• Background: Recent studies indicate a decreased risk of periprosthetic femoral fractures (PFFs) in cementless total hip arthroplasty (THA) for short compared to straight stems. (uni-linz.ac.at)
  • Materials and Methods: This observational cohort study based on the Swedish Arthroplasty Register (SAR) compared 2242 patients with dual mobility cups (DMC) and 6726 with conventional total hip arthroplasty (cTHA), all due to acute fracture 2005-2019. (lu.se)
  • Conclusions: As treatment of acute femoral neck fractures, total hip arthroplasty with a dual mobility cup have similar outcome in terms of revisions in general, and due to dislocation or infections specifically, as one with conventional bearing. (lu.se)
  • This report addresses a new case of a modular femoral neck fracture after total hip arthroplasty. (openorthopaedicsjournal.com)
  • Concurrently, the researchers led a trial comparing patient outcomes between hemiarthroplasty - a surgical procedure that involves replacing half of the hip joint - and total hip arthroplasty for displaced femoral neck fractures in patients 65 years and older. (aaos.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)
  • Five fixation systems were assembled to the fracture models. (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)
  • Even if fractures have healed uneventfully, internal fixation can sometimes cause functional impairment and local irritation [ 9 , 10 ]. (hindawi.com)
  • Meniscal-bearing replacements with cement fixation appeared successful, although bearing fracture seems to be a predominant failure mode at long-term followup. (lww.com)
  • BACKGROUND: Shortening of the femoral neck after fracture fixation with multiple parallel screws decreases the moment arm for the abductor muscles of the hip. (mcmaster.ca)
  • CONCLUSIONS: Femoral neck shortening after femoral neck fracture fixation with multiple cancellous screws is common and it has a significant negative impact on physical functioning. (mcmaster.ca)
  • Here, we report the long-term outcome of a young man treated with open reduction and internal fixation (ORIF) of the medial wall fracture, a valgus osteotomy of the femur and a restock of the impaction with autologous bone graft. (jocr.co.in)
  • The prospective study tracked the results of 203 patients with either a femoral (thighbone) fracture or tibial shaft (shin bone) fracture, who were each treated with intramedullary nail fixation (a supportive rod used to stabilize the bone. (scienceblog.com)
  • The study results suggest that daytime operative time for orthopaedic trauma surgery has the potential to reduce minor complication rates with intramedullary nail fixation. (scienceblog.com)
  • This study was designed to test the hypothesis that patients with pathological femoral fractures had more adverse events, readmission, and reoperation following surgical fixation than non-pathological femoral fractures. (biomedcentral.com)
  • Durable implants and mechanically stable internal fixation need to be considered due to the poor bony union of pathological fractures [ 11 , 18 ]. (biomedcentral.com)
  • The collaborative effort eventually expanded to include over 366 orthopaedic surgeons in 81 centers across eight countries and was given the name FAITH (Fixation Alternatives in the Treatment of Hip Fractures). (aaos.org)
  • The standard of care for undisplaced fractures (where the bones remain aligned in the fracture) is internal fixation, in which a mechanical implant, such as several screws or one large screw attached to a plate, reconnects the two segments of bone together. (aaos.org)
  • For displaced fractures, surgeons choose between internal fixation or arthroplasty, depending on patient characteristics and surgeon preference. (aaos.org)
  • The motivating factor behind our research was the fact that there's a very high known failure rate of internal fixation for displaced femoral neck fractures," said Dr. Swiontkowski, professor, Department of Orthopaedic Surgery, University of Minnesota, and co-chair, FAITH Steering Committee. (aaos.org)
  • The FAITH trial focused on internal fixation for undisplaced and displaced fractures, which typically utilize multiple cancellous screws or a sliding hip screw. (aaos.org)
  • In trial research published in The Lancet in 2017, patients aged 50 years and older with a low-energy hip fracture requiring fracture fixation were enrolled. (aaos.org)
  • This video demonstrates an intramedullary fixation of a reverse oblique subtrochanteric femoral fracture in the lateral position. (jomi.com)
  • Risk factors for revision due to infection were male sex, hybrid fixation, cement without antibiotics, and THA performed due to inflammatory disease, hip fracture, or femoral head necrosis. (uib.no)
  • They drew from a large sample of hip surgeries and found that results hinged on the fixation failure rate and the implant cost itself. (eorthopod.com)
  • Overall, 289 of the patients had undergone interlocking nail fixation, and a similar union rate and complications were noted between the wide canal and narrow canal groups, with the exception of the incidence of iatrogenic fracture. (ncku.edu.tw)
  • A case of compound C3 distal femur fracture with 12 cm bone defect. (scirp.org)
  • A 21 year old male presented to us after a vehicular accident with a type C3 compound right distal femur fracture with bone defect of about 12 cm. (scirp.org)
  • For the distal femur fracture the lateral approach was used and the fracture site was exposed. (scirp.org)
  • A 55-year-old man was transporting soldiers in Iraq when he sustained a grenade injury, in which material entered his anterior thigh and created a large posterolateral hip exit wound and an open left subtrochanteric femur fracture. (cdc.gov)
  • Plain radiographs showed an open femur fracture with gas in the soft tissue, shrapnel, and a gross deformity of the left iliac wing. (cdc.gov)
  • Mysterious Femur Fracture in a Middle-Aged Man A 49-year-old man with a history of osteopenia and HIV presents for follow-up after a visit to the ED 8 months ago with a midshaft femoral fracture. (medscape.com)
  • CONCLUSIONS: Our analysis found that factors that are indicative of a poorer health status were associated with a higher risk of mortality within 24 months of femoral neck fracture. (eur.nl)
  • Conclusions: Proximal femoral nailing can be one of the primary treatment options for intertrochanteric hip fractures in the elderly. (journaltocs.ac.uk)
  • Conclusions: Femoral shaft fractures associated with extremely narrow medullary canals are more common in women than in men. (ncku.edu.tw)
  • These views will allow the surgeon to view if there has been an intertrochanteric extension of the fracture, which can influence the starting point for the nail. (jomi.com)
  • For femoral shaft fractures, reduction and intramedullary nailing is currently recommended. (wikipedia.org)
  • Postoperative adverse events after intramedullary nailing have been reported in patients with metastatic pathological and non-pathological femoral fractures. (biomedcentral.com)
  • Few studies have compared the risks of postoperative adverse events, reoperation, and readmission after intramedullary nailing of pathological and non-pathological femur fractures. (biomedcentral.com)
  • The data from patients with femoral shaft fractures undergoing long intramedullary nailing, from June 1, 2006, to June 30, 2020, were included. (biomedcentral.com)
  • Patients with metastatic pathological femoral shaft fractures undergoing intramedullary nailing were more likely to experience postoperative adverse events than patients with non-pathological fractures. (biomedcentral.com)
  • An "unstable" hip fracture is often fixed using an intramedullary nailing, which is a rod that is driven into the middle of the bone to help hold the fragments together. (eorthopod.com)
  • These intramedullary nails are more costly than the sliding screws used for a stable hip fracture correction. (eorthopod.com)
  • Not unexpectedly, then, when surgeons are faced with the decision of which screw to use with a questionably unstable or stable fracture, they choose the intramedullary nailing screw. (eorthopod.com)
  • The aims of this study were to (1) investigate the association of age and sex on femoral canal diameter in patients with a simple femoral shaft fracture and (2) compare the outcomes and complications of interlocking nailing between wide and extremely narrow intramedullary canals. (ncku.edu.tw)
  • Introduction: Dual mobility cups (DMC) are gaining in popularity, as a method to reduce the risk of dislocation after fracture-related hip arthroplasty. (lu.se)
  • For type 2 femoral head fractures, early orthopedic consultation for admission and arthroplasty is recommended. (medscape.com)
  • Recognition of the disabling complications of femoral neck fractures requires meticulous attention to detail in their management. (medscape.com)
  • But subtrochanteric fractures and other complications related to hardware removal have been well documented [ 11 - 13 ]. (hindawi.com)
  • BACKGROUND: Hip fractures are recognized as one of the most devastating injuries impacting older adults because of the complications that follow. (eur.nl)
