in 1990 : a cause for concern? J Bone Joint Surg (Br) 73B(Suppl 1) (1991) : 734. Parker MJ, Khan RJK, Crawford J, Pryor GA: Hemiarthroplasty versus internal fixation for displaced intracapsular hip fractures in the elderly. J Bone Joint Surg (Br), 84(8) (2002): 1150-55. Davison JNS, Calder SJ, Anderson GH, Ward G, Jagger C, Harper WM, Gregg PJ: Treatment for displaced intracapsular fracture of the proximal femur. J Bone Joint Surg (Br) 83 (2001) : 206-16. Khan RJK, MacDowell A, Crossman PT, Keene GS: Cemented or uncemented hemiarthroplasty for displaced intracapsular fractures of the hip - a systematic ...

Management of femoral neck fractures. - Internal fixation vs hip arthroplasty for undisplaced femoral neck fracture in the elderly - a cohort study ...

The worldwide increase in hip fractures is a major challenge to the health care system and society. The proper treatment of femoral neck fractures in the elderly is still controversial, and even more so from an international perspective. Optimising the treatment for improved outcomes and a reduced need for secondary surgery is mandatory for humanitarian and economical reasons. The importance of incorporating the patients perspective of the outcome in clinical trials has been acknowledged and there are now numerous instruments for assessing the quality of life. We evaluated two quality of life instruments, the EQ-5D and the SF-36, in patients with femoral neck fractures and also measured the quality of life two years after different interventions. The EQ-5D was validated in two prospective studies and it appeared to be an appropriate quality of life instrument in elderly patients with femoral neck fractures. There was a good correlation between the quality of life (EQ-5Dindexscores) and other ...

TY - JOUR. T1 - Comparison of logistic and Bayesian classifiers for evaluating the risk of femoral neck fracture in osteoporotic patients. AU - Testi, D.. AU - Cappello, A.. AU - Chiari, L.. AU - Viceconti, M.. AU - Gnudi, S.. PY - 2001. Y1 - 2001. N2 - Femoral neck fracture prediction is an important social and economic issue. The research compares two statistical methods for the classification of patients at risk for femoral neck fracture: multiple logistic regression and Bayes linear classifier. The two approaches are evaluated for their ability to separate femoral neck fractured patients from osteoporotic controls. In total, 272 Italian women are studied. Densitometric and geometric measurements are obtained from the proximal femur by dual energy X-ray absorptiometry. The performances of the two methods are evaluated by accuracy in the classification and receiver operating characteristic curves. The Bayes classifier achieves an accuracy approximately 1% higher than that of the multiple ...

BACKGROUND: Although the prevalence of displaced femoral neck fractures in the elderly population is increasing worldwide, there remains controversy as to whether these injuries should be managed with hemiarthroplasty or total hip arthroplasty. Although total hip arthroplasties result in better function, they are more expensive and may have higher complication rates. Our objective was to compare the complication rates and health-care costs between hemiarthroplasty and total hip arthroplasty for displaced femoral neck fractures in the elderly population.. METHODS: A population-based, retrospective cohort study was performed on adults (≥60 years of age) undergoing either hemiarthroplasty or total hip arthroplasty for hip fracture between April 1, 2004, and March 31, 2014. We excluded patients who resided in long-term care facilities prior to the injury and those who were discharged to these facilities after the surgical procedure. Patients who underwent a hemiarthroplasty and those who underwent ...

Orthopedics | Pediatric femoral neck fractures are rare injuries that are associated with a high risk of osteonecrosis of the femoral head. This study compared pediatric patients with fully displaced femoral neck fractures treated with either open reduction and internal fixation (ORIF) or closed reduction and internal fixation (CRIF). After institutional review board approval was obtained, the authors

Femoral neck fracture is an important early complication after hip resurfacing. Our aims were firstly to determine the incidence of fracture in an independent series and secondly, in a case control study, to investigate potential risk factors. Fifteen femoral neck fractures occurred in a series of 842 procedures, representing an incidence of 1.8%. No relationship existed between age, sex, and fracture incidence. Mechanical factors such as notching, femoral neck lengthening, and varus alignment of the femoral component were found to have a similar incidence in both fracture and control groups. The proportion of patients that had at least 1 mechanical risk factor was not different between the 2 groups (fracture group, 50%; control group, 41%). Established avascular necrosis of the femoral head was evident in all retrieved femoral heads (n = 9) of patients who sustained postoperative fracture; in none of these patients was avascular necrosis the initial diagnosis. This study suggests that in our practice,

TY - JOUR. T1 - Risk of reoperation within 12 months following osteosynthesis of a displaced femoral neck fracture is linked mainly to initial fracture displacement while risk of death may be linked to bone quality: a cohort study from Danish Fracture Database. AU - Nyholm, Anne M.. AU - Palm, Henrik. AU - Sandholdt, Hakon. AU - Troelsen, Anders. AU - Gromov, Kirill. AU - DFDB Collaborators. A2 - Viberg, Bjarke. A2 - Fristed, Jakob V.. A2 - Petersen, John K.. A2 - Haak, Karl T.. A2 - Sander, Klaus. A2 - Bayer, Lasse. A2 - Ho, Mathias B.. A2 - Brix, Michael. A2 - Tengberg, Peter T.. A2 - Krasheninnikoff, Michael. A2 - Bloch, Thomas. A2 - Rasmussen, Peter. PY - 2020/2. Y1 - 2020/2. N2 - Background and purpose - Most guidelines use patient age as a primary decision factor when choosing between osteosynthesis or arthroplasty in displaced femoral neck fractures. We evaluate reoperation and death risk within 1 year after osteosynthesis, and estimate the influence of age, sex, degree of displacement, ...

Background and purpose - Most guidelines use patient age as a primary decision factor when choosing between osteosynthesis or arthroplasty in displaced femoral neck fractures. We evaluate reoperation and death risk within 1 year after osteosynthesis, and estimate the influence of age, sex, degree of displacement, and bone quality.Patients and methods - All surgeries for femoral neck fractures with parallel implants (2 or 3 screws or pins) performed between December 2011 and November 2015 were collected from the Danish Fracture Database. Radiographs were analyzed for initial displacement, quality of reduction, protrusion, and angulation of implants. The bone quality was estimated using the cortical thickness index (CTI). Garden I and II type fractures with posterior tilt , 20° were excluded.Results - 654 patients with a mean age of 69 years were included. 59% were female. 54% were Garden II with posterior tilt , 20° or Garden III, and 46% were Garden IV. Only 38% were adequately reduced. 19% ...

Fracture of the femoral neck is quite uncommon in children [1-4], and most orthopaedic surgeons have the opportunity to treat such fractures very few times during their career. The literature recommends early and aggressive treatment for optimum results and to avoid a high rate of complications associated with this fracture [1, 4-11]. However, delay in receiving definitive treatment is a common occurrence in the developing world. The main causes are illiteracy, the urge to receive cheap quack treatment due to poverty and lack of more scientific resources in far-reaching regions, and sometimes late referral by hospitals or the general physician from remote areas. In our study, all the children received femoral neck fracture from high-energy trauma. Our aim in this study was to evaluate outcome following delayed fixation of pediatric femoral neck fractures in an attempt to establish a cause−effect relationship and the factors influencing the outcome. In addition, we analyzed the effect of joint ...

Can Femoral neck fracture be cured? Check out these treatment reviews from the ​Health Outcome community and see which Femoral neck fracture treatments helped people with similar age, gender and symptoms.

Internal fixation implants for intracapsular hip fractures in adults answers are found in the Evidence-Based Medicine Guidelines powered by Unbound Medicine. Available for iPhone, iPad, Android, and Web.

Indications for screw fixation of proximal fractures include stabilization of non- or minimally displaced medial femoral neck fractures [14]. Typically, three 6.5-mm lag screws (cannulated if necessary) are inserted. Screw fixation can be combined with retrograde or anterograde nailing of the shaft fracture.. Conventional anterograde nailing is the gold standard for treatment of fractures in the three or four fifth of the femoral shaft combined with a femoral neck fracture [15]. Anterograde nailing can be combined with screw fixation of the femoral neck fracture using the miss-a-nail technique in a single-step surgical strategy. Some authors have reported to apply specific aiming devices for this technique [4]. Consequently, anterograde nailing has to precede insertion of screws. In non-displaced femoral neck fractures, it is possible to start fracture treatment with stabilization of the proximal fracture using screws osteosynthesis. The lag screws secure the femoral neck fracture and prevent ...

The current study shows that both high LDL-C and low HDL-C levels are independent risk factors for AVNFH. Another interesting finding of our study is that an increase or decrease in only one risk factor has little effect on outcome. Our results are mostly in agreement with findings in the previous literature [1, 7, 11, 12]. The main factors associated with AVNFH involve the type of fracture, the degree of initial displacement, and age at the time of injury. The occurrence of AVNFH is considered to be directly related to the initial fracture displacement [5, 10, 13]. Conversely, our study indicated that postoperative AVNFH occurred in elderly patients with nondisplaced or minimally displaced neck fractures, meaning that in addition to fractures and surgical techniques there remain other factors, such as dyslipidaemia, that can lead to the occurrence of AVNFH. Our study is the first report evaluating the association between dyslipidaemia and AVNFH following low-energy femoral neck fractures ...

Although hemiarthroplasties are an important treatment for femoral neck fractures, the literature does not provide a clear approach for selecting the implant fixation method. Therefore, we performed a

Displaced femoral neck fractures comprise more than a third of all hip fractures. There is controversy as to the optimal treatment. Despite attempts to improve the methods for internal fixation, complication rates have been almost unchanged: 20-40% non-union and late segmental collapse in another 10-20%. Internal fixation has been the preferred treatment in Scandinavia, whereas primary hemi- or total arthroplasty have been more prevalent in the rest of Europe and North America.. In this study, patients 75 years or older, including those with mental impairment, were randomized to either internal fixation or cemented primary total hip arthroplasty (THA). A total of 146 hips in 143 patients were followed for two years. After one year 23% had died, and after two years 29%. Mortality was about the same in both groups. The accumulated mortality was pronounced among the mentally impaired patients.. In the internal fixation group, 44% underwent further surgery. In the THA group, 18% dislocated. The ...

