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https://www.readbyqxmd.com/read/29745741/teaching-basic-trauma-validating-fluorosim-a-digital-fluoroscopic-simulator-for-guide-wire-insertion-in-hip-surgery
#1
Kapil Sugand, Robert A Wescott, Richard Carrington, Alister Hart, Bernard H Van Duren
Background and purpose - Simulation is an adjunct to surgical education. However, nothing can accurately simulate fluoroscopic procedures in orthopedic trauma. Current options for training with fluoroscopy are either intraoperative, which risks radiation, or use of expensive and unrealistic virtual reality simulators. We introduce FluoroSim, an inexpensive digital fluoroscopy simulator without the need for radiation. Patients and methods - This was a multicenter study with 26 surgeons in which everyone completed 1 attempt at inserting a guide-wire into a femoral dry bone using surgical equipment and FluoroSim...
May 10, 2018: Acta Orthopaedica
https://www.readbyqxmd.com/read/29725511/outcome-of-primary-cemented-bipolar-hemiarthroplasty-compared-with-dynamic-hip-screw-in-elderly-patients-with-unstable-intertrochanteric-fracture
#2
Y N Gashi, A S Elhadi, I M Elbushra
Introduction: Although the treatment of choice for unstable intertrochanteric fractures in elderly patients has been internal fixation for a long time, several studies have shown mechanical and technical failures. Primary cemented bipolar (PCB) hemiarthroplasty has been proposed as an alternative with some advantages concerning earlier mobilization and minimal postoperative complications. Materials and Methods: This is a prospective cohort hospital-based study conducted at three tertiary hospitals over a period of two years...
March 2018: Malaysian Orthopaedic Journal
https://www.readbyqxmd.com/read/29704127/correlation-between-femoral-offset-loss-and-dynamic-hip-screw-cut-out-complications-after-pertrochanteric-fractures-a-case-control-study
#3
Baptiste Boukebous, Pascal Guillon, Eric Vandenbussche, Marc Antoine Rousseau
BACKGROUND: Screw-plates disassembly incidence after pertrochanteric fracture (PF) amounts to 1 and 16% among the elderly population. The main occurrence is early cervical screw cut-out. The population at highest risk of disassembly remains difficult to identify. The correlation between femoral offset loss and disassembly occurrence has never been surveyed. OBJECTIVES: A radiological prognosis score for screw plate disassembly was defined to reflect trochanteric impaction (TI); it was based on a femoral offset ratio...
April 27, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29606486/augmented-reality-fluoroscopy-simulation-of-the-guide-wire-insertion-in-dhs-surgery-a-proof-of-concept-study
#4
B H van Duren, K Sugand, R Wescott, R Carrington, A Hart
BACKGROUND: Hip fractures contribute to a significant clinical burden globally with over 1.6 million cases per annum and up to 30% mortality rate within the first year. Insertion of a dynamic hip screw (DHS) is a frequently performed procedure to treat extracapsular neck of femur fractures. Poorly performed DHS fixation of extracapsular neck of femur fractures can result in poor mobilisation, chronic pain, and increased cut-out rate requiring revision surgery. A realistic, affordable, and portable fluoroscopic simulation system can improve performance metrics in trainees, including the tip-apex distance (the only clinically validated outcome), and improve outcomes...
March 29, 2018: Medical Engineering & Physics
https://www.readbyqxmd.com/read/29600208/intra-articular-osteoid-osteoma-of-femoral-neck-region-a-simplified-treatment-strategy-and-review-of-literature
#5
Gaurav Garg, Rajat Malot
Introduction: Proximal femur is the common site for localization of benign bone lesions, and the diagnosis is often delayed and potentially challenging due to their atypical presentations. Early diagnosis is difficult as intra-articular lesions often present with clinical and radiological features of inflammatory synovitis in the joint. Case Report: Two patients of intra-articular osteoid osteoma in proximal femoral presented with atypical features limb lengthening, minimal reactive bone sclerosis, and multifocal nidus...
November 2017: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/29581418/limited-dynamic-hip-screw-for-treatment-of-intertrochanteric-fractures-a-biomechanical-study
#6
Chunlei Zhang, Bin Zhang, Qirong Dong, Dawei Ge
No abstract text is available yet for this article.
March 26, 2018: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://www.readbyqxmd.com/read/29572365/a-rare-presentation-of-haematuria-hip-prosthesis-in-the-bladder
#7
Yih Chyn Phan, Nnaemeka Eli, Praveen Pillai, Jonathan O'Dair
An 80-year-old woman presented to our department with visible haematuria and stage II acute kidney injury (AKI). She had stage IIB cervical cancer, for which she received chemotherapy and external beam radiotherapy in 2003. Four years later, she had a left dynamic hip screw for an extracapsular neck of femur fracture following a fall. In 2010, she underwent a right total hip replacement owing to osteoarthritis, and it was subsequently revised in 2012 owing to a right acetabular component failure. In this admission, her AKI improved with intravenous fluid administration and her haematuria settled following catheterisation with a three-way catheter and bladder irrigation with saline...