  • Additionally, we focused on describing the main characteristics of the patients that experienced complications, and compared the patient satisfaction rates following ambulatory and non-ambulatory procedures. (researchgate.net)
  • In 12% of the patients, the dislocation is combined with a femoral head fracture (complex dislocations) [1, 2] which could result in severe complications such as avascular necrosis (AVN) and subsequent early secondary osteoarthritis. (jocr.co.in)
  • Furthermore, although functional results and mortality rates are similar, as cemented calcar replacement hemiarthroplasty has serious life-threatening complications, it should not be the first choice of treatment method. (journaltocs.ac.uk)
  • 2 There are numerous reasons why a fracture in this area can have difficulty healing and lead to complications. (jomi.com)
  • The primary outcome was union rate, and the secondary outcomes were complications such as thermal necrosis, fat embolism syndrome, iatrogenic fracture, and implant failure. (ncku.edu.tw)
  • Patient also had ipsilateral tibia shaft fracture. (scirp.org)
  • The tibia shaft fracture was treated with closed intra medullary interlocking nail immediately. (scirp.org)
  • There was a similar union rate found when using interlocking nailing in a femoral shaft fracture in cases with extremely narrow and wider canals. (ncku.edu.tw)
  • This study aimed to assess the incidence of femoral neck shortening quantitatively and qualitatively in patients with femoral neck fractures treated with multiple cannulated screws, and to investigate its influence on functional outcome. (mcmaster.ca)
  • Femoral neck fractures in young patients are usually caused by high-energy trauma. (medscape.com)
  • Fractures are commonly obvious, since femoral fractures are often caused by high energy trauma. (wikipedia.org)
  • Femoral shaft fractures occur during extensive trauma, and they can act as distracting injuries, whereby the observer accidentally overlooks other injuries, preventing a thorough exam of the complete body. (wikipedia.org)
  • Traction should not be used in femoral neck fractures or when there is any other trauma to the leg or pelvis. (wikipedia.org)
  • Since femoral shaft fractures are associated with violent trauma, there are many adverse outcomes, including fat embolism, acute respiratory distress syndrome (ARDS), multisystem organ failure, and shock associated with severe blood loss. (wikipedia.org)
  • citation needed] Femoral shaft fractures occur in a bimodal distribution, whereby they are most commonly seen in males age 15-24 (due to high energy trauma) and females aged 75 or older (pathologic fractures due to osteoporosis, low-energy falls). (wikipedia.org)
  • Distal femoral fractures are usually caused by a high energy trauma. (scirp.org)
  • This study aimed to determine the influence of ageing on the incidence and site of femoral fractures in trauma patients, by taking the sex, body weight, and trauma mechanisms into account. (biomedcentral.com)
  • This incidence of fracture site can largely be explained by age-related factors, including a decrease in bone strength and falling being the most common mechanism of trauma in older patients. (biomedcentral.com)
  • This study revealed a difference in the involvement of age in the incidence of femoral fracture sites in the trauma patients. (biomedcentral.com)
  • Determination of the influence of age on the incidence of femoral fractures in any given part of the bone is complex, because many age-related factors, including gender, trauma mechanism, body weight, and bony density, would also have impact on the occurrence of the femoral fracture. (biomedcentral.com)
  • The x-rays done at the trauma department have shown no periprosthetic fracture but a fracture of the modular neck. (openorthopaedicsjournal.com)
  • The x-rays done at the trauma department have shown a correct positioning of the acetabular and femoral components and no periprosthetic fracture but a fracture of the modular neck. (openorthopaedicsjournal.com)
  • This can happen from trauma (like a hip dislocation or fracture), a blood clot blocking blood flow, or high blood pressure at the level of the bone tissue from excessive alcohol or corticosteroid use. (eorthopod.com)
  • Skeletal weakness leads to fractures with minor or inapparent trauma, particularly in the thoracic and lumbar spine, wrist, and hip (called fragility fractures). (msdmanuals.com)
  • A fragility fracture is one that occurs after less trauma than might be expected to fracture a normal bone. (msdmanuals.com)
  • One study indicated that vascularized fibular grafts were more effective in preventing femoral head collapse than nonvascularized fibular autografts. (medscape.com)
  • The majority of elderly injuries can be attributed to fragility fractures due to loss of bone density, but it is important to note an atypical fracture pattern that is present in those who have been taking bisphosphonates. (jomi.com)
  • What likely contributed to his atypical fracture? (medscape.com)
  • After scanning and electronically overlapping those radiographs, femoral neck shortening was assessed. (mcmaster.ca)
  • Diagnosis is made radiographically with radiographs of the femur as well as the hip to rule out ipsilateral femoral neck fractures. (orthobullets.com)
  • The authors concluded that minimal invasive percutaneous plate osteosynthesis appears to be a successful technique for the treatment of humerus shaft fractures based on plain radiographs, range of motion assessments and some patient reported outcome (PRO) measure which were American Shoulder and Elbow Society (ASES), University of California, Los Angles (UCLA), Mayo Elbow Performance Index (MEPI) and The Disability of The Arm, Shoulder and Hand (DASH) scores. (aott.org.tr)
  • On plain radiographs, anteroposterior (AP) and lateral views demonstrate most hip fractures. (medscape.com)
  • In addition, The distribution of impact force through the hip that is associated with falls from a standing height is greater than the average energy required to fracture an elderly hip but not that of a younger adult [ 6 ]. (biomedcentral.com)
  • Elderly persons who have osteoporotic hip fracture are often undernourished, particularly with respect to protein. (acpjournals.org)
  • Femoral fractures in the elderly can cause physical, emotional, family and social problems. (bvsalud.org)
  • The objective of these studies was to identify the occurrence of hip fractures and to screening signs of depression in the elderly. (bvsalud.org)
  • We found that a period of one year, there were 94 admissions of elderly with hip fractures, mainly by falls in their homes, resulting in loss of autonomy, pain, and sorrow. (bvsalud.org)
  • We concluded that there was a high number of hospitalizations for hip fractures and signs of depression among the elderly, signaling the necessity of further investigations and actions which change that reality. (bvsalud.org)
  • In elderly patients, hip fracture most often results from a simple fall. (medscape.com)
  • Classification of femoral neck stress fractures. (medscape.com)
  • Predisposing factors, such as anatomic variations, relative osteopenia, poor physical conditioning, systemic medical conditions that demineralize bone, or temporary inactivity, can make bone more susceptible to stress fractures. (medscape.com)
  • As reported by Monteleone, studies have indicated that women have an increased incidence of stress fractures, which may be the result of anatomic variations. (medscape.com)
  • Markey reported that Hersman et al documented women have a higher incidence of stress fractures. (medscape.com)
  • Stress fractures, especially in trabecular bone, have shown a decrease in bone mineral content. (medscape.com)
  • Stress fractures of the femoral neck are uncommon, but they may have serious consequences. (medscape.com)
  • Markey reported that femoral neck fractures comprise 5-10% of all stress fractures. (medscape.com)
  • [ 5 ] Certain groups of athletes, including long-distance runners who suddenly change or add activities, appear to have a higher prevalence of femoral neck stress fractures compared with the general population. (medscape.com)
  • A Femoral Neck Stress Fracture (FNSF) is caused by repetitive loading of the femoral neck that leads to either compression side (inferior-medial neck) or tension side (superior-lateral neck) stress fractures. (orthobullets.com)
  • With stress fractures in young athletes and nondisplaced fractures, the patient may complain of pain in hip or knee and may be ambulatory. (medscape.com)
  • Fractures resulting from falls from a standing height or less, including falls out of bed, are typically considered fragility fractures. (msdmanuals.com)
  • The hip radiograph is of particular importance, because femoral neck fractures can lead to osteonecrosis of the femoral head. (wikipedia.org)
  • [ 16 ] A study analyzed the clinical, functional and radiological outcome of core decompression and bone grafting in 20 patients with 28 cases of osteonecrosis of the femoral head (ONFH) up to stage IIB (Ficat & Arlet). (medscape.com)
  • What Is Femoral Head Osteonecrosis and What Are the Treatment Options? (eorthopod.com)