Background Open supracondylar fractures of the femur are complex injuries usually presenting in a polytraumatized patient. Partial circumferential bone loss may result at the time of injury or during debridement. The way in which the fracture is treated has a substantial influence on the local mechanical and biological environment, which in turn will influence the quantity and quality of the osteogenic response. Although early skeletal stabilization can stop the cycle of injury, remove nidus for infection, and halt ongoing hemorrhage, it may be prudent to delay definitive surgery until the patients general condition is optimized. Meanwhile, debridement and a preliminary spanning external fixator is used to stabilize the fracture. The use of a locked plate for the fixation of supracondylar fracture of the femur with partial bone loss creates a rigid biomechanical environment needed for healing and maintenance of alignment until fracture healing. Patients and methods Eighteen patients with open ...

A total of 455 patients aged over 70 years with a displaced intracapsular fracture of the proximal femur was randomised to be treated either by hemiarthroplasty or internal fixation. The preoperative characteristics of the patients in both groups were similar. Internal fixation has a shorter length …

A consecutive cohort of 3076 Birmingham Hip Resurfacings from a single institution was analyzed. The prevalence of femoral neck fracture, the time to fracture, and the outcome after revision were investigated. Fractures occurred in 34 hips (prevalence, 1.1%). Median time to fracture was 0.27 year (range, 0.014-11.2 years). Mean operation time for revision was 59 minutes, and 71% underwent isolated femoral component revision. At a mean follow-up of 5.5 years since revision, 3 patients required re-revision (2 aseptic loosening, 1 for sepsis) giving a survival of 95.7% (confidence interval, 86.9%-100%) at 5 years for the revision. Median Oxford Hip Score was 12.5% (interquartile range, 3.2%-32.3%). There were no cases of radiologic failure during follow-up. Most fractures occur early after hip resurfacing and were straightforward to revise.

MUKANSI, SS and RAMASUVHA, BE. The challenges facing the orthopaedic surgeon today in managing femoral neck fractures in HIV-positive patients. SA orthop. j. [online]. 2013, vol.12, n.3, pp.49-53. ISSN 2309-8309.. The use of highly active anti-retroviral therapy (HAART) in treating HIV-positive patients has led to a reversal of complications such as HIV-related mortality and morbidity. The lifespan of HIV-positive patients on HAART especially if started early (CD4 ± 350 cells per microlitre) as is done in developed countries, is as good as is in non-reactive cohorts. However age-related complications such as decreased bone mineral density (BMD) are emerging early, resulting in fragility fractures. We present a case of bilateral neck femur fractures in a 53-year-old female patient on HAART.. Keywords : HAART; BMD; internal fixation; fatigue fractures. ...

In the January 4, 2017 issue of The Journal, Swart et al. provide a well-done Markov decision analysis on the cost effectiveness of three treatment options for femoral neck fractures in patients between the age of 40 and 65: open reduction and internal fixation (ORIF), total hip arthroplasty (THA), and hemiarthroplasty. Plugging the best data…

This medical exhibit illustrates a fracture of the thigh bone between the femur head and the trochanters, called femoral neck fracture.

Hip dislocation, femoral neck fracture, patellofemoral pain syndrome, AC joint dislocation and elbow dislocation treatment are offered at Westover Hills Orthopaedics in Castroville, Helotes and San Antonio, TX.

Regional Nerve Blocks For Hip and Femoral Neck Fractures in the Emergency Department: A Systematic Review - Volume 18 Issue 1 - Brandon Ritcey, Paul Pageau, Michael Y. Woo, Jeffrey J. Perry

Twenty-eight patients with displaced femoral neck fractures were operated on with multiple pinning combined with cancellous bone grafting from the ipsilate

Abdoli Tafti, A. and Sajadi, S. and Rafiei, H. (2014) Scrotum wound caused by orthopaedic traction table in the surgery of femoral neck fracture. INTERNATIONAL WOUND JOURNAL, 11 (5). p. 571. Full text not available from this repository ...

ABSTRACT. Intracapsular fractures of the neck of femur in the elderly patient population results in an enormous economic and social burden. The aim of this paper is to present a review of the literature providing guidelines for the management of this common fracture with emphasis on patient selection, optimisation and preventative strategies.. ...

TY - JOUR. T1 - Subcapital vs intertrochanteric fracture of the neck of the femur. T2 - are there two distinct subpopulations?. AU - Dias, J. J.. AU - Robbins, John A. AU - Steingold, R. F.. AU - Donaldson, L. J.. PY - 1987. Y1 - 1987. N2 - 216 consecutive patients with femoral neck fractures were evaluated to determine whether different subpopulations fracture their hips in different anatomical locations. Elderly patients were shown to have more distal fractures. Patients with subcapital fractures had higher concentrations of albumin and haemoglobin at the time of hopitalisation, but comparable serum creatinines. Mental scores and index of activities of daily living are comparable. Prior fractures, morbidity, medication use, and serious medical illnesses were similar, as were length of stay and outcome at the time of discharge. There do not appear to be major differences in the populations of patients with subcapital or intertrochanteric fractures.. AB - 216 consecutive patients with femoral ...

Subcapital fracture is the commonest type of intracapsular fracture of the proximal femur. The fracture line extends through the junction of the head and neck of femur.

Hip surgeon, Dr Petros Frousiakis, DO in Ventura, Camarillo and Oxnard, CA offers hip hemiarthroplasty surgery for hip fracture, hip dislocation and deep vein thrombosis.

Hip surgeon, Dr Patrick Leung in Schaumburg, Elgin and Chicago, IL offers hip hemiarthroplasty surgery for hip fracture, hip dislocation and deep vein thrombosis.

Femoral neck fractures remain a difficult clinical problem for orthopaedic surgeons. Attempting to conserve the femoral head often leads to healing complications, while the more predictable prosthetic replacements are associated with poorer function and significant complications [1]. The treatment of these fractures depends on the age of the patient, fracture displacement, bone quality, timing of surgery and activity level of the patient. Displaced fractures in healthy, active patients are best treated by reduction and internal fixation. A good anatomic reduction is mandatory. Femoral neck fractures reduced anatomically are best fixed with three pins or screws [2]. There are however, complications unique to femoral neck fractures which are almost impossible to predict. Non-union and avascular necrosis are amongst the most prominent.. Non-union usually can definitely diagnosed within a year of fracture fixation with the same being achieved within 3 months at times [3]. After non-union has been ...

TY - JOUR. T1 - Biomechanical analysis of a novel femoral neck locking plate for treatment of vertical shear Pauwels type C femoral neck fractures. AU - Nowotarski, Peter J.. AU - Ervin, Bain. AU - Weatherby, Brian. AU - Pettit, Jonathan. AU - Goulet, Ron. AU - Norris, Brent. PY - 2012/6/1. Y1 - 2012/6/1. N2 - Background: The purpose of this study is to determine the biomechanical stability of a novel prototype femoral neck locking plate (FNLP) for treatment of Pauwels type C femoral neck fractures compared with other current fixation methods. Methods: Forty femur sawbones were divided into groups and a vertical femoral neck fracture was made. Each group was repaired with one of the following: (CS) three parallel cancellous screws; (XCS) two cancellous lag screws into the head and one transverse lag screw into the calcar; and (FNLP) a novel FNLP with two 5.7 mm locking, one lag screw into the calcar and two screws into the shaft; and (AMBI) a two-hole, 135° AMBI plate with a derotation screw. ...

Decision Making in the Management of Extracapsular Fractures of the Proximal Femur - is the Dynamic Hip Screw the Prevailing Gold Standard?

Patients aged from 40 to 60 with displaced fractures of the femoral neck (Garden III or IV) who received fixation with three cannulated screws from January 2005 to December 2012 were evaluated retrospectively for the development of nonunion. Plasma HbA1C, a marker for long-term plasma glucose level, anti-T2DM medication, and other potential risk factors were recorded for the purpose of this study. There were no differences between the union and nonunion groups with respect to age, gender, Garden classification, Pauwel’s angle, reduction quality, and T2DM presence. There were significant differences in reduction quality and preoperative plasma HbA1C level between patients with and those without union. The odds ratio (OR) for fracture nonunion was 2.659 (95% confidence interval [CI], 1.530–4.620) in subjects with anatomical reduction compared with those without anatomical reduction, 4.797 (95% CI, 1.371–16.778), in subjects with poor blood glucose control (HbA1C > 10&

Roughly half of all hip fractures are within the hip joint capsule (intracapsular) and the rest occur outside the hip joint capsule (extracapsular). Nowadays, most of these fractures will be surgically fixed or stabilised using metal implants. However, some patients have conservative treatment which can involve traction, bed rest or restricted mobilisation. The five randomised trials included in the review involved only 428 elderly patients. One small and potentially biased trial of 23 patients with undisplaced intracapsular fracture provided limited evidence that surgical fixation increased the chances of the fracture healing. The four trials on extracapsular fractures tested a variety of surgical techniques and implant devices and only one trial involving 106 patients can be considered to test current practice. This trial found no major difference between surgery and traction for people with extracapsular fractures. However, people who had surgery had better anatomical outcomes, tended to ...

Background and purpose - Hemiarthroplasty (HA) is the most common treatment for displaced femoral neck fractures in many countries. In Norway, there has been a tradition of using the direct lateral surgical approach, but worldwide a posterior approach is more often used. Based on data from the Norwegian Hip Fracture Register, we compared the results of HA operated through the posterior and direct lateral approaches regarding patient-reported outcome measures (PROMs) and reoperation rate.. Patients and methods - HAs due to femoral neck fracture in patients aged 60 years and older were included from the Norwegian Hip Fracture Register (2005-2014). 18,918 procedures were reported with direct lateral approach and 1,990 with posterior approach. PROM data (satisfaction, pain, quality of life (EQ-5D), and walking ability) were reported 4, 12, and 36 months postoperatively. The Cox regression model was used to calculate relative risk (RR) of reoperation.. Results - There were statistically significant ...

The purpose of this study was to determine patients survival after undergoing an early or delayed operation. We retrospectively assessed 1849 files of patients operated for proximal femoral fracture, divided into two diagnostic groups: intracapsular (n = 640) and extracapsular (n = 1209). 1163 (63%) were treated within 48 h from hospital admission and 686 (37%) were treated |48 h afterwards. Delayed operation in patients with intracapsular fractures was associated with a 1.8-fold excess risk for 1-year mortality (HR = 1.83, P = 0.008), while no effect was observed for patients with extracapsular fractures. Males had a higher HR for mortality in both diagnostic groups. Early surgical intervention is beneficial for intra-capsular femoral fractures; male gender and a high ASA score are associated with an increased mortality hazard risk.

