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intertrochanteric fracture in stroke patients

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https://www.readbyqxmd.com/read/19032851/total-hip-arthroplasty-for-treatment-of-elderly-patients-with-comminuted-intertrochanteric-fracture-accompanied-by-femoral-head-necrosis
#1
Xian-Zhe Liu, Wen Yang, Shu-Hua Yang, Wei-Hua Xu, Shu-Nan Ye
OBJECTIVE: To assess the curative effect and investigate the indications of total hip arthroplasty for treatment of comminuted intertrochanteric fractures. METHODS: Total hip arthroplasty was carried out in 9 cases of severe intertrochanteric fracture. The patients included two men and seven women. The average age of the patients was 68 years (48-75 years). The period from fracture to operation was 5 days (2-10 days). The mean follow-up period lasted for 11 months (3 months-2 years)...
December 2008: Chinese Journal of Traumatology, Zhonghua Chuang Shang za Zhi
https://www.readbyqxmd.com/read/12934739/innovations-in-the-management-of-hip-fractures
#2
REVIEW
Robert D Teasdall, Lawrence X Webb
Hip fractures include fractures of the head, neck, intertrochanteric, and subtrochanteric regions. Head fractures commonly accompany dislocations. Neck fractures and intertrochanteric fractures occur with greatest frequency in elderly patients with a low bone mineral density and are produced by low-energy mechanisms. Subtrochanteric fractures occur in a predominantly strong cortical osseous region that is exposed to large compressive stresses. Implants used to address these fractures must accommodate significant loads while the fractures consolidate...
August 2003: Orthopedics
https://www.readbyqxmd.com/read/12597064/proximal-femoral-fractures
#3
REVIEW
Lawrence X Webb
Fractures of the proximal femur include fractures of the head, neck, intertrochanteric, and subtrochanteric regions. Head fractures commonly accompany dislocations. Neck fractures and intertrochanteric fractures occur with greatest frequency in elderly patients with a low bone mineral density and are produced by low-energy mechanisms. Subtrochanteric fractures occur in a predominantly strong cortical osseous region which is exposed to large compressive stresses. Implants used to address these fractures must be able to accommodate significant loads while the fractures consolidate...
2002: Journal of the Southern Orthopaedic Association
https://www.readbyqxmd.com/read/6744720/significance-of-muscular-disturbances-in-the-localization-of-fractures-of-the-proximal-femur
#4
COMPARATIVE STUDY
N A Christodoulou, E K Dretakis
Of 1322 patients with fractures of the proximal femur, 86 had muscular disturbances. Of these, 65 were suffering from paresis due to cerebrovascular stroke and 21 had Parkinson's disease. In the paretic patients, except for one case, the fracture occurred on the affected (paretic) side, and it was intertrochanteric in the majority of cases. In the patients with Parkinson's disease, cervical (intracapsular) fractures predominated. Muscle weakness or disturbance is a factor in the causation and location of hip fractures...
July 1984: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/2268750/osteomalacia-and-osteoporosis-in-femoral-neck-fracture
#5
L D Hordon, M Peacock
Iliac crest bone histomorphometry, plasma and urine biochemistry and clinical history were examined in 78 unselected patients (68 women, 10 men) at the time of femoral fracture. Histological abnormalities occurred in 56 of the 78 biopsies. The commonest of these was a low bone volume of less than 15% which, irrespective of other abnormal histological features, was present in 37 of the biopsies. On the basis of the histomorphometry, patients could be classified into four main groups. Normal histomorphometry (bone volume greater than 15%, osteoid surfaces less than 24%, mineralising surface greater than 60%) was present in 22 patients, 23 had osteoporosis as the only abnormality (bone volume less than 15%, osteoid surface less than 24%, mineralising surface greater than 60%), nine had osteomalacia (osteoid surfaces greater than 24%, mineralising surface less than 60%, osteoid width greater than 13 microns) and 13 had decreased mineralising surfaces...
November 1990: Bone and Mineral
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