  • Osteonecrosis of the femoral head most frequently affects 30 to 50 years old, with 20,000-30,000 new cases diagnosed annually. (eorthopod.com)
  • Although the actual pathology behind femoral osteonecrosis is not yet understood, the disease typically follows a progression to eventual femoral collapse, which results in the need for a total hip replacement. (eorthopod.com)
  • Plancher and Donshik reported a prevalence rate of at least 10% for ipsilateral femoral shaft fractures, of which 30% are missed on the initial presentation. (medscape.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)
  • Therefore, surgeons are asked to remove implant after fracture healing by some patients with persistent complaints. (hindawi.com)
  • There is no single surgical implant that can be used for all distal femoral fractures. (scirp.org)
  • Implant selection is determined by fracture pattern, patient age, bone density, and other injuries that the patient may have sustained. (scirp.org)
  • Implant type is traditionally determined by the hip fracture. (eorthopod.com)
  • This fracture compromises the blood supply to the leg (an occurrence that should always be considered in knee fractures or dislocations). (wikipedia.org)
  • Postoperatively detected Vancouver A fractures occurred significantly more often in straight stem THA (P = .002), while the occurrence Vancouver B fractures did not differ significantly (P = .563). (uni-linz.ac.at)
  • A multivariate logistic regression analysis was applied to identify independent effects of the univariate predictive variables on the occurrence of fracture at a specific site. (biomedcentral.com)
  • Protein malnutrition may contribute to the occurrence and outcome of hip fracture. (acpjournals.org)
  • Although the occurrence and prevention of hip fractures have been the subject of many publications, the epidemiology of all lower limb fractures combined has not been studied extensively in the general population of the United Kingdom. (bmj.com)
  • The osteoporosis component will also include assessment of risk factors for low bone mass and for falling, since both are related to the occurrence of osteoporotic hip fractures. (cdc.gov)
  • Rosemont, Ill. (February 5, 2020) - The 2020 Kappa Delta Ann Doner Vaughn Award will be presented to Marc Swiontkowski, MD, at this year's upcoming Annual Meeting of the American Academy of Orthopaedic Surgeons (AAOS) in Orlando, Fla. for his research in the operative management of hip fractures, which identified the optimal surgical approach, helping to improve patients' lives. (aaos.org)
  • The American Academy of Orthopaedic Surgeons released new guidelines on the management of hip fractures in patients over the age of 65. (medscape.com)
  • abstract = "Introduction: Controversy exists regarding the use of reamed interlocking nailing in femoral shafts with extremely narrow medullary canals (diameter ≤ 9 mm). (ncku.edu.tw)
  • In general, the treatment of complex hip dislocations depends on the associated fracture (e.g., femoral head fracture, femoral neck fracture, and acetabular fracture). (jocr.co.in)
  • An obturator hip dislocation with a femoral head and a medial wall acetabular fracture is a very rare combination. (jocr.co.in)
  • A 2015 Cochrane review (updated in 2022) found that available evidence for treatment options of distal femur fractures is insufficient to inform clinical practice and that there is a priority for a high-quality trial to be undertaken. (wikipedia.org)
  • AO classification of distal femur fractures. (scirp.org)
  • Calcitonin may rarely help acute pain associated with acute osteoporotic vertebral compression fractures. (medscape.com)
  • Hip fracture diagnosis was identified by linking ICD (International Classification of Diseases) codes from hospital admissions data (September 2012 to December 2015) to the interRAI home care data. (springer.com)
  • The relative risk for lower limb fracture associated with a diagnosis of dementia was 2.3 (95% confidence interval 2.0 to 2.6), while relative risk estimates for other medical diagnoses were less than 2. (bmj.com)
  • Diagnosis is by dual-energy x-ray absorptiometry (DXA scan) or by confirmation of a fragility fracture. (msdmanuals.com)
  • METHODS: We conducted an observational study in a consecutive series of 56 patients with united fractures of the femoral neck treated with multiple cancellous screws. (mcmaster.ca)
  • Bone mineral density measurements were carried out using dual energy X-ray absorptiometry at both the lumbar spine [AP: L1-L4] and femoral hip (neck, trochanter). (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)