Patients with hip fractures have high morbidity and mortality, which has not changed significantly since last two decades. There are various national guidelines in UK, which give guidance to help improve outcomes in these patients such as National Institute for Health and Clinical Excellences guidelines (NICE), Guidelines from Anaesthetists of Great Britain and Ireland (AAGBI) and Scottish intercollegiate guideline network (SIGN). NICE guidelines recommend total hip replacement (THR) rather than hemiarthroplasty in patients with a displaced intracapsular hip fracture in selected patients. AAGBI has produced guidelines for Management of Proximal Femoral Fractures 2011.

Background: Worldwide, the incidence of fracture neck of femur (FNF) has been projected to increase significantly. FNF increases both morbidity and mortality especially to the elderly. Locally, majority of these fractures occur in young economically productive individuals, mainly following road traffic injuries. The functional outcome of these fractures has however not been well studied in Kenya. Objective: To determine the early functional outcome following operative treatment of displaced FNF. Design and setting: A six months prospective cohort study was conducted between 12th November, 2008 and 11th May, 2009 at Kenyatta National Hospital (KNH) and Kikuyu Mission Hospital (KMH), in Kenya. Patients and methods: Sixty consecutive patients were enrolled using a pre-tested questionnaire. The Western Ontario and McMaster Universities Osteoarthritis index (WOMAC) was used to determine the functional state before injury and at three months post-operatively. The functional outcome measures included ...

Patients suffering from femoral neck or pertrochanteric fractures have a high rate of mortality and morbidity associated mainly with deconditioning and immobilization. Surgical management including open reduction and internaql fixation has been shown to reduce complication and improve outcome in such patients. Delay of surgery produces less optimal results and is associated with higher morbidity even after 24-48 hours of fracture event.. Patients treated with platelet antiaggregants are exposed to higher blood loss during surgery and related complications, as demonstrated in patients treated with Aspirin. However, cessation of antiaggregant therapy before surgery may be associated with complications of a hypercoagulable state and surgery delay.. Clpopidogrel is a fairly new approved antiaggregant drug indicated in cases of failed aspirin treatment in ischemic heart disease and cerebrovascular disease patients as well as in primary prevention of stent restenosis.. No data regarding complications ...

Neck fracture symptoms, causes, diagnosis, and treatment information for Neck fracture (Broken neck) with alternative diagnoses, full-text book chapters, misdiagnosis, research treatments, prevention, and prognosis.

Forty-two proximal femur models custom made of two blocks of polyurethane foam were tested. The medial block simulated the cancellous head, while the lateral was laminated with a glass fiber filled epoxy sheet simulating trochanteric cortical bone. Two hollow metal cylinders with a circumferential ball bearing in between mimicked the neck, with a perpendicular fracture in the middle. Fractures were fixated by two or three independent pins or by five configurations involving the interlocking plate (two pins with an optional peg in a small plate, or three pins in a small, medium or large plate). Six torsional tests were performed on each configuration to calculate torsional stiffness, torque at failure and failure energy.. ...

Fibrous dysplasia (FD) is a rare bone disorder in which normal medullary bone is replaced by fibro-osseous tissue. It typically presents in childhood with pain, skeletal deformities, gait abnormalities and occasionally, fatigue fractures. The management of FD remains a challenge. Surgical procedures have been developed to provide symptom relief, correct skeletal deformity and offer mechanical support in cases at risk of fracture. However, there is a paucity of data on the management of acute femoral neck fractures in the adult population with FD. We report the case of a 23-year-old man with a shepherd\s crook deformity secondary to FD, who sustained an intra-capsular femoral neck fracture whilst playing football. The patient initially underwent closed reduction and internal fixation with cannulated screws. However, during the procedure, a guide wire broke whilst inside the femoral head. The patient was referred to the senior author, who undertook a second operation to remove the metalwork and ...

Few cases of hip fracture in pregnant women affected by transient osteoporosis of the femoral head have been reported in the literature, but its real incidence seems to be underestimated. During pregnancy, osteoporosis manifests itself with an insidious onset of hip pain and limp without any trauma or infective episode in clinical history. Its clinical course is characterized by spontaneous recovery a few weeks to several months after delivery. This article describes the case of a 35-year-old woman with a sudden onset of bilateral hip pain during the last trimester of her first pregnancy; she had neither history of steroid therapy nor alcohol abuse; her body temperature and serological parameters were normal ...

Breakage of DHS guide wire during surgery and its migration into the pelvis through the hip joint is a rare complication and its removal can be very challenging for the surgeon. We share our experience of a similar case wherein we used an iliofemoral approach to successfully remove the broken transfixing guidewire from the hip joint. Although iliofemoral approach is similar to the lateral window of conventional ilioinguinal approach, yet it is less invasive, has lesser complications, requires less expertise and is easily reproducible by an average orthopaedic trauma surgeon. We recommend that surgical approaches for removal of these broken or migrated wires should be individualized depending upon the exact location of the wire tip in the hip joint or pelvis and need for exposure.

Case Reports in Orthopedics is a peer-reviewed, Open Access journal that publishes case reports related to arthroplasty, foot and ankle surgery, hand surgery, joint replacement, limb reconstruction, pediatric orthopaedics, sports medicine, trauma, spinal deformities, and orthopaedic oncology.

Orthopaedic surgery news, reviews, forums, videos, & educational resources for orthopedic surgeons, residents, medical students & patients

Looking for online definition of Gardens Classification in the Medical Dictionary? Gardens Classification explanation free. What is Gardens Classification? Meaning of Gardens Classification medical term. What does Gardens Classification mean?

An injury or crack caused in the femoral neck due to repetitive force, overuse of the bone or insufficiency in bone development is called a femoral neck stress fracture. Perth Sports Medicine in Perth, Claremont, Cockburn, Peppermint Grove and Fremantle treats hip pain.

Background: The pathological progression and prognosis of traumatic femur head necrosis (TFHN) after femoral neck fracture (FNF) in children and adolescent is relatively unknown and has never been specifically characterized. As we speculated, the prognosis in such population w...

Stress fractures are a problem in various populations including runners and military trainees. These fractures can occur with as little as 2-3 weeks of training, be very mild, causing only minimal changes to the bone which eventually heals, or they may progress to a complete fracture that requires surgical fixation.

TY - JOUR. T1 - Treatment of open proximal femoral fractures sustained in combat. AU - Mack, Andrew W.. AU - Freedman, Brett. AU - Groth, Adam T.. AU - Kirk, Kevin L.. AU - Keeling, John J.. AU - Andersen, Romney C.. PY - 2013/2/6. Y1 - 2013/2/6. N2 - Background: Open proximal femoral fractures are rare injuries that often result from wartime high-energy causes. Limited data exist regarding the treatment and complications of these injuries. Methods: We retrospectively reviewed the records of combat casualties treated at two institutions between March 2003 and March 2008. The casualty patient databases, medical records, radiographs, and laboratory data were reviewed to determine time to union, complication rates, and patient outcomes. Results: Forty-one patients (thirty-nine men and two women) with a mean age of 25.7 years were identified as receiving treatment for open proximal femoral fractures. The mechanisms of injury for these forty-one patients were blast (twentynine patients [71%]), ...

Austin-Moore bipolar hemiarthroplasty, left hip utilizing a medium fenestrated femoral stem with a medium 0.8 mm femoral head, a 50 mm bipolar cup. Displace subcapital fracture, left hip.

Hip hemiarthroplasty is a surgical technique employed to treat hip fractures. Dr. Golden performs hip hemiarthroplasty surgery in Ventura, CA.

While a hip replacement allows for immediate weight-bearing, and bone healing would not be an issue, the bearing surfaces may not be able to tolerate the patients lifestyle and desire to return to running. Also, if the hip replacement became infected, or she required a revision surgery, either would present a significant complication.. An osteotomy is more challenging technically but post-operatively, once healed, she would not have any limitations or restrictions to activities. The procedure is not done frequently, but if well planned (and executed), will restore the patients leg lengths, restore her alignment, allow her non-union to heal, and maintain her native femoral head.. Using the Materialise OrthoView digital pre-operative planning software enables pre-surgical visualization of a valgus-producing intertrochanteric osteotomy.. ...

A total of 127 patients (42 males, 85 females; mean age 79.2 years; range 55 to 98 years) who were treated due to proximal femoral fracture between January 2008 and January 2011 were compared retrospectively in terms of intraoperative mortality, total mortality, and monthly distribution of mortality rates. Of these 127 patients, 92 (28 males, 64 females; mean age 80.24 years; range 55 to 94 years) who were alive, who achieved at least a 12-month follow-up, and could walk and fulfil daily activities in preoperative period were included in the study. Patients were divided into two groups as PFNA group (n=34) and cemented, bipolar hemiarthroplasty with calcar replacement group (hemiarthroplasty group; n=58). Both groups were compared in terms of duration of operation, requirement for intraoperative blood transfusion, duration of hospital stay, functional outcomes, quality of life, complication and revision rates, and costs of operation.. RESULTS ...

Symptoms of an elbow fracture include pain, bruising, stiffness, swelling in and around the elbow, a popping or cracking sound, numbness or weakness in the arm, wrist and hand, and deformity of the elbow bones. Radial head and neck fractures are treated by Mr. Richard Dias in Wolverhampton, West Midlands.

Fractures at the hip are classified based on their location. Femoral neck (ie, subcapital) fractures are intracapsular and more likely to occur in elderly osteoporotic women. Displaced femoral neck fractures cause a hemarthrosis that compresses the femoral neck vessels and compromises the blood flow to the hip. This leads to avascular necrosis of the bone in 15-35% of cases and potential long-term disability. Intertrochanteric, subtrochanteric, and femoral shaft fractures are more likely to occur in young patients after a fall or direct blow to the knee (Figure 91-1). ...

The demographics were comparable to previous studies in HK. The mean age of patients with fragility hip fracture in our 2012 data was 82.1 years, unchanged compared with local data from 2000 to 2011.1 The female-to-male ratio was around 2:1 indicating an increase in male fragility hip fractures compared with 2.5:1 from 2001 to 2010.4 8 This may be due to increasing life expectancy of the HK male population9 and bone mineral density (BMD) at the hip in men that decreases with age.10 There were 1257 (46.6%) femoral neck fractures, 1445 (49.6%) intertrochanteric fractures, and 110 (3.8%) subtrochanteric fractures, comparable with a previous local study of 1342 hip fracture patients from 2007 to 2010.8 The majority of patients had an ASA score of 2 and 3, comprising 40.9% and 56.3%, respectively and in line with Lau et als study.8 There was a marked increase in hemiarthroplasties and intramedullary fixations with 977 (33.5%) and 983 (3.7%) cases respectively in our study, compared with Lau et als ...