March 22, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29569690/fixation-of-rotationally-unstable-extracapsular-proximal-femoral-fractures
#8
Elsayed Ibraheem Elsayed Massoud
BACKGROUND: It was thought that the AO types A1.2 and A1.3 fractures are rotationally stable; however, it revealed instability when fixed using the dynamic hip screw. Therefore, we hypothesized that these fractures should be treated as rotationally unstable. METHODS: A series of 83 fractures of the AO types A1, A2, and B2.1 were treated using dynamic hip screw with derotation screw (DHS/DRS) composite and then prospectively followed for 24 months. Adequacy of reduction and fixation were immediately assessed after surgery, and fracture collapse was assessed at six months or when fractures healed...
March 2018: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
https://www.readbyqxmd.com/read/29429246/-comparative-study-of-proximal-femoral-nail-anti-rotation-and-dynamic-hip-screw-in-the-unstable-intertrochanteric-fractures-in-the-elderly
#9
W Wang, S Zhai, X P Han, Y Cui
Objective: To compare the effect of proximal femoral nail anti-rotation and dynamic hip screw in treating the femoral intertrochanteric fractures in elderly patients. Methods: From June 2011 to June 2014, totally 158 elderly patients of femoral intertrochanteric fracture were treated by surgery, among whom 68 cases were treated with dynamic hip screws (DHS), and 90 patients were treated with proximal femoral nail anti-rotation (PFNA). The operative time, hospitalization time, weight-bearing time, fracture-healing time, blood loss and the hip function score after the operation were compared between the two groups by using the t test; and the incidence of the postoperative complication was compared between the two groups by using the Chi square test...
January 30, 2018: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/29427750/is-dynamic-locking-plate-targon-fn-a-better-choice-for-treating-of-intracapsular-hip-fracture-a-meta-analysis
#10
REVIEW
Hao Yin, Zhengjun Pan, Hua Jiang
PURPOSE: The aim of this study was to assess the outcomes of dynamic locking plate (Targon FN) and other alternative implant (cannulated cancellous screws or sliding hip screw) for treating of intracapsular hip fracture. METHODS: Relevant clinical trials on the dynamic locking plate and alternative implant treatment for intracapsular hip fracture were retrieved through searching the databases, PubMed, Embase and the Cochrane Central Register of Controlled Trials up to August 2017...
April 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29422294/home-no-follow-up-are-we-ignoring-the-significance-of-unplanned-clinic-attendances-re-admission-and-mortality-in-the-first-12-months-post-operatively-in-over-65-year-olds-hip-fractures-treated-with-dhs-fixation
#11
J S Karim, J Reynolds, O Salar, E T Davis, S Quraishi, M Ahmed
INTRODUCTION: 80,000 hip fractures are admitted to UK hospitals annually (Royal College of Physicians, 2016). Little is known about 12-month post-operative re-admission, unplanned clinic attendance and mortality. We aimed to determine if there is a role for routine follow-up for certain strata of our hip fracture population treated by Dynamic Hip Screw (DHS) Fixation based on unplanned attendance to clinics and whether it is possible to stratify risk of re-admission, re-operation and mortality within the first 12 months post-operatively...
March 2018: Injury
https://www.readbyqxmd.com/read/29374679/randomised-controlled-trial-of-the-sliding-hip-screw-versus-x-bolt-dynamic-hip-plating-system-for-the-fixation-of-trochanteric-fractures-of-the-hip-in-adults-a-protocol-study-for-white-4-white4
#12
Xavier L Griffin, Juul Achten, William Sones, Jonathan Cook, Matthew L Costa
INTRODUCTION: Sliding hip screw fixation is well established in the treatment of trochanteric fractures of the hip. The X-Bolt Dynamic Hip Plating System builds on the successful design features of the sliding hip screw but differs in the nature of the fixation in the femoral head. A randomised pilot study suggested that the X-bolt Dynamic Hip Plating System might provide similar health-related quality of life while reducing the risk of revision surgery when compared with the sliding hip screw...
January 26, 2018: BMJ Open
https://www.readbyqxmd.com/read/29367911/treatment-of-displaced-femoral-neck-fractures-in-young-patients-with-dhs-and-its-association-to-osteonecrosis
#13
Carlos Roberto Schwartsmann, Henrique Marquardt Lammerhirt, Leandro de Freitas Spinelli, Ary da Silva Ungaretti Neto
Objective: The purpose of this study is to evaluate the performance of dynamic hip screw for the treatment of dislocated femoral neck fractures in young patients, focusing on osteonecrosis. Methods: A series of 53 patients with less than 55 years of age were retrospectively evaluated. All patients had dislocated femoral neck fractures (Garden III or IV) and were treated with DHS. Ficat's staging system was used to evaluate avascular necrosis. Results: There were 38 (71...
