• The femoral neck (femur neck or neck of the femur) is a flattened pyramidal process of bone, connecting the femoral head with the femoral shaft, and forming with the latter a wide angle opening medialward. (wikipedia.org)
  • For most proximal femoral fractures in children, treatment consists of closed reduction followed by a spica cast or open or closed reduction followed by internal fixation and a spica cast. (medscape.com)
  • Proximal femoral nail is a newer implant available for internal fixation of intertrochanteric femur fracture. (orthopaper.com)
  • She also had prophylactic fixation of her right femur with plate osteosynthesis. (orthocasereports.com)
  • The development of this unusual complication was related to lack of absorption of the fixation device, bone burn due to drilling, and persistent synovial fluid in the femoral bone tunnel, combined with the absence of bone ingrowth. (iasp-pain.org)
  • In the present study, we evaluated the mechanical outcome of different configurations of cannulated compression screws for the fixation of Pauwels type III femoral neck fracture and the stress distribution around the holes corresponding to fixation protocol after screws removal. (hindawi.com)
  • Our study indicated that different cannulated compression screws fixation configurations for the unstable femoral neck fractures showed the different mechanical efficiency. (hindawi.com)
  • [ 4-6 ] A series of decisions must be made before proceeding with definitive diaphyseal femur fracture fixation, including patient positioning, surgical approach, and implant type. (medscape.com)
  • She underwent plate osteosynthesis of her left femur spanning the femoral head and neck up to the supracondylar flare. (orthocasereports.com)
  • A lytic area was observed on a radiograph of his left femur. (cdc.gov)
  • BMD of the lumbar spine, L2-L4, and the neck of the left femur were measured by dual energy X-ray absorptiometry. (who.int)
  • Quality control procedures for osteoporosis of the lumbar spinal of fracture) during menopause than were followed in accordance with the and the neck of the left femur. (who.int)
  • The Pauwels type III of femoral neck fracture was created in 3-matic software and the models of cannulated compression screws were constructed using UG-NX software. (hindawi.com)
  • Femoral neck fracture (FNF) is a major public health problem and a common injury encountered by orthopaedic surgeons, which accounts for about 50% of hip fractures [ 1 ]. (hindawi.com)
  • Femoral neck fracture type of Pauwels III [ 14 ] was created in 3-matic software (Materialize, Belgian). (hindawi.com)
  • A cohort of 30 cases of intertrochanteric fracture treated with proximal femoral nail at SSG hospital, Vadodara were taken up and followed up for 6 months between October 2017 to April 2018. (orthopaper.com)
  • Results of intertrochanteric femur fractures treated with proximal femoral nail are good and satisfactory. (orthopaper.com)
  • A slipped capital femoral epiphysis . (wellspan.org)
  • What Is Slipped Capital Femoral Epiphysis? (kidshealth.org)
  • But in some kids, the hipbone doesn't connect to the thighbone as well as it should due to slipped capital femoral epiphysis (SCFE). (kidshealth.org)
  • In slipped capital femoral epiphysis (ih-PIF-eh-siss), the ball slips off the back through the growth plate, almost the way a scoop of ice cream might slip off a cone. (kidshealth.org)
  • A slipped capital femoral epiphysis is a separation of the ball of the hip joint from the thigh bone (femur) at the upper growing end (growth plate) of the bone. (medlineplus.gov)
  • A slipped capital femoral epiphysis may affect both hips. (medlineplus.gov)
  • Slipped capital femoral epiphysis occurs in about 2 out of every 100,000 children. (medlineplus.gov)
  • Slipped capital femoral epiphysis is a slippage or separation of the end of the thighbone (femur) at its growth plate in the hip joint. (msdmanuals.com)
  • The capital femoral epiphysis is the head of the femur (the ball in the ball-and-socket of the hip joint). (msdmanuals.com)
  • Slipped capital femoral epiphysis usually develops in early adolescence and most commonly affects boys. (msdmanuals.com)
  • The cause of slipped capital femoral epiphysis is not known. (msdmanuals.com)
  • The first symptom of slipped capital femoral epiphysis may be stiffness or mild pain in the hip. (msdmanuals.com)
  • Early diagnosis of slipped capital femoral epiphysis is important because treatment becomes more difficult and gives less satisfactory results later. (msdmanuals.com)
  • For the distal femur fracture the lateral approach was used and the fracture site was exposed. (scirp.org)