Hip hemiarthroplasty is a surgical technique employed to treat hip fractures. Hip fracture is treated by orthopaedic specialists at BCL Orthopaedics in Warrensville Heights and Mayfield Heights, Cleveland, OH.

Randomised study to determine the effect of HA coating on the stability of lag screws used to reduce femoral neck fractures. Stability of the screw will be determined by RSA measurements. The effect of the HA coating on bone remodeling will be determined by DEXA ...

Thesis, English, Prospective study of cases of conversion of hip hemiarthroplasty to total hip replacement for Tawfiq AIy Safar Seif EIdin

Hip hemiarthroplasty is a surgical technique performed by Dr Garrett Kerns in Midland, Saginaw and Bay City, MI. He also offers treatment for hip fracture.

Various classification systems are available to define medial fractures of the femoral neck: AO, Garden, Pauwels. Gardens classification permits the application of a functional diagnostic-therapeutic algorithm associated with a good clinical outcome.. Selecting the treatment for medial fractures must, however, take account not only of the classification of the lesion, but also the patients age and any co-morbidities.. Total hip replacement is the preferred strategy for Garden grades III and IV medial fractures. The choice of hemiarthroplasty or total hip replacement must be based on analysis of various factors: the patients age, symptomatic coxarthrosis or rheumatoid arthritis, the patients level of activity and neurological status before the fracture. High functional demand should orient the decision towards total replacement... Hemiarthroplasty involves shorter operating times, rapid functional recovery, and a low rate of dislocation 8. The rate of revision for complications related to ...

OBQ12.270) A 65-year-old patient was treated with an open reduction/internal fixation for a left femoral neck fracture sustained 25 years ago. Five years ago he developed hip pain and was converted to a left hip hemiarthroplasty. He presents with complaints of groin pain for the past 6 weeks. A recent radiograph is shown in Figure A. The patients physical exam is limited secondary to pain. Serum laboratory values are WBC-8.0, ESR-20, CRP-0.5. A synovial fluid aspirate of the hip demonstrates < 500 cells (60% PMN). What is the most likely cause of this patients symptoms? Tested Concept ...

Multnomah Orthopedic Clinic in Portland offers surgical procedures for hip hemiarthroplasty and other various orthopedic conditions.

Today I turned a corner. I turned a corner and there was the treadmill waiting for me, tempting me to do something I hadnt been able to do for awhile. HIIT - High Intensity Interval Training I dont love the treadmill. In fact, I give it the finger on a regularly basis. But, I think the treadmill is hands down the best place to do speed intervals because you can completely control pace and incline. I havent HIIT it in at least a year and half because my bodys been out of whack. Ever since my femoral neck stress fracture (fancy way of saying hip stress fracture) in October 2010, Ive had to put any kind of speed/interval training on the back burner. Every time I did speed work, it set me back. Today was the first day I really felt like my body was up for the challenge. The fact that I am finally here tells me that dedicating the past 10 weeks to changing some elements of my running form has really paid off.. The HIIT verdict? Invigorating and amazing. There is NOTHING like pushing yourself to ...

TY - JOUR. T1 - Preoperative chest radiographs in hip fracture patients. T2 - is there any additional value?. AU - Loggers, Sverre A.I.. AU - Giannakopoulos, Georgios F.. AU - Vandewalle, Edwin. AU - Erwteman, Micha. AU - Berger, Ferco. AU - Zuidema, Wietse P.. PY - 2017/10/1. Y1 - 2017/10/1. N2 - Purpose: Preoperative screening in hip fracture patients is vital to minimize perioperative complications. Preoperative chest radiographs (POCR) are performed in many hip fracture patients. Earlier research showed that few POCR abnormalities influence perioperative policy. However, no studies in nonelective patient with a specific surgical conditions have been performed. With many hip fractures per year worldwide, a significant cost reduction could be made by performing selective POCR without compromising the quality of care. This study assessed the need for POCR in hip fracture patients. Method: Retrospective analysis of low-energy trauma patients was performed aged 18 years and older in the VU ...

TY - JOUR. T1 - Postoperative variation in neurocognitive and functional status in elderly hip fracture patients. AU - Milisen, Koen. AU - Abraham, Ivo L.. AU - Broos, Paul L.O.. PY - 1998/1. Y1 - 1998/1. N2 - Regaining independence in the performance of activities of daily living (ADL) is a nursing priority in the postoperative care of hip fracture patients, though often impeded by a temporary yet reversible decrease in cognitive status postoperatively. This study investigated the incidence and evolution of decreased cognitive status in geriatric hip fracture patients from admission through to the fifth postoperative day, and the relationship between cognitive abilities and functional (ADL) status. Twenty-six elderly hip fracture patients (f: 21, m: 5) with a mean age of 79·5 years (SD = 8·2) admitted to the emergency room of an academic medical centre were monitored longitudinally from admission until the fifth postoperative day regarding neurocognitive status and ADL status, as measured by ...

