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Femoral neck non union

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https://www.readbyqxmd.com/read/27837321/hemiarthroplasty-versus-internal-fixation-in-super-aged-patients-with-undisplaced-femoral-neck-fractures-a-5-year-follow-up-of-randomized-controlled-trial
#1
Qifeng Lu, Genling Tang, Xijiang Zhao, Shuguang Guo, Bin Cai, Qingsong Li
INTRODUCTION: There were higher rates of revision, complication, non-union, delayed union, and poorer functional outcomes reported in super-aged patients of undisplaced femoral neck fractures treated with internal fixation. Therefore, we designed this randomized comparative study aiming to compare the effectiveness and long-term follow-up results of hemiarthroplasty (HA) with that of multiple cannulated screws (MCS). MATERIALS AND METHODS: Eligible participants were randomly assigned into two groups for different methods of operation (hemiarthroplasty group and internal fixation group)...
November 11, 2016: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/27797839/young-man-with-sudden-severe-hip-pain-secondary-to-femoral-neck-stress-fracture
#2
Ziva Petrin, Anupam Sinha, Sunny Gupta, Mitesh K Patel
Femoral neck stress fractures have been described in military recruits and athletes. Early recognition and aggressive treatment are important, as femoral neck stress fractures have a high potential for complications and even uncomplicated fractures require an extensive course of rehabilitation. Tension-side (superolateral) stress fractures of the femoral neck are at high risk for complications such as displacement, non-union and avascular necrosis, and need to be treated surgically, while compression-side (inferomedial) fractures can be treated conservatively...
October 26, 2016: BMJ Case Reports
https://www.readbyqxmd.com/read/27649760/conservative-management-of-a-femoral-neck-stress-fracture-in-a-female-athlete-a-case-report-and-review-of-the-literature
#3
Ilias Katsougrakis, Alexandros P Apostolopoulos, Samantha Z Tross
UNLABELLED: Femoral-neck stress fractures are relatively rare and may present as sports-related injuries. The presentation is variable, and prompt diagnosis facilitates the earliest return to pre-morbid functional activity levels. Delayed detection may precipitate femoral non-union or avascular necrosis, resulting in long-term functional deficit. AIMS: We describe the clinical, diagnostic and therapeutic approach of a femoral-neck stress fracture that occurred in a 28-year-old female recreational runner...
2016: Journal of Long-term Effects of Medical Implants
https://www.readbyqxmd.com/read/27637999/three-year-outcomes-of-intracapsular-femoral-neck-fractures-fixed-with-sliding-hip-screws-in-adults-aged-under-sixty-five-years
#4
D P Dargan, F Callachand, O J Diamond, C K Connolly
INTRODUCTION: Intracapsular femoral neck fractures remain associated with high rates of post-traumatic femoral head necrosis, non-union, and revision surgery. AIM: Our aim was to identify factors associated with revision surgery in intracapsular femoral neck fractures treated with sliding hip screws (SHS) in adults aged <65 years. PATIENTS AND METHODS: Consecutive admissions were identified retrospectively from the Royal Victoria Hospital, Belfast, which was the largest volume hospital on the National Hip Fracture Database...
September 6, 2016: Injury
https://www.readbyqxmd.com/read/27536620/surgical-treatment-of-undisplaced-femur-neck-fractures-in-dementia-patients-using-proximal-femoral-nail-antirotation
#5
Bong-Ju Park, Hong-Man Cho, Woong-Bae Min
PURPOSE: People with dementia have poor mobility and discharge outcomes following hip fractures. The purpose of this study was to evaluate the clinical and radiological results of internal fixation of undisplaced femur neck fractures (Garden types 1 and 2) by proximal femoral nail antirotation (PFNA) in dementia patients. MATERIALS AND METHODS: We studied retrospectively 19 patients with undisplaced femur neck fracture. All patients were over 70 years of age, walked independently with a cane or crutches and suffered moderate-to-severe dementia...
September 2015: Hip & Pelvis
https://www.readbyqxmd.com/read/27084541/low-failure-rate-by-means-of-dlbp-fixation-of-undisplaced-femoral-neck-fractures
#6
A D P van Walsum, J Vroemen, H M J Janzing, T Winkelhorst, J Kalsbeek, W H Roerdink
BACKGROUND: This study evaluated the clinical results of a new implant in the internal fixation of undisplaced femoral neck fractures. METHOD: Irrespective of their age, 149 patients with undisplaced (Garden I and II) femoral neck fractures were included in a prospective multicentre clinical cohort study and were treated by internal fixation by means of the Dynamic Locking Blade Plate (DLBP). The mean age was 69 years and the follow-up at least one year. RESULTS: The DLBP fixation resulted in 6 out of 149 failures caused by AVN (2x), non-union (2x), loss of fixation (3x) or combination of these...
March 19, 2016: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/27057146/femoral-neck-non-union-treatment-by-valgus-intertrochanteric-osteotomy
#7
Carlos Roberto Schwartsmann, Leandro de Freitas Spinelli, Anthony Kerbes Yépez, Leonardo Carbonera Boschin, Marcelo Faria Silva
OBJECTIVE: : The purpose of this study was to evaluate the performance of valgus intertrochanteric osteotomy in femoral neck non-union. METHODS: : Forty-two patients with femoral neck fractures with non-union treated using Pauwels' intertrochanteric osteotomy were reviewed. Demographics, time elapsed between fracture and surgery, follow--up, osteosynthesis used, Garden's classification, limb shortening, and x-rays were evaluated. RESULTS: : Twenty-two men and 20 women were reviewed...
November 2015: Acta Ortopedica Brasileira
https://www.readbyqxmd.com/read/27055409/serum-albumin-and-fixation-failure-with-cannulated-hip-screws-in-undisplaced-intracapsular-femoral-neck-fracture
#8
O Riaz, R Arshad, S Nisar, R Vanker
Introduction Internal fixation of undisplaced intracapsular femoral neck fractures with cannulated hip screws is a widely accepted surgical technique, despite reported failure rates of 12%-19%. This study determined whether preoperative serum albumin levels are linked to fixation failure. Methods We retrospectively reviewed 251 consecutive undisplaced intracapsular femoral neck fracture patients treated with cannulated hip screws in a district general hospital. Preoperative albumin levels were measured, and the fixation technique, classification and posterior tilt on radiography assessed...
July 2016: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/27019832/valgusing-intertrochanteric-osteotomy-for-the-treatment-of-femoral-neck-non-unions-report-of-32-cases
#9
Carlos Roberto Schwartsmann, Marco Aurélio Telöken, Leonardo Carbonera Boschin, Ivo Schmiedt, Ricardo Falavinha, Marcus Vinicius Crestani
UNLABELLED: The purpose of the present study was to review the results of femoral neck non-unions treatment with valgusing intertrochanteric osteotomy. METHODS: Between 1988 and 2003 we treaded thirty two femoral neck non-unions with valgusing osteotomy and fixation. The mean follow-up time was 9.8 years and the mean age was 41.7 years. RESULTS: Twenty eight (87.4%) of the thirty two valgusing osteotomies evolved to femoral neck union, while four cases (12...
January 2009: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/27011838/femoral-head-neck-junction-reconstruction-after-iatrogenic-bone-resection
#10
Alberto Guevara-Alvarez, Nicholas Lash, Martin Beck
Arthroscopic over-resