• Rehabilitation of the distal femur fracture depends upon several factors such as age, general health of the patient and the type of fracture. (johnfeldmanmd.com)
  • This type of fracture is more prone to infection and requires immediate medical attention. (fixthebones.com.au)
  • Fractures greatly range in medical expenses, and depend greatly on the location of the fracture, the type of fracture, the victim's age and health, surgical treatment, and more. (simmonslawfirm.com)
  • In this type of fracture, the break is a straight horizontal line going across the femoral shaft. (peninsulaboneandjoint.com)
  • This type of fracture has an angled line across the shaft. (peninsulaboneandjoint.com)
  • A twisting force to the thigh causes this type of fracture. (peninsulaboneandjoint.com)
  • In this type of fracture, the bone has broken into three or more pieces. (peninsulaboneandjoint.com)
  • One of the key factors in determining the biomechanics of internal fixation is the type of fracture. (surgeonsync.com)
  • Each type of fracture requires a specific approach to internal fixation, considering factors such as the direction of the fracture line, the number of bone fragments, and the stability of the fracture. (surgeonsync.com)
  • The choice of screw depends on several factors, including the type of fracture, the bone quality, and the biomechanical requirements. (surgeonsync.com)
  • Neurovascular injury can occur in this type of fracture because the shaft may be displaced into the axilla. (teachmeorthopedics.info)
  • Greenstick fractures are stable fractures as a part of the bone remains intact and unbroken so this type of fracture normally causes a bend to the injured part, rather than a distinct deformity, which is problematic. (passmed.uk)
  • Elegantâ„¢ Gam Nail is a new internal fixation device for the treatment of proximal femoral fractures. (sharmaortho.com)
  • The mainstay of surgical management for distal femur fractures is retrograde nailing or open reduction internal fixation (ORIF). (teachmesurgery.com)
  • The management of a peri-prosthetic distal femur fracture is more complex, and may require intramedullary nailing, open reduction internal fixation, revision to a long stem prosthesis, or a distal femoral replacement. (teachmesurgery.com)
  • External or internal fixation or a knee replacement may be required depending on the extent of the fracture. (johnfeldmanmd.com)
  • The internal fixation may be performed using intramedullary nailing or plates and screws. (johnfeldmanmd.com)
  • Internal fixation is done with devices such as Kirschner wires, plates and screws, and intramedullary nails. (fixthebones.com.au)
  • BACKGROUND: This study was conducted to compare the radiological and clinical outcomes of internal fixation using a Polarus humeral nail for treatment of a humeral shaft fracture according to fracture. (koreamed.org)
  • Although the concept of internal fixation dates back to the mid-1800s, Lister introduced open reduction, internal fixation (ORIF) of patella fractures in the 1860s. (medscape.com)
  • Anatomic reduction and absolute stabilization of a fracture by internal fixation alter the biology of fracture healing by diminishing strain (elongation force) on the healing tissue at the fracture site. (medscape.com)
  • Absolute stability with no fracture gap (eg, via open reduction and internal fixation using interfragmental compression and plating) presents a low strain and results in primary healing (cutting cone) without the production of callus. (medscape.com)
  • Intramedullary nail fixation (IMN) and plate internal fixation (PL) are the two mainstay treatments for tibial fractures, but agreement on the best internal fixation for distal tibial fractures is still controversial. (biomedcentral.com)
  • The optimal type of internal fixation for treatment of a distal radius fracture is still under debate. (biomedcentral.com)
  • I have seen a few acetabular fractures treated with internal fixation and an Ehmer sling develop marked periarticular fibrosis and dramatically reduced extension with a poor long term result. (vin.com)
  • From Jan 2017 to Dec 2019, 357 patients with per/intertrochanteric femur fractures underwent surgery by closed reduction and internal fixation, of whom 12 patients were indentified with rare preoperative imaging features, the lesser trochanter was almost equally bisected. (researchsquare.com)
  • Internal fixation with plates, screws, and nails is a common surgical technique used to stabilize and repair fractured bones. (surgeonsync.com)
  • When it comes to internal fixation, biomechanics plays a crucial role in determining the type and placement of implants used to stabilize fractured bones. (surgeonsync.com)
  • The goal of internal fixation is to provide stability to the fractured bone, allowing for proper healing while minimizing pain and complications. (surgeonsync.com)
  • Plates are commonly used in internal fixation to stabilize fractures. (surgeonsync.com)
  • One of the main advantages of using plates in internal fixation is their ability to provide rigid stability to the fractured bone. (surgeonsync.com)
  • Nails, also known as intramedullary nails or rods, are another type of implant used in internal fixation. (surgeonsync.com)
  • and soft tissue healing similar to internal fixation of limb fractures. (pdfplayer.org)
  • Bone malrotation predominantly occurs after an injury where a bone is fractured, however malrotation can genetically occur during foetal development. (wikipedia.org)
  • As a result, in many cases of intramedullary nailing, the bone is misaligned which causes malrotated regrowth. (wikipedia.org)
  • All patients with open fractures, pathological fractures, metabolic bone disease or neuromuscular disorders were excluded from search. (biomedcentral.com)
  • It is dependent on clinical identification of dyspnea, petechiae, and cognitive dysfunction in the first few days following trauma, long bone fracture, or intramedullary surgery. (medscape.com)
  • act as an immobilization device to hold the ends of the fractured bone. (sharmaortho.com)
  • System of intramedullary nails that is designed to help restore the shape of the fractured long bone to its natural, pre-injured state. (sharmaortho.com)
  • ELEGANT® Multi Locking Tibia Nail provide innovative locking options, in combination with cancellous bone locking screws, increase the stability of the proximal fragment for proximal third fractures. (sharmaortho.com)
  • The femur or thigh bone is the longest and strongest bone in the body, connecting the hip to the knee. (johnfeldmanmd.com)
  • The distal femur refers to the lower part of the thigh bone which flares out like an upside-down funnel and its lower end is covered by a smooth, slippery articular cartilage that protects and cushions the bone during movement. (johnfeldmanmd.com)
  • Patients with osteoporosis, bone tumors or infections, or a history of knee replacement are more prone to femur fractures. (johnfeldmanmd.com)
  • If the fracture is of the comminuted type or the bone has broken into many pieces, plates or rods may be used at the ends of the fracture without disturbing the smaller pieces. (johnfeldmanmd.com)
  • Knee replacement may also be considered in complicated fractures or those with poor bone quality. (johnfeldmanmd.com)
  • Artificial implants may be used to replace the fractured segments of the bone and joint. (johnfeldmanmd.com)
  • The distal femur is the lower part of the thigh bone which flares out like an upside-down funnel and its lower end is covered by a smooth, slippery articular cartilage that protects and cushions the bone during movement. (richardyoonmd.com)
  • The distal femur is part of the femur bone that flares out like the mouth of the funnel. (richardyoonmd.com)
  • A hip fracture or proximal femur fracture is a break in the proximal end of the thigh bone near the hip. (richardyoonmd.com)
  • A bone fracture is a medical condition in which a bone is cracked or broken. (fixthebones.com.au)
  • While many fractures are the result of high force impact or stress, bone fracture can also occur as a result of certain medical conditions that weaken the bones, such as osteoporosis. (fixthebones.com.au)
  • The word "Fracture" implies to broken bone. (fixthebones.com.au)
  • A bone may get fractured completely or partially and it is caused commonly from trauma due to fall, motor vehicle accident or sports. (fixthebones.com.au)
  • Simple fractures in which the fractured pieces of bone are well aligned and stable. (fixthebones.com.au)
  • Unstable fractures are those in which fragments of the broken bone are misaligned and displaced. (fixthebones.com.au)
  • Greenstick fractures: This is a unique fracture in children that involves bending of one side of the bone without any break in the bone. (fixthebones.com.au)
  • Bone cells begin forming on the either side of the fracture line. (fixthebones.com.au)
  • The objective of early fracture management is to control bleeding, prevent ischemic injury (bone death) and to remove sources of infection such as foreign bodies and dead tissues. (fixthebones.com.au)
  • In skeletal traction, a pin is inserted through the bone distal to the fracture. (fixthebones.com.au)
  • The "ball" is the head of the femur, or thigh bone, and the "socket" is the cup shaped acetabulum. (fixthebones.com.au)
  • When a fracture happens, bone union is delayed and nonunion often occurs. (koreamed.org)
  • Immobilization by casting, bracing, or splinting a joint above and below the fracture was used for most long bone fractures - except femur fractures, for which traction was the mainstay of treatment. (medscape.com)
  • Although this process has been called secondary bone union or indirect fracture repair, it is the natural and expected way fractures heal. (medscape.com)
  • In this model, cutter heads of the osteons reach the fracture and cross it where bone-to-bone contact exists. (medscape.com)
  • The tibia is an important weight bearing bone in the lower limb, which articulates proximally with the femur at the knee and distally with the talus at the ankle. (biomedcentral.com)
  • It is ideal to immobilize the joints above and below the fractured bone to reduce motion at the interface to a minimum. (vin.com)
  • Clinicians should consider the patient's conformation as well as the location and bone fractured and think about how effective coaptation might be in effectively achieving bone splintage as apposed to limb splintage. (vin.com)
  • Common fractures that can be confidently treated with coaptation include: isolated diaphyseal radial or ulnar fractures (not both), one, two or three metacarpal / tarsal fractures, minimally displaced tibial crest avulsions, greenstick fractures of the tibial diaphysis and some non-articular talus and tarsal bone fractures. (vin.com)
  • In younger patients, these fractures can result from high-energy impacts like car crashes, often leading to breaks that extend into the knee joint and shatter the bone into multiple pieces. (almuderis.com.au)
  • The lower part of the thigh bone (femur) forms the upper part of the knee joint, while the top part of the shinbone (tibia) supports the lower part of the knee joint. (almuderis.com.au)
  • The ends of the femur are covered with a smooth surface called articular cartilage, which cushions the bone and facilitates knee movement. (almuderis.com.au)
  • Distal Femur Fractures are categorised based on the way the bone breaks and the severity of the break. (almuderis.com.au)
  • Transverse Fractures occur when the bone breaks straight across the femur. (almuderis.com.au)
  • Comminuted Fractures result from the bone breaking into many pieces. (almuderis.com.au)
  • Because these fractures damage the cartilage surface of the bone, they can be more challenging to treat. (almuderis.com.au)
  • Compound Fracture occurs when the skin around the fractured bone breaks. (almuderis.com.au)
  • If the fracture has fragmented the bone into many small pieces above the knee joint, it is generally not pieced back together. (almuderis.com.au)
  • In cases where the fracture may heal slowly, such as in elderly patients with poor bone quality, a bone graft may be used to facilitate the formation of the callus. (almuderis.com.au)
  • In more severe instances, when the fracture is too complicated and the bone quality is too poor to repair, the fragments are removed and the bone is replaced with a knee replacement implant. (almuderis.com.au)
  • Spiral Fracture: one part of the bone has been twisted at the break point. (crimestriketv.com)
  • Stress fractures are tiny cracks in a bone. (crimestriketv.com)
  • Closed-wedge (CW) and open-wedge (OW) high tibial osteotomy (HTO) are extra-articular surgery, which aim to shift the mechanical axis from medial to slightly lateral and reduce the overload in the medial compartment of the If you have or suspect you have fractured a finger, you should rest your hand and not perform any activities that could cause the broken ends of the bone to move on one another. (crimestriketv.com)
  • Your thighbone (femur) is the longest and strongest bone in your body. (peninsulaboneandjoint.com)
  • When there is a break anywhere along this length of bone, it is called a femoral shaft fracture. (peninsulaboneandjoint.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). (peninsulaboneandjoint.com)
  • 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. (peninsulaboneandjoint.com)
  • A bone fracture (abbreviated FRX or Fx , F x , or # ) is a medical condition in which there is a partial or complete break in the continuity of any bone in the body. (wikipedia.org)
  • In more severe cases, the bone may be broken into several fragments, known as a comminuted fracture . (wikipedia.org)
  • [1] A bone fracture may be the result of high force impact or stress , or a minimal trauma injury as a result of certain medical conditions that weaken the bones, such as osteoporosis , osteopenia , bone cancer , or osteogenesis imperfecta , where the fracture is then properly termed a pathologic fracture . (wikipedia.org)
  • Other complications may include non-union, where the fractured bone fails to heal, or malunion, where the fractured bone heals in a deformed manner. (wikipedia.org)
  • One form of malunion is the malrotation of a bone, which is especially common after femoral and tibial fractures. (wikipedia.org)
  • Stages in Fracture Repair: The healing of a bone fracture follows a series of progressive steps: (a) A fracture hematoma forms. (wikipedia.org)
  • The natural process of healing a fracture starts when the injured bone and surrounding tissues bleed, forming a fracture hematoma . (wikipedia.org)
  • 1. A client with a fractured head of the right femur and osteoporosis is placed in Buck extension before surgical repair.The surgeon inserts metal pins into the bone or bones from outside the skin surface and then attaches a compression device to the pins. (nails-beauty.de)
  • Compression plates are used to achieve compression across the fracture site, promoting bone healing. (surgeonsync.com)
  • These screws are inserted into the bone to provide stability and hold the fractured fragments together. (surgeonsync.com)
  • Inflatable Self Locking Intramedullary Nailing in the Management of Long Bone Diahpyseal Fractures. (ditodelhi.com)
  • Primary bone defects result from high-energy trauma, which can produce an open fracture with extensive soft tissue damage, osseous comminution and even extrication of bone fragments. (fortuneonline.org)
  • A fracture is a broken bone. (crortho.com)
  • The distal femur is where the bone flares out like an upside-down funnel. (crortho.com)
  • The bone can break straight across (transverse fracture) or into many pieces (comminuted fracture). (crortho.com)
  • Sometimes these fractures extend into the knee joint and separate the surface of the bone into a few (or many) parts. (crortho.com)
  • Elderly people with distal femur fractures typically have poor bone quality. (crortho.com)
  • In many cases of distal femur fracture, however, a cast or brace cannot correctly line up the bone pieces because shortened muscles pull the pieces out of place. (crortho.com)
  • These nails have been designed for specific applications to help restore the shape of the fractured bone to its natural, pre-injured state. (indianorthopaedic.com)
  • A greenstick fracture is a fracture in a young, soft bone in which the bone bends and breaks. (passmed.uk)
  • Some clinical features of a greenstick fracture are similar to those of a standard long bone fracture - greenstick fractures normally cause pain at the injured area. (passmed.uk)
  • The scaphoid bone is the most commonly fractured carpal bone. (passmed.uk)
  • Fractures are most often localized in the middle third of the scaphoid bone. (passmed.uk)
  • Generally, scaphoid bone fractures result from indirect trauma when an individual falls onto the outstretched hand with a hyperextended and radially deviated wrist. (passmed.uk)
  • Pain when applying pressure to the anatomical snuffbox is highly suggestive of a scaphoid bone fracture. (passmed.uk)
  • Intra-articular Fractures extend into the knee joint and separate the bone's surface into multiple pieces. (almuderis.com.au)
  • Intra-articular fractures are wrist fractures that affect the wrist joint. (crimestriketv.com)
  • Intra-articular Fractures of the Distal Humerus in the Adult. (uth.edu)
  • It often occurs as the result of a surgical complication after a fracture where intramedullary nailing (IMN) occurs, especially in the femur and tibial bones, but can also occur genetically at birth. (wikipedia.org)
  • Nailing is used as it requires minimal surgical dissection, less disruption of the fracture hematoma and allows faster functionality to a patient post-surgery. (wikipedia.org)
  • Asymptomatic fat embolism to the pulmonary circulation almost always occurs with major trauma, including elective surgical procedures such as intramedullary nailing of long bones, which has been demonstrated with echocardiography. (medscape.com)
  • This exhibit includes a pre-operative group, a post-operative group, and three surgical sections.rnrnThe pre-operative group includes a film and film interpretation of the right femur with a comminuted shaft fracture.rnrnThe next three sections include surgical steps. (nucleusmedicalmedia.com)
  • Non-surgical treatment comprises of immobilizing the fractured site with the help of a cast or brace to prevent weight bearing and to help the healing process. (johnfeldmanmd.com)
  • Surgical treatment is considered to realign the fractured bones. (johnfeldmanmd.com)
  • To achieve this, maintenance of fracture reduction with immobilization technique is done by either non-operative or surgical method. (fixthebones.com.au)
  • This is a surgical procedure in which the fracture site is adequately exposed and reduction of fracture is done. (fixthebones.com.au)
  • PURPOSE: To evaluate the clinical characteristics of intertrochanteric or subtrochanteric fractures associated with ipsilateral femoral shaft fractures and assess the surgical outcomes of a novel, closed intramedullary nailing surgical approach. (koreamed.org)
  • Early surgical fixation initially was complicated by many obstacles, such as infection, poorly conceived implants and techniques, metal allergy, and a limited understanding of the biology and mechanics of fracture healing. (medscape.com)
  • What are the surgical options for Compound Distal Femur Fracture? (almuderis.com.au)
  • To introduce the clinical features of and surgical techniques for a rare type of irreducible pertrochanteric femur fracture pattern with bisection of the lesser trochanter. (researchsquare.com)
  • Current CORIT research programs include: (1) Development new mitigation strategies for prevention of prosthetic joint infections, (2) The prevention and treatment of periprosthetic fractures, (3) Quantifying and enhancing surgical skills through computer-assisted and robotic technologies, and (4) Biomechanical simulation and optimization of orthopaedic procedures. (uth.edu)
  • Surgical options may be considered for specific fracture patterns in younger patients. (orthojournalhms.org)
  • Rarely, a three-part fracture is encountered involving the lesser or greater tuberosity as well as the surgical neck. (teachmeorthopedics.info)
  • Perhaps the most important aspect in the treatment of open fractures is the initial surgical intervention with irrigation and meticulous debridement of the injury zone. (passmed.uk)
  • Treatment can be conservative (e.g., wrist immobilization) or in certain cases surgical (e.g., proximal pole fracture). (passmed.uk)
  • Used for the fixation of Pertrochanteric fractures ,Intertrochanteric fractures ,High subtrochanteric fractures,Ipsilateral trochanteric fractures,Combination fractures (in the proximal femur) ,Pathological fractures. (sharmaortho.com)
  • This device is suitable for fracture management of the intertrochanteric, pretrochanteric, and subtrochanteric areas. (sharmaortho.com)
  • The main fracture pathoanatomy of these cases included: The anterior fracture line passed along the intertrochanteric line to the medial lesser trochanter and bisected it into two equal parts from mid-level of the lesser trochanteric protrusion. (researchsquare.com)
  • Two-part intertrochanteric femur fractures with bisection of the lesser trochanter were first reported by Moehring et al. (researchsquare.com)
  • The intertrochanteric fracture with a bisected lesser trochanter had the following pathoanatomical features: the main trochanter fracture line crossed the lesser trochanter and split it into two parts almost equally. (researchsquare.com)
  • Intertrochanteric (IT) fractures of femur are common in elderly people with osteoporotic bones and often the result of minor domestic falls. (jmsronline.com)
  • Risk factors for cut-out failure of Gamma3 nails in treating unstable intertrochanteric fractures: An analysis of 176 patients. (gov.tw)
  • The intra HEAL Proximal Hip Stabilizing Nail is indicated in intertrochanteric fractures of femur. (indianorthopaedic.com)
  • Conclusions: Proximal femoral nailing can be one of the primary treatment options for intertrochanteric hip fractures in the elderly. (journaltocs.ac.uk)
  • They occur both in younger patients (as the result of high energy trauma) or in older patients (from low energy trauma as a pathological fracture secondary to osteoporosis or malignancy). (teachmesurgery.com)
  • As most cases present following a fall or trauma , differentials include tibial plateau fractures , haemarthrosis , or tibial shaft fractures . (teachmesurgery.com)
  • Disruption of the endosteal and periosteal blood supply occurs with the initial trauma, and maintaining adequate blood supply to the fracture site is essential for healing. (medscape.com)
  • Fixation of the subtrochanteric fracture in two patients of osteopetrosis by using distal femur Locking Compression Plate ( DF-LCP) of the contralateral side report of 2 cases.European Journal of Trauma & Emergency Surgery. (ditodelhi.com)
  • On the other hand, achievement of solid fusion reduces risk of re-kyphosis and implant failure.Methods: Study was prospectively conducted on 40 patients with T10-L2 traumatic burst fractures, assigned into 2 equal groups: a fusion and a non-fusion group.Results:Mean age of patients was 37.2 years with minimal male predominance.Fall from height was the most common mode of trauma (62.5%) followed by RTAs. (pdfplayer.org)
  • Distal clavicle fractures are traumatic injuries usually caused by direct trauma to the shoulder from a fall in adults. (orthobullets.com)
  • Complications following a distal femur fracture include malunion (more common for fractures that have been plated), non-union (can occur in up to 19%, most common in the metaphyseal area), and secondary osteoarthritis , especially those with intraarticular extension of the fracture. (teachmesurgery.com)
  • The adolescent age group with skeletal immaturity deserves special attention from the surgeons because of grave complications like avascular necrosis of the femur head and angular deformities. (ijrsms.com)
  • The rigid intramedullary interlocking nail is a valuable option for the fixation of femoral shaft fractures in an adolescent age group with a good union rate and minimal complications. (ijrsms.com)
  • It is relatively free of serious complications despite asymptomatic malalignment and LLD in significant percentage of fractures. (biomedcentral.com)
  • Flexible intramedullary nailing introduced for femoral fractures by Nancy group in 1982 [ 22 ], has become popular with many orthopaedic surgeons and remains the treatment of choice for these fractures at our institute due to its favourable results and lack of serious complications. (biomedcentral.com)
  • This meta-analysis was designed to compare the success of IMN and PL fixations in the treatment of distal metadiaphyseal tibial fractures, in terms of complications and functional recovery. (biomedcentral.com)
  • In my opinion, complications that develop following management of fractures in small animal practice can be a humbling experience and clinical experience plays a major role in reducing the frequency of complications. (vin.com)
  • I enjoy the ongoing challenge of fracture repair and attempt to learn from complications that develop and then to apply that knowledge to the benefit of future patients. (vin.com)
  • There are certainly some complications that you never considered would develop that surprise you but in general, the surgeon can improve and limit the number of problems through a better understanding of fracture biomechanics and experience with a wide variety of patients, fixation techniques and postoperative environments. (vin.com)
  • Even if the fracture is repaired with a plate, so you would not necessarily be able to see the individual fragments being reduced, there is a greater risk of failure and complications after the procedure. (crimestriketv.com)
  • Some fractures may lead to serious complications including a condition known as compartment syndrome . (wikipedia.org)
  • [5] Complications of fractures may be classified into three broad groups, depending upon their time of occurrence. (wikipedia.org)
  • Immediate complications - occurs at the time of the fracture. (wikipedia.org)
  • Early complications - occurring in the initial few days after the fracture. (wikipedia.org)
  • Late complications - occurring a long time after the fracture. (wikipedia.org)
  • The use of skeletal traction should be reserved only for selected open fracture types (i.e., pelvis fractures and very proximal femur fractures) and if used, it should only be for a short selected time. (passmed.uk)
  • Furthermore, in certain complex fractures and sometimes in subtrochantric fractures, with tendency for marked flexion of proximal fragment, closed reduction and its maintenance if often unsuccessful. (biomedcentral.com)
  • Reconstruction plates are used in complex fractures where multiple fragments need to be stabilized. (surgeonsync.com)
  • The GPC reconstruction nail (left) are used for complex fractures involving ipsilateral neck and shaft femur fractures. (indianorthopaedic.com)
  • The GPC reconstruction nail (right) are used for complex fractures involving ipsilateral neck and shaft femur fractures. (indianorthopaedic.com)
  • When Kim first contacted me, she already had surgery to repair her fractured femur. (justinziegler.net)
  • It usually occurs during a surgery which involves intramedullary nailing, which is the insertion of metal rods and nails to stabilise bones. (wikipedia.org)
  • Indication for surgery in all cases was displaced femoral shaft fracture with open femoral physis. (biomedcentral.com)
  • With most distal femur fractures the surgery can be delayed unless the fracture is open to the environment (break in the skin). (johnfeldmanmd.com)
  • Diagnosis For more severe fractures, we perform surgery to precisely repair bones and joint damage. (crimestriketv.com)
  • Most femoral shaft fractures require surgery to heal. (peninsulaboneandjoint.com)
  • It is unusual for femoral shaft fractures to be treated without surgery. (peninsulaboneandjoint.com)
  • For stable IT fractures it is the surgery of choice. (jmsronline.com)
  • If the soft tissues (skin and muscle) around your fracture are badly damaged, or if it will take time before you can tolerate a longer surgery because of health reasons, your doctor may apply a temporary external fixator. (crortho.com)
  • Instead, a plate or rod will be fixed at both ends of the fracture without directly repositioning the numerous small fragments in between. (almuderis.com.au)
  • Additionally, over impaction of the fracture fragments may lead to significant loss of limb length. (jmsronline.com)
  • It protects the soft tissues around the zone of injury by preventing further damage from mobile fracture fragments. (passmed.uk)
  • Distal femur fractures occur when the thighbone (femur) breaks just above the knee joint. (almuderis.com.au)
  • Distal femur fractures typically occur for different reasons in younger patients (under 50) and the elderly. (almuderis.com.au)
  • Careful, close follow-up is mandatory to ensure that fracture displacement or joint subluxation does not occur during healing. (crimestriketv.com)
  • These fractures do not affect the joints in the hand, but they cause immense pain and discomfort by The extra-articular manifestations of RA can occur at any age after onset. (crimestriketv.com)
  • Mechanical failure including loss of purchase of the compression screw within the femoral head, pulling of the side plate and dis-engagement of the screw and barrel have been reported to occur in as many as 28% of fractures. (jmsronline.com)
  • Nonunions are estimated to occur in 2% to 15% of all tibial fractures. (fortuneonline.org)
  • Fractures of the thighbone that occur just above the knee joint are called distal femur fractures. (crortho.com)
  • Distal femur fractures most often occur either in older people whose bones are weak, or in younger people who have high energy injuries, such as from a car crash. (crortho.com)
  • Fractures of the distal femur most commonly occur in two patient types: younger people (under age 50) and the elderly. (crortho.com)
  • Undisplaced linear fractures that extend into the humeral head can occur. (teachmeorthopedics.info)
  • Greenstick fractures occur most often during infancy and childhood when bones are soft. (passmed.uk)
  • Patients with open fractures, polytrauma and neurovascular injuries were excluded. (ijrsms.com)
  • Distal femur fractures may be caused by high energy injuries such as a fall from a height or a motor vehicle accident. (johnfeldmanmd.com)
  • The diagnosis of a distal femur fracture is based on the patient's medical history including history of any previous injuries, a complete physical examination and imaging studies. (johnfeldmanmd.com)
  • Overuse injuries are common cause of stress fractures in athletes. (fixthebones.com.au)
  • Fractures of the distal tibial metaphysis, diaphysis, and adjacent diaphysis are commonly seen in road traffic accidents or sports injuries. (biomedcentral.com)
  • These metadiaphyseal fractures are distinct in terms of their management from articular impaction "pilon" type fractures and middle third diaphyseal injuries [ 1 ]. (biomedcentral.com)
  • Femoral shaft fractures are high energy injuries to the femur that are associated with life-threatening injuries (pulmonary, cerebral) and ipsilateral femoral neck fractures. (orthobullets.com)
  • These fractures can sometimes be accompanied by other injuries due to the forceful nature of the impact. (almuderis.com.au)
  • In the elderly, weakened and fragile bones due to degeneration can lead to distal femur fractures even with lower-force injuries, like a fall from standing. (almuderis.com.au)
  • Our board-certified rehabilitation specialists develop personalized plans to help people recover from complex injuries, such as articular fractures. (crimestriketv.com)
  • Distal femur fractures in younger patients are usually caused by high energy injuries, such as falls from significant heights or motor vehicle collisions. (crortho.com)
  • Indications for external fixation are grossly contaminated open fractures with extensive soft-tissue compromise, the Type IIIA-C injuries, and when immediate fixation is needed for physiologically unstable patients. (passmed.uk)
  • Further subdivisions are made on the basis of the morphology and degree of comminution of the fracture: 43-A1 are non-comminuted extra-articular fractures, 43-A2 are wedge fractures, and 43-A3 are comminuted extra-articular fractures. (biomedcentral.com)
  • Nails are the implants used in the fixation of fractures of long bones. (sharmaortho.com)
  • In the elderly, even a simple fall from a standing position may result in a fracture as the bones tend to become weak and fragile with advancing age. (johnfeldmanmd.com)
  • Open (compound) fractures are severe fractures in which the broken bones cut through the skin. (fixthebones.com.au)
  • These fractures are more common in older individuals with weaker bones. (almuderis.com.au)
  • A lower-force incident, such as a fall from standing, may cause a femoral shaft fracture in an older person who has weaker bones. (peninsulaboneandjoint.com)
  • For example, in weight-bearing bones like the femur or tibia, stronger and larger implants may be required to provide adequate stability. (surgeonsync.com)
  • These nails are inserted into the medullary canal of long bones, such as the femur or tibia, and provide stability by acting as an internal splint. (surgeonsync.com)
  • A lower-force event, such as a fall from standing, can cause a distal femur fracture in an older person who has weak bones. (crortho.com)
  • GPC medical offers the Intramedullary Nail System, a next generation of intramedullary nails characterized by their anatomic shape, which is intended to replicate the natural anatomic shape of the various long bones in the human skeleton. (indianorthopaedic.com)
  • BACKGROUND: Intramedullary (IM) nailing is widely performed in elderly patients with trochanteric fractures. (koreamed.org)
  • Initial femoral stem position in cementless bipolar hemiarthroplasty for femoral neck fracture in elderly patients is associated with early implant subsidence: a radiographic analysis. (gov.tw)
  • Humeral Nail (Helical Blade) System permits indirect reduction of diaphyseal fractures and approximation of metaphyseal fractures. (sharmaortho.com)
  • It can also be used for diaphyseal fractures in which a retrograde approach is indicated (e.g. ipsilateral tibia and/or patella fractures, proximal or distal endoprosthesis, adipositas permagna). (sharmaortho.com)
  • Distal femur fractures are fractures extending from the distal metaphyseal-diaphyseal junction of the femur to the articular surface of the femoral condyles. (teachmesurgery.com)
  • The overall incidence of tibial fractures is 51.7 per 100,000 a year, and the incidence of diaphyseal and distal tibia fractures is 15.7 and 9.1 respectively per 100,000 a year [ 2 ]. (biomedcentral.com)
  • His clinical interests include nonunions, periarticular fractures, fractures of the pelvis and acetabulum, and infections. (stanford.edu)
  • In intramedullary nailing a metal rod is inserted into the marrow canal of the femur to keep the fractured fragment in position. (johnfeldmanmd.com)
  • The proximal part of the lesser trochanter connected to the head-neck fragment and attached by the psoas major tendon, while the distal part of the lesser trochanter connected to the femoral shaft and attached by the tendon of the iliac muscle.These fractures were irreducible by a closed maneuver and were reduced with limited assistance by some devices, and short intramedullary nails were used for fixation of these fractures. (researchsquare.com)
  • 10 ] reported four kinds of irreducible fractures, including a type in which the proximal fragment attached to a lesser trochanter was locked underneath the shaft fragment, bisected lesser trochanter with a locked proximal fragment, a posteromedial fragment overlapped at the fracture site, and a proximal fragment was flexed passively by the underlying lesser trochanter. (researchsquare.com)
  • Yang CC, Tzeng YH, Wang CS, Lin CC, Chang MC, Chiang CC (2020, Oct). Untreated small posterior fragment of ankle fracture with early removal of syndesmotic screw is associated with recurrent syndesmotic instability. (gov.tw)
  • Supplemental medial small fragment fixation adds stability to distal femur fixation: A biomechanical study. (stanford.edu)
  • Eight femurs underwent fixation with lateral locked plates alone and were matched with eight femurs treated with dual plating: lateral locked plates with supplemental medial small fragment non-locking fixation. (stanford.edu)
  • The classification is commonly used to classify distal femur fractures into extra-articular (type A), partial articular (type B), and complete articular (type C). (teachmesurgery.com)
  • This method is most commonly used for fractures of the thighbone. (fixthebones.com.au)
  • Distal metadiaphyseal tibial fractures are commonly seen lower limb fractures. (biomedcentral.com)
  • DHS is still the most commonly used device for fixation of IT fractures. (jmsronline.com)
  • [ 5 ] The treatment modalities include plating, minimally invasive plate osteosynthesis (MIPO), external fixation, elastic or rigid intramedullary nails. (ijrsms.com)
  • In certain cases, external fixation may be used in severe comminuted or open fractures. (teachmesurgery.com)
  • External fixation is a procedure in which the fracture stabilization is done at a distance from the site of fracture. (fixthebones.com.au)
  • External fixation is a valuable tool in the surgeon's arsenal for acute open fracture management. (passmed.uk)
  • Casting closed reduction is done for any fracture that is displaced, shortened, or angulated. (fixthebones.com.au)
  • We included 73 femoral shaft fractures in 69 patients treated with retrograde flexible intramedullary nailing with a minimum follow up of 5 years. (biomedcentral.com)
  • PURPOSE: This study examined the radiological and clinical outcomes of tibiotalocacalcaneal arthrodesis using retrograde intramedullary nailing in a severe hindfoot deformity and ankle/subtalar arthritis. (koreamed.org)
  • Malunion is very common following DHS fixation of IT fractures particularly the unstable variety. (jmsronline.com)
  • The GPC tibial nail is indicated in open & closed tibial shaft fractures, tibial malunion and nonunions. (indianorthopaedic.com)
  • The aim of this study is to report the outcome of an adolescent femur shaft fracture treated with a rigid intramedullary interlocking nail in North Indian patients. (ijrsms.com)
  • Sudden, severe pain along with swelling and bruising are the predominant symptoms of femur fracture. (richardyoonmd.com)
  • A femoral shaft fracture usually causes immediate, severe pain. (peninsulaboneandjoint.com)
  • Client with a fractured wrist who reports severe itching under a cast that was applied 3 days ago 3.The office nurse for an orthopedic health care provider receives 4 telephone messages. (nails-beauty.de)
  • Client with a fractured wrist who reports severe itching under a cast that was applied 3 days ago 3.Select all that apply. (nails-beauty.de)
  • This applies to stable or unstable types, and in traumatic and pathologic fractures. (sharmaortho.com)
  • However fixation of unstable fractures with this devise remains a persistent challenge. (jmsronline.com)
  • Cemented bipolar arthroplasty with trochanteric reconstruction is a very good option for patients whose life expectancy is not more than ten years and who has unstable IT fractures. (jmsronline.com)
  • The GPC unreamed tibial nails are indicated in Grade 1&2 open tibial fractures, high energy unstable closed fractures and comminuted. (indianorthopaedic.com)
  • The rigid intramedullary locking nail is a preferred choice over flexible nails in overweight patients and children older than 11 years of age. (ijrsms.com)
  • We thus undertook a retrospective study of paediatric femoral fractures treated with titanium or stainless steel flexible nails at our institute with a minimum of 5 years follow up. (biomedcentral.com)
  • Femur interlocking nails are used for fracture shaft of femur in adults .They are available in stainless steel and titanium. (indianorthopaedic.com)
  • Last few decades has seen increasing trend towards operative management of femoral shaft fractures in paediatric patients but opinion regarding optimal method of fixation of these fractures remains divided [ 12 ]. (biomedcentral.com)
  • Conservative treatment of her fractures with skeletal traction, which used to be the standard in earlier parts of 20th century, which involves prolonged confinement to bed. (jmsronline.com)
  • Dr. Goodnough has conducted research on the role of skeletal stem cells in fracture healing. (stanford.edu)
  • Topics have included the effects of non-steroidal anti-inflammatory drugs on skeletal stem cells in fractures. (stanford.edu)
  • Soft tissue release and short cephalomedullary nail fixation for this fracture pattern provide stable fixation and allow early exercise. (researchsquare.com)
  • Many studies have reported predictable stability and healing in these stable fracture patterns. (jmsronline.com)
  • Yang TC, Tzeng YH, Wang CS, Lin CC, Chang MC, Chiang CC (2019, Oct). Are proximal screws necessary for osteosynthesis of stable-stem periprosthetic femoral fractures fixed with non-locking plate and cable? (gov.tw)
  • Only fractures that are limited to two parts and are stable and well aligned can be treated with a brace. (crortho.com)
  • The fracture may be stable enough to permit immobilization of the arm at the side in a sling-and-swathe but may require a spica cast or abduction pillow splint to hold the arm in the reduced position. (teachmeorthopedics.info)
  • Multiple X-rays and other imaging studies such as CT and MRI scans may be used to identify the location and severity of the fracture. (johnfeldmanmd.com)
  • The management of these type of fractures is based on the severity of the fracture, medical condition of the patient and the patient's lifestyle. (johnfeldmanmd.com)
  • The management of the fracture is based on the severity of the fracture, medical condition of the patient and the patient's lifestyle. (richardyoonmd.com)
  • Both of these methods can be performed through a single larger incision or multiple smaller ones, depending on the type and severity of the fracture. (almuderis.com.au)
  • The Supracondylar Nail is indicated for the stabilization of fractures of the distal femur. (sharmaortho.com)
  • The Agile Nail is intended for insertion in the medullary canal of a femur for the alignment and the stabilization of fractures and for the correction of deformities. (limbhealing.com)
  • In younger patients, high-energy impacts such as falls from heights or car accidents often result in fractures. (almuderis.com.au)
  • Reduction of the fracture depends on an intact posteromedial periosteal sleeve in younger patients. (teachmeorthopedics.info)
  • A Hoffa fracture is a specific type of type B articular distal femoral fracture in which there is a fracture of the posterior aspect of the femoral condyles in the coronal plane. (teachmesurgery.com)
  • These cases are defined as irreducible fracture patterns, and some form of open reduction with the insertion of a device is used in these cases. (researchsquare.com)
  • This torsional error is a major problem for femoral and tibial fractures, and occurs in 17 to 35% of patients who receive these surgeries, and up to 40% of femur fracture patients. (wikipedia.org)
  • Present indications include all patients with femoral shaft fractures and open physis. (biomedcentral.com)
  • On retrospective search of hospital records, we found 81 patients of femoral shaft fractures treated with flexible intramedullary nailing at our institute with a minimum follow up period of 5 years. (biomedcentral.com)
  • Of these 81 patients, 69 patients with 73 femoral shaft fractures were available for follow up. (biomedcentral.com)
  • PURPOSE: Recent literature has noted incidences of subtrochanteric atypical femoral fractures (AFFs) in patients who have taken long-term bisphosphonates (BPs). (koreamed.org)
  • In general, simple fracture configurations, with minimal displacement and located within the diaphysis in young patients can potentially be adequately splinted if they are distal to the elbow or stifle. (vin.com)
  • It is indicated for the treatment of subtrochanteric fractures and of femoral shaft fractures, in pediatric patients, with the exception of newborns and infants, and in adult patients with an appropriate medullary canal. (limbhealing.com)
  • Patients with distal femoral fractures of all ages do best when they can be up and moving soon after treatment (such as moving from a bed to a chair, and walking). (crortho.com)
  • The ideal treatment for patients with a thoracolumbar burst fracture remains controversial. (pdfplayer.org)
  • Methods: The study included a total of 77 patients aged over 70 years with an AO type 31-A1 or 31-A2 fracture. (journaltocs.ac.uk)