  • The cage was inserted through the fracture site and punched all the way medially so that it filled up the medium column defect .Then the lateral column was anatomically reduced with the condyles and distal femur locking plate was applied ( Figure 3 ). (scirp.org)
  • Ten years after successful ACL reconstruction surgery, effusion and pain at the lateral aspect of the lateral femoral condyle appeared. (iasp-pain.org)
  • The adolescent lateral entry femoral nail (ALFN) is intended for use in adolescents and small stature adults depending on the persons' weight, body size, physiological development, neurological development, and neuromuscular coordination. (aofoundation.org)
  • The ALFN has a lateral trochanteric entry point and a double curved configuration (double bend in two planes and additional tip bend) to avoid compromising the ascending branch of the medial femoral circumflex artery near the piriformis fossa. (aofoundation.org)
  • The adolescent lateral entry femoral nail is part of the expert nail family, therefore most instrumentation is identical, except for a new insertion handle aiming arm (Fig 3), 13 mm drill sleeve, and 5.0 mm recon screw drill bit. (aofoundation.org)
  • The flared end joins the prongs to help maintain soft tissue retraction away from the broach teeth, while the two prong design helps placement lateral to the tip of the greater trochanter and elevates the femur. (innomed.net)
  • The ALFN is indicated to stabilize fractures of the femoral shaft, subtrochanteric, ipsilateral neck/shaft and impending pathological fractures, as well as nonunions and malunions of the femur (Fig 1). (aofoundation.org)
  • Quick remobilization of the patient to restore the quality of life is of high importance, especially in the case of subtrochanteric and diaphyseal femoral fractures. (bvsalud.org)
  • In our retrospective cohort study, we evaluated intraoperative blood loss, length of operation, complication rate, and regain of lower extremity function in plate compound osteosynthesis (PCO) versus intramedullary nailing (IM) for subtrochanteric and diaphyseal pathologic fractures of the femur. (bvsalud.org)
  • METHODS: Between January 2010 and July 2021, we retrospectively reviewed 49 patients who were treated at our institution for pathologic fractures of the subtrochanteric and diaphyseal femurs for group differences in terms of blood loss, length of operation, implant survival, and Musculoskeletal Tumor Society (MSTS) score. (bvsalud.org)
  • CONCLUSION: Based on our data, pathologic subtrochanteric and diaphyseal fractures of the femur can be stabilized with IM, which has a shorter operation time than PCO, but the complication rate, implant survival, and blood loss remain unaffected. (bvsalud.org)
  • Users of the 2007-2008 dual-energy X-ray absorptiometry femur bone data (DXXFEM_E) are encouraged to read the documentation before accessing the data file. (cdc.gov)
  • In 2005-2010, BMD at the femur neck and lumbar spine was measured using dual-energy x-ray absorptiometry (DXA). (cdc.gov)
  • Intertrochanteric femur fractures are treated with various implant systems. (orthopaper.com)
  • There is no single surgical implant that can be used for all distal femoral fractures. (scirp.org)
  • The Scorpio Femoral Component is implanted on femur after making bone cuts to accommodate the shape of the implant. (fda.gov)
  • The Scorpio instrumentation includes a 4 in 1 Cutting block 98010-00xx) which serves as a guide to allow the surgeon to make the bone e cuts necessary for seating the femoral component (implant) in place. (fda.gov)
  • The aim of the study was to evaluate bone remodeling and implant migration with cemented asymmetrical tibial and uncemented femoral components after TKA with a follow up period of 2 years. (lu.se)
  • Background: The incidence of atypical femoral fractures (AFF) is estimated at 70 to 100 per 100,000 patients. (orthocasereports.com)
  • One of the system's clinical applications is for Atypical Femur Fracture (AFF) assessment. (acr.org)
  • It provides images of the entire femur for assessment of potential atypical femur fractures to monitor the effects of bisphosphonate therapy over time. (acr.org)
  • Atypical femur fractures have been reported. (nih.gov)
  • Radiographs and magnetic resonance imaging also revealed ongoing stress injury to her right femur. (orthocasereports.com)
  • An x-ray of the right femur showed an insufficiency fracture of the femoral neck. (acponline.org)
  • RESULTS: We included 49 stabilization procedures of the lower extremity due to pathologic fractures of the proximal or diaphyseal femur, with a mean follow-up of 17.7 months. (bvsalud.org)