Hip fracture treatment is offered by Dr. Sugarman in Manhattan, New York City, NY. Click here to learn more about the treatments for pelvic and femoral neck fractures.

MacOrtho is proud to announce that on March 31st, 2014 the Fixation Using Alternative Implants for the Treatment of Hip Fractures (FAITH) trial completed enrollment. With 1,112 patients recruited from 81 clinical sites in 8 different countries, the FAITH Study team is very proud of this accomplishment as few trials in the field of Orthopaedics achieve this level of enrollment.. Funded by the Canadian Institutes of Health Research and National Institutes of Health, FAITH was predicated on the hypothesis that fixed angle devices may reduce reoperation risk compared to multiple screw fixation in femoral neck fracture fixation. To learn more about the FAITH Study, please click here.. FAITH is yet another shining example of a fundamental question for a critically important health care issue that has the potential to shift the paradigm of care says Dr. Bhandari.. ...

misc{9289497b-fab8-4b1c-a85f-122dbfe18661, author = {von Friesendorff, My and Nilsson, Jan-Åke and Åkesson, Kristina}, issn = {1433-2965}, language = {eng}, note = {Conference Abstract}, number = {Suppl. 1}, pages = {131--132}, publisher = {Springer}, series = {Osteoporosis International}, title = {INCREASED MORTALITY IN HIP FRACTURE PATIENTS - A LONG-TERM CASE-CONTROL STUDY OF 1029 HIP FRACTURE PATIENTS OVER 20 YEARS}, url = {http://dx.doi.org/10.1007/s00198-009-0879-0}, volume = {20}, year = {2009 ...

Subcapital neck of femur fracture after a simple mechanical fall on to the right side. The right leg was classically shortened and internally rotated.

Neck pain may occur due to a number of reasons, but the most common include:. Muscle strain. A muscle strain is when there is overuse of the muscles in the neck that results in pain. A trigger for neck pain that is caused by muscle strain may be poor posture when sitting for prolonged periods of time. Minor activities such as reading in bed or gritting the teeth at night may contribute to neck strain.. Fracture of the neck - Injuries. Traumatic injuries may result in a neck fracture. Pain caused by a neck fracture is more severe than whiplash pain, where the muscles are strained from jerking the head back and forth abruptly. A fracture may occur in one of the cervical disc or vertebrae along the spine, causing significant and sometimes chronic pain.. An odontoid fracture may occur due to a fall. If neck pain exists after an injury, x-rays should be obtained and possibly a CT Scan.. Diseases. Diseases, such as degenerative and rheumatoid arthritis may cause neck pain. Other, less common diseases ...

Hip fracture patients in the aging population frequently present with various comorbidities, whilst preservation of independency and activities of daily living can be challenging. Thus, an interdisciplinary orthogeriatric treatment of these patients has recognized a growing acceptance in the last years. As there is still limited data on the impact of this approach, the present study aimed to evaluate the long-term outcome in elderly hip fracture patients, by comparing the treatment of a hospital with integrated orthogeriatric care (OGC) with a conventional trauma care (CTC). We conducted a retrospective, two-center, cohort study. In two maximum care hospitals all patients presenting with a hip fracture at the age of ≥ 70 years were consecutively assigned within a 1 year period and underwent follow-up examination 12 months after surgery. Patients treated in hospital site A were treated with an interdisciplinary orthogeriatric approach (co-managed care), patients treated in hospital B underwent

This surgical procedure replaces the head of a damaged femur with an implant designed to stabilize the femur and restore hip function. Unlike total hip replacement, in which both the ball of the femur and the hip socket are replaced, in this procedure, only the ball is replaced.

CONSOPHARMA PLUS - We are Exporter,Manufacturer,Supplier, and Wholesaler of 4.0 MM Cancellous Screw (Short Thread) from New Delhi, India.

Femur neck fracture without displacement has a better prognosis and outcome as the range of movements will be better after the surgery. In the case of fracture with displacement, more care has to taken to regain the movements and also for a better

Ortho Worlds is a global academic discussion blog, with around 8000 members from across the world, having its Facebook group & page, WhatsApp group, Telegram Group.. ...

Orthopaedic Principles diagnose the case and discuss at our forum at the given link.. http://orthopaedicprinciples.com/forums/viewtopic.php?f=20&t=65&start=0 http://tweetmeme.com/i/scripts/button.js http://s7.addthis.com/js/250/addthis_widget.js#username=doctorhoda

A friend commented on a recent post here that Kirstens recovery has been miraculous, and that the advancement of science itself is a miracle. I vehemently disagree.. Kirstens body has progressively been destroyed by her several diseases. Shes wasted away to ~75 pounds. When I wash her skin she cries, realizing as she looks at her weak, frail little legs just how far shes deteriorated. I havent posted pictures because her body is so sickly it would be disturbing to some, and embarrassing to Kirsten.. Kirsten almost died Wednesday. That was avoided by a heroic effort by her medical team and myriad advanced products of science. On several occasions, different people who were there with me have wondered aloud how it is that she is still alive. Attribute that to god if you wish.. Kirsten has not gotten up and walked out of the hospital. She still has a neck fracture that paralyzed her right upper arm. She still has advanced Cushings syndrome. She still has two liver lesions. She still has a ...

Proximal femoral fractures (PFFs) frequently occur in the elderly population and increase with age. Previous studies reported gender differences in previous fun