  • Further studies with high external validity are needed regarding total dislocation rate, patient-reported outcome, cost-effectiveness and learning curve, to make a definitive recommendation on the use of DMC for fracture cases. (lu.se)
  • 32 mm (p = 0.390 for neck of femur THA and p = 0.451 for elective THA) and a single mobility design (p = 0.494) both produced a higher dislocation rate, although this was not statistically significant. (scielo.org.za)
  • The dislocation rate after THA at our institution is lower than rates reported in the literature for NOF THA and similar to rates reported for elective THA. (scielo.org.za)
  • This was found despite the dislocation rate for the Hardinge approach being nearly eight times higher than expected. (scielo.org.za)
  • 82 patients (mean age, 80.7 ± 7.4 years) with recent osteoporotic hip fracture. (acpjournals.org)
  • Earlier this week, data from the eagerly-anticipated 16,700-patient LOFT outcomes study was presented which showed that the once-weekly pill significantly reduced the risk of osteoporotic hip, spine and non-vertebral fractures compared with placebo. (pharmatimes.com)
  • citation needed] Femoral shaft fractures can be classified with the Winquist and Hansen classification, which is based on the amount of comminution. (wikipedia.org)
  • The Pauwels classification is based on the angle that is formed by the fracture line and the horizontal line. (hindawi.com)
  • Based on the common principles of the AO classification, type A fractures include extra-articular fractures and type B fractures are partial articular fractures, meaning parts of the articular surface remains in contact with the diaphysis of the femur Type C fractures include complete articular fractures with both condyles being detached from the diaphysis. (scirp.org)
  • How reliable is classification of tibial plateau fractures? (mcmaster.ca)
  • A clinical practice guideline from the American College of Physicians on treatment to prevent fractures in men and women with low bone density or osteoporosis includes six recommendations: two strong recommendations, based on high- or moderate-quality evidence, and four weak ones, based on low-quality evidence. (medscape.com)
  • Monitoring of bone mineral density (BMD) during the 5 years of treatment in women with osteoporosis is not advised, as evidence suggests that fracture risk may be reduced regardless of BMD changes. (medscape.com)
  • [ 147 ] In addition, a physician reminder in conjunction with a patient risk assessment strategy can result in a reduction in patient fractures and an increase in osteoporosis therapy. (medscape.com)
  • A 2009 study indicated that the use of a case manager for the treatment of patients with hip fractures can lead to more frequent use of appropriate osteoporosis treatment and may result in fewer fractures, increased life expectancy, and significant health-care cost savings. (medscape.com)
  • The low bone mass that characterizes osteoporosis causes an increased susceptibility to spontaneous or a traumatic bone fracture. (cdc.gov)
  • Bone mass can decrease without symptoms for a significant period of time before fracture occurs, and since fracture is the main clinical sign of the disease, many clinicians and researchers limit the definitions of osteoporosis to the presence of an atraumatic fracture. (cdc.gov)
  • Osteoporosis in women 45 years and over related to subsequent fractures. (cdc.gov)
  • Using health data to identify individuals at greatest risk for hip fracture may facilitate prevention and delay adverse outcomes. (springer.com)
  • [ 16 ] The addition of cancellous bone grafting appears to slightly enhance clinical outcomes if subchondral fracture is present. (medscape.com)
  • Despite similar or better clinical outcomes compared with UH, BH with a higher cost could not decrease long-term acetabular erosion rate. (biomedcentral.com)
  • Does the use of regional anesthesia for hip fractures improve outcomes in pain in the emergency department, pain and function postoperatively, and pain and function 6 weeks after discharge? (emdocs.net)
  • In patients undergoing hip fracture surgery, similar outcomes can be achieved with general or spinal anesthesia. (medscape.com)
  • Use of an interdisciplinary care program in hip fracture patients with mild to moderate dementia improves functional outcomes. (medscape.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)
  • Rosemont, Ill. - Patients who have after-hour orthopaedic surgeries risk a slightly higher rate of necessary follow-up surgeries, according to a study published in the September 2009 issue of The Journal of Bone and Joint Surgery (JBJS). (scienceblog.com)
  • The only time orthopaedic surgeons should use multiple screws is with a truly undisplaced fracture," said Dr. Swiontkowski. (aaos.org)
  • There is a classic deformity seen in subtrochanteric fractures due to strong muscular attachments in the region. (jomi.com)
  • According to an 11-year long population-based cohort study in Taiwan, the adjusted standard incidence rate of hip fracture is between 5.01 and 11.70 per million persons. (biomedcentral.com)
  • Patients and methods: For the purposes of this retrospective cohort study, consecutive patients with simple femoral shaft fractures were recruited between January 2009 and December 2016. (ncku.edu.tw)
  • In asymptomatic postoperative hip fracture patients, a blood transfusion threshold of no higher than 8g/dl should be used. (medscape.com)
  • Conclusion: Short stem THA reduces Vancouver Type A PFFs in the trochanteric region compared to straight stem THA, while Vancouver Type B fractures are comparable. (uni-linz.ac.at)
  • Mortality rates postsurgery can range from 14% to 58% within one year of fracture. (eur.nl)
  • We aimed to identify factors associated with increased risk of mortality within 24 months of a femoral neck fracture in patients aged ≥50 years enrolled in the FAITH and HEALTH trials. (eur.nl)
  • METHODS: Two multivariable Cox proportional hazards regressions were used to investigate potential prognostic factors that may be associated with mortality within 90 days and 24 months of hip fracture. (eur.nl)
  • 0.001) were associated with a higher risk of mortality within 24 months of femoral neck fracture. (eur.nl)
  • 0.001), and having a comorbidity (P = 0.04) were associated with a higher risk of mortality within 90 days of femoral neck fracture. (eur.nl)
  • Lower limb fractures account for approximately one third of all fractures and may result in substantial mortality and morbidity. (bmj.com)
  • Background: In this study, a retrospective evaluation was made of patients aged 70 years and over who were applied with proximal-femoral nail (PFN) or calcareous replacement cemented hemiarthroplasty in respect of early and late-stage morbidity and mortality and functional personal independence. (journaltocs.ac.uk)
  • Mortality rates at one month, six months and one year were similar in both groups. (journaltocs.ac.uk)
  • Self-rated health (SRH) is a predictive factor for health-related prognoses such as mortality. (nature.com)
  • The significance of the problem also relates to the costs and mortality associated with fractures, particularly those of the hip. (cdc.gov)
  • 3.5 billion per year in the U.S., and the mortality rates for persons with hip fractures is 12-20 percent greater than in age and sex matched controls. (cdc.gov)
  • Orthotics may be used to decrease the flexion forces to prevent the worsening of kyphosis and to reduce the pressure on the fracture site in the acute phase of disease. (medscape.com)
  • The combination of traumatic obturator dislocations and a femoral head impaction is rare and the treatment challenging. (jocr.co.in)
  • A 22-year-old truck driver involved in a ski accident sustained an obturator dislocation of the right hip associated with a femoral head impaction in the weight-bearing zone and a medial wall fracture of the acetabulum. (jocr.co.in)
  • He sustained an obturator dislocation of the right hip associated with a severe femoral head impaction fracture in the weight-bearing zone and a medial wall fracture of the acetabulum (Fig. 1, 2, 3). (jocr.co.in)
  • To estimate the incidence of lower limb fractures in the United Kingdom and assess the relative importance of various risk factors for lower limb fractures. (bmj.com)
  • Individuals registered with these general practices who were at risk for a first time lower limb fracture from 1 January1990 to 31 December 2001. (bmj.com)
  • Overall, the risk of lower limb fracture was 17% higher in women then in men. (bmj.com)
  • Within age groups, men and women had generally similar proportions of fractures at specific sites in the lower limb. (bmj.com)
  • Among the risk factors evaluated, road collisions were associated with the highest relative risk for lower limb fracture, but only accounted for 3.1% or less of the population attributable risk for specific fracture types in any age group. (bmj.com)
  • Many risk factors for lower limb fracture have been identified, but population attributable risk estimates for various risk factors are small. (bmj.com)
  • These findings suggest that multifactorial prevention programs are needed to decrease the incidence of lower limb fractures in the general population. (bmj.com)
  • Moreover, although many risk factors for lower limb fracture have been reported previously, there is little quantitative information in the literature regarding the independent contribution of medical risk factors to the population burden of lower limb fractures. (bmj.com)
  • The highest occurring principal admitting diagnoses for those who also had MS were urinary tract infections , septicemia, inpatient rehabilitation, pneumonia , chronic skin ulcers , and lower limb or femoral neck fractures. (everydayhealth.com)
  • Of those interviewed, 28 (93%) showed signs of depression, rating from mild to severe. (bvsalud.org)
  • The fracture may be classed as open, which occurs when the bone fragments protrude through the skin, or there is an overlying wound that penetrates to the bone. (wikipedia.org)
  • Hip fracture occurs in approximately 341,000 persons in the United States each year. (medscape.com)
  • After this, bone loss occurs at a rate of about 0.3 to 0.5% a year. (msdmanuals.com)
  • In addition, bone loss occurs at different rates in different types of bone, so it is possible for individuals to have bone loss in the spine, but normal bone density in the forearm. (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)
  • Further subdivision of type B fractures includes Bl (sagittal, lateral condyle), B2 (sagittal, medial condyle) and B3 (frontal, Hoffa type). (scirp.org)
  • Using the propensity scores which account for the risk of a fracture in a specific femoral site, this study revealed that the older patients were at a higher risk of developing proximal type A and type B fractures, while a lower risk of developing fractures in the shaft and distal femur. (biomedcentral.com)
  • Artificial hip replacement systems consist of three parts: a femoral head, a modular neck, and a femoral stem. (braytonlaw.com)
  • Indentation fractures of the femoral head have been reported to occur in 35%-55% of patients after traumatic obturator dislocation [3, 4, 5]. (jocr.co.in)
  • Surgical treatment of AVN can be broadly categorized as either prophylactic measures (to retard progression) or reconstruction procedures (after femoral head collapse). (medscape.com)
  • The most commonly performed prophylactic surgical intervention is core decompression, whereby one or more cores of necrotic femoral head bone is removed in order to stimulate repair. (medscape.com)
  • [ 16 ] These agents are purported to either enhance bone formation or decrease bone resorption in the hope of maintaining the structural integrity of the femoral head. (medscape.com)
  • The results of prophylactic measures for femoral head AVN have considerable variation, but certain generalizations can safely be stated. (medscape.com)
  • The placement of a structural graft through a core tract into the femoral head generally yields disappointing results. (medscape.com)
  • However, grafts placed into the femoral neck or directly into the femoral head are more promising. (medscape.com)
  • The femoral neck is the short span of bone that connects the femur, or thigh bone, and the femoral head, or the "ball" of the hip joint. (everydayhealth.com)
  • The femoral neck is part of the femur and is found directly beneath the femoral head. (aaos.org)
  • Fractures of the inferior or distal femur may be complicated by separation of the condyles, resulting in misalignment of the articular surfaces of the knee joint, or by hemorrhage from the large popliteal artery that runs directly on the posterior surface of the bone. (wikipedia.org)
  • Our aim was to compare revision rate in general, as well as due to dislocation and infection, after DMC and conventional THA due to femoral neck fracture, for each of the two groups of lateral and posterior approach. (lu.se)
  • Kaplan-Meier survival analysis was used to investigate the 5-year revision rate after DMC and cTHA in the posterior and lateral approach groups. (lu.se)
  • The cumulative revision rate after posterior approach was 4.7% (95% CI 3.1-6.2) for DMC and 4.8% (3.8-5.7) for cTHA at 5 years. (lu.se)
  • The 5-year results for cumulative revision rate due to dislocation after posterior approach were 1.3% (0.4-2.2) for DMC and 2.2% (1.5-2.8) for cTHA. (lu.se)
  • The latest anterior-posterior radiograph of the fractured hip was compared with that of the contralateral uninjured hip. (mcmaster.ca)
  • The patients were separated into two groups as those applied with proximal femoral nailing and those applied with calcar replacement hemiarthroplasty. (journaltocs.ac.uk)
  • Rates of wound infection were higher in the hemiarthroplasty group. (journaltocs.ac.uk)