  • To fully prepare for successful surgical management of diaphyseal femur fractures, surgeons must consider appropriate patient positioning and necessary tools, including surgical tables, traction devices, and instruments. (medscape.com)
  • Reduction of diaphyseal femur fractures should be attained in the least invasive manner, via percutaneous reduction techniques, if possible, to preserve fracture biology and promote successful fracture healing. (medscape.com)
  • Intraoperative assessment for associated femoral neck fractures and postoperative clinical examination of the hip and knee are imperative to the successful management of diaphyseal femur fractures. (medscape.com)
  • Other reference modalities and clinical examinations are required in patients with bilateral diaphyseal femur fractures. (medscape.com)
  • Diaphyseal femur fractures, which commonly result from a high-energy mechanism of injury, may be isolated or associated with multisystem trauma. (medscape.com)
  • Given that 1.1 to 2.9 million diaphyseal femur fractures occur each year, an emphasis has been placed on the efficient and effective management of diaphyseal femur fractures to maximize good patient outcomes. (medscape.com)
  • Radiographs depict epiphyseal stipplings on the proximal humerus, both ends of the femora, and lower spine. (medscape.com)
  • The Current Procedural Terminology (CPT ® ) code 27447 as maintained by American Medical Association, is a medical procedural code under the range - Repair, Revision, and/or Reconstruction Procedures on the Femur (Thigh Region) and Knee Joint. (aapc.com)
  • The FDA says that any patient on bisphosphonates who presents with thigh or groin pain must be evaluated to rule out femoral fracture. (acr.org)
  • It forms the top part of the thigh bone (femur). (medlineplus.gov)
  • Evaluate new thigh or groin pain to rule out an incomplete femoral fracture. (nih.gov)
  • This research allows us to determine whether an individual was overweight based solely on the characteristics of a skeleton's femur, or thigh bone," says Dr. Ann Ross, an associate professor of anthropology at NC State and co-author of a paper describing the research. (ncsu.edu)
  • The thighbone (femur) fits tightly into a cup-shaped socket (acetabulum) in the pelvis. (wellspan.org)
  • The top of the femur doesn't fit correctly into the hip socket (acetabulum). (wellspan.org)
  • The thighbone's "ball" (the femoral head) fits into the hollow of the cup-shaped "socket" (the acetabulum) of the pelvis. (kidshealth.org)
  • The radiation exposure from DXA for both the femur or spine scan is extremely low at less than 20 uSv. (cdc.gov)
  • The subfamily Meropachyinae Stål, restricted to the western hemisphere, is a relatively small group of Heteroptera characterized by having the distal end of hind tibiae ending beneath in a short projecting spine, the hind femur curved and usually strongly incrassate, and the hind coxae widely separated. (bioone.org)
  • Recent estimates of the prevalence of osteoporosis and low bone mass at the femur neck or lumbar spine in U.S. adults focused on adults aged 50 and over ( 2 ). (cdc.gov)
  • This Health E-Stat provides information on the percentage of U.S. adults aged 65 and over with osteoporosis and low bone mass at the femur neck or lumbar spine, using data from the 2005-2010 National Health and Nutrition Examination Survey (NHANES). (cdc.gov)
  • During 2005-2010, 16.2% of adults aged 65 and over had osteoporosis at the lumbar spine or femur neck ( Table 1 , Figure 1 ). (cdc.gov)
  • Observations for persons missing a femur neck or lumbar spine measurement were not included in the data analysis. (cdc.gov)
  • Wright NC, Looker AC, Saag KG, Curtis JR, Delzell ES, Randall S, Dawson-Hughes B. The recent prevalence of osteoporosis and low bone mass in the United States based on bone mineral density at the femoral neck or lumbar spine. (cdc.gov)
  • The NHANES DXA femur bone measurements component provides nationally representative data on 1) femur bone mineral content, bone area, and bone mineral density and 2) estimates of the prevalence of osteoporosis. (cdc.gov)
  • Spontaneous fractures usually occur in the femoral neck. (orthoinfo.org)
  • The upper part of the shaft of the femur below the greater and lesser trochanters. (orthoinfo.org)
  • Conventional antegrade nailing of the femur in this age group is a concern because of the possibility of avascular necrosis of the femoral head. (aofoundation.org)
  • Blood supply to the proximal femur has been reserved with no signs of avascular necrosis. (aofoundation.org)
  • Coxa vara is a deformity of the hip, whereby the angle between the head and the shaft of the femur is reduced to less than 120 degrees. (wikipedia.org)
  • Femoral head necrosis is a mobility disorder and till now no satisfactory solution has been reported. (ijpsonline.com)