January 2018: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/29366552/mortality-in-patients-sustaining-a-periprosthetic-fracture-following-a-previous-extracapsular-hip-fracture-fixation
#14
T Jennison, R Yarlagadda
BACKGROUND: Mortality rates following hip fractures are decreasing. As these outcomes improve, it increases the potential for further falls and the potential to sustain a periprosthetic fracture. The aim of this study was to analyse the 1 year mortality of periprosthetic fractures around an implant used to treat an extracapsular hip fracture. Secondary outcomes included 30 day mortality, complications and risk factors associated with mortality. METHODS: A retrospective case note and radiographic review of all patients who presented to a single institution with a periprosthetic femoral fracture around an implant previously used to treat an extracapsular hip fracture between 1st January and 2008 and 31st May 2015...
March 2018: Injury
https://www.readbyqxmd.com/read/29361376/diagnosis-and-treatment-of-slipped-capital-femoral-epiphysis-recent-trends-to-note
#15
Takuya Otani, Yasuhiko Kawaguchi, Keishi Marumo
Slipped capital femoral epiphysis (SCFE) is not frequently encountered during routine practice and diagnosis and treatment are often delayed. It is important to understand symptoms and imaging features to avoid delayed diagnosis. After the diagnosis is made correct classification of the disease is required. The classification should be based on the physeal stability in order to choose safe and effective treatment. However, surgeons should bear in mind that the assessment is challenging and actual physeal stability is not always consistent with the stability predicted by a clinical classification method...
March 2018: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
https://www.readbyqxmd.com/read/29331010/implants-for-extracapsular-neck-of-femur-fracture-dynamic-hip-screw-versus-intramedullary-nailing
#16
Faisal Farooq Butt, Adnan Shabbair Hussain, Ahmed Mushtaq Khan, Maria Sultan
Neck of femur fractures are the most prevalent type of injury in elderly trauma patients. Both intra and extra capsular type of fractures are equally distributed in the given population. Traditionally, Extra capsular fractures are fixed with Dynamic Hip screw or Intra medullary nailing based on the type of fracture. NICE (National Institute of Clinical Excellence) recommends fixing 31-A1 and 31-A2 fractures with DHS (Dynamic Hip Screw) whereas AO recommends fixing 31-A1 with DHS and 31-A2.1 subtype with DHS and 31-A2...
October 2017: Journal of Ayub Medical College, Abbottabad: JAMC
https://www.readbyqxmd.com/read/29273918/a-review-of-atypical-subtrochanteric-femoral-fractures-in-northern-ireland-between-2010-and-2014
#17
K J Donnelly, A Tucker, B Kerr, S McDonald, D S O'Longain, J D Acton
The term atypical femoral fractures most commonly occur in the subtrochanteric area. Concerns exist regarding the role of bisphosphonate treatment in their aetiology. Which surgical intervention provides the best outcome remains contentious. We reviewed all atypical subtrochanteric femoral fractures treated in Northern Ireland over 5 years, specifically investigating incidence, prodromal symptoms, association with bisphosphonates and optimal fixation methods. All subtrochanteric fractures treated in the region were identified and reviewed for atypical features...
December 22, 2017: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29242792/minimal-invasive-dynamic-hip-screw-fixation-technique-in-patient-with-cardiac-complications-a-case-scenario
#18
Ponnusami Pillai Gokulakrishnan, Anil Gowtham Manivannan, Sakthivel Annamalai, Balaji Umamaheshwaran
Introduction: Intertrochanteric fracture comprises nearly half of hip fractures occurring in elderly individuals with osteoporosis. Considering the age group of its population, they are often associated with multiple comorbidities which warrant optimum management with less surgical. Case Report: This article reports the case of 56-year-old women with in tertrochanteric fracture associated with the cardiac complication restricting operating duration. Minimal invasive dynamic hip screw (MIDHS) fixation technique with modified instruments was performed which facilitated minimizing the operating time and intraoperative blood loss...
September 2017: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/29196309/low-energy-atypical-femoral-shaft-and-ipsilateral-neck-fracture-a-rare-association
#19
Chrisropher Peake, Alex Trompeter
This reports a case of a low-energy ipsilateral femoral shaft and neck fracture in a 69-year-old woman with vitamin D deficiency, who was taking long-term steroids and bisphosphonates. This is a fracture more commonly associated with a high-energy trauma. However, with an ageing global population and an increasing prevalence of bone insufficiency, we predict the incidence of this presentation to increase. Long-term bisphosphonate therapy has been associated with bone insufficiency and an increased rate of delayed union, adding to the complexity of management in these patients...
December 1, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/29182138/dealing-with-sub-trochanteric-fracture-in-a-child-with-osteopetrosis-a-case-report
#20
P Behera, A Khurana, B Saibaba, S Aggarwal
Osteopetrosis is a rare hereditary condition which may have autosomal recessive or autosomal dominant inheritance. Patients tend to present most commonly with fractures but involvement of cranial nerves and hematopoetic system is not uncommon. Patients with infantile and intermediate type tend to present more often with problems other than orthopaedic problems. While diagnosis can be made on the basis of radiographs, management needs to be customized for every patient. Non operative and operative management both have their advantages and disadvantages...
December 2016: Acta Orthopaedica Belgica
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