  • The principal contributing factor in the pathogenesis of the disease is insufficient blood supply to the femoral head resulting in necrosis of the femoral head. (ijpsonline.com)
  • Various preventive measures required to treat femoral head necrosis include revascularization, adequate supply of osteogenic cells and establishing enough strength to avoid collapse. (ijpsonline.com)
  • Among all, cell transplantation therapy is considered the most favourable treatment strategy for femoral head necrosis. (ijpsonline.com)
  • However, the results merely depend on the etiology and the clinical stage of femoral head necrosis. (ijpsonline.com)
  • The main objective of this communication is to study the treatment of femoral head necrosis with cell replacement therapy and also its effects by focusing on the disease stages. (ijpsonline.com)
  • Femoral head necrosis (FHN) is a mobility disorder, associated with hip joint[ 1 , 2 ]. (ijpsonline.com)
  • According to an estimate, 70 % of the individuals diagnosed with FHN progress to develop the collapse of the femoral head. (ijpsonline.com)
  • Published opinions regarding this disease represent that there are 59 % of cases that proceed to symptomatic disease, which results in femoral head collapse[ 5 ]. (ijpsonline.com)
  • In order to classify FHN into different clinical stages, the Ficat and ARCO (Association Research Circulation Osseous) classification system was used, on the basis of radiographic evaluation of the femoral head. (ijpsonline.com)
  • The ball is called the femoral head. (medlineplus.gov)
  • It's a disorder of the head of the femur. (wellspan.org)
  • The ball is the head of the femur, which is the upper part of the thighbone. (orthoinfo.org)
  • It has a rounded shape that fits around the femoral head. (orthoinfo.org)
  • The area of the femur below the ball (femoral head). (orthoinfo.org)
  • Femoral head fractures are extremely rare and are usually the result of a high-velocity event. (orthoinfo.org)
  • Fractures of the femoral head are rare and are usually the result of a high-impact injury or are part of a fracture dislocation of the hip. (orthoinfo.org)
  • The hip joint consists of the femoral head and the (ledskål? (lu.se)
  • The ALFN can also be used to stabilize corrective osteotomies in bone dysplasias such fibrous dysplasia where femoral deformity is an issue. (aofoundation.org)
  • After thorough debridement, the Harms cage was used to reconstruct the medial column and the fracture was fixed with the locking distal femur plate laterally. (scirp.org)
  • Five knees were revised for loose tibial components and one for a loose femoral component. (lww.com)
  • Between 12 and 24 months after surgery, 16% of femoral components had migrated by more than 0.10 mm and 15% of tibial components had migrated by more than 0.2 mm. (lu.se)
  • A total knee replacement (TKR) is a replacement of the femoral and tibial surfaces of the knee joint, , and generally also part of the patella, with metal and plastic. (kneeguru.co.uk)
  • Methods: This was a prospective longitudinal cohort study of 29 patients (number of female/male patients 17/12, mean age 65.2 years), received a hybrid Persona® TKA (Zimmer Biomet, Warsaw, IN, USA) consisting of a cemented tibial, an all-polyethylene patella, and uncemented trabecular metal femoral components. (lu.se)
  • Participants were excluded from the femur scan if they had fractured both hips, had replacements of both hips, or had pins in both hips. (cdc.gov)
  • Protein repletion after hip fracture was associated with increased serum levels of insulin-like growth factor-I, attenuation of proximal femur bone loss, and shorter stay in rehabilitation hospitals. (acpjournals.org)
  • Thorough debridement of the distal femur wound was done and surgery was carried out once the wound was clean. (scirp.org)
  • In the female, in consequence of the increased width of the pelvis, the neck of the femur forms more nearly a right angle with the body than it does in the male. (wikipedia.org)
  • Radiographs demonstrate abnormal pelvis with small square iliac wings, horizontal acetabular roofs, and narrowing of the greater sciatic notch, an oval translucent area at the proximal ends of the femora, caudal narrowing of the interpedicular distances in the lumbar region, short pedicles, and lumbar lordosis. (medscape.com)
  • In OA of the hip, you usually feel pain in the groin, but since it is the joint between the femur and the pelvis that is damaged, it is not uncommon for the pain to radiate all the way down to the knee. (lu.se)
  • The present study is done to compare the incidence and depth of notching between knees in patients undergoing simultaneous bilateral navigated TKA, where femoral component sagittal positioning was planned perpendicular to DCX in one knee and perpendicular to SMX in the opposite knee. (biomedcentral.com)
  • Radiographs demonstrate thin flattened vertebrae, short ribs, small sacrosciatic notch, extremely short long tubular bones, and markedly short and curved femora (telephone receiver-like appearance). (medscape.com)
  • Radiographs demonstrate boomeranglike triangular or oval form of the long bones (humeri), absent radii, markedly delayed ossification of phalanges, short femora, and absent fibulae. (medscape.com)
  • The researchers evaluated the femur bones of 121 white men for the study. (ncsu.edu)
  • Bones vary widely in size, ranging from the tiny inner ear bones that are responsible for transmitting mechanical sound waves to the sensory organs to the large (nearly 2 ft long) femur bone that is strong enough to withstand 30 times one's body weight. (medscape.com)
  • Long bones are formed from a cartilage model precursor by endochondral ossification (see the image below) and can range in size from a phalanx to a femur. (medscape.com)
  • We excluded three patients with previous femur fracture, four who had previous knee surgery, six with inflammatory disease, four with severe liver or kidney problem, two who used steroids, four with femoral stem extenders and six more who failed to follow up. (biomedcentral.com)
  • Although, a list of contributing factors such as sickle cell anaemia, use of steroids, femoral neck fractures are involved in the loss of osteogenic cells via obstructing blood supply especially in the greater trochanteric region[ 1 , 2 ]. (ijpsonline.com)
  • In navigated TKA, the risk of notching is high if femoral component sagittal positioning is planned perpendicular to the sagittal mechanical axis of femur (SMX). (biomedcentral.com)
  • We intended to determine if, by opting to place the femoral component perpendicular to distal femur anterior cortex axis (DCX), notching can be reduced in navigated TKA. (biomedcentral.com)
  • Femoral component sagittal positioning was planned perpendicular to SMX in one knee (Femur Anterior Bowing Registration Disabled, i.e. (biomedcentral.com)
  • Notching was less when femoral component sagittal positioning was planned perpendicular to DCX, in navigated TKA. (biomedcentral.com)
  • Hence, we hypothesised that, by opting to place the femoral component perpendicular to the DCX, the risk of notching can be reduced in navigated TKA. (biomedcentral.com)
  • Femoral component sagittal positioning was planned perpendicular to DCX using the femur anterior bowing registration enabled (FBRE) setting in one knee and, perpendicular to SMX, using the femur anterior bowing registration disabled (FBRD) setting in the opposite knee. (biomedcentral.com)
  • A second femoral component was identified as radiographically loose. (lww.com)
  • Beginning in 2005, DXA scans of the proximal femur have been administered in the NHANES mobile examination center (MEC). (cdc.gov)
  • A: It is appropriate to report CPT code 73550 (Radiologic examination, femur, 2 views) as the service provided is a diagnostic evaluation of the femur. (acr.org)
  • Inter-trochanteric femur fractures are becoming more common since life expectancy is on rising trend in India. (orthopaper.com)
  • Conclusion: A newer entity of AFF in patients on short term bisphosphonates use with severely bowed femurs should be recognised. (orthocasereports.com)
  • Where there is difficulty in performing intramedullary nailing for these group of patients, whole length plating of the femur should be considered. (orthocasereports.com)
  • Methods We used an improvement methodology strategy to devise a bundle of care for patients with a fractured neck of femur. (bmj.com)
  • Conclusion Although fractures of the neck of femur do not necessarily result in the physiological derangement associated with sepsis, it is evident that the use of a bundle of care will ensure that hip fracture patients are managed in a timely, person-centred and safe fashion as recommended in SIGN 111. (bmj.com)
  • It is of major importance to ensure that the wires and drill bits used for the recon screw insertion do not cross the capital femoral physis, and that the distal end of the nail stops 15 mm short of the distal femoral physis. (aofoundation.org)
  • No, a total femoral replacement is a limb salvage procedure (maybe the patient had major trauma and is facing an amputation) and/or for things like osteosarcoma. (aapc.com)
  • Modifier 52 should be used in conjunction with 73550 to indicate that the procedure performed was altered, i.e., only a one-view evaluation of the femur was provided vs two views. (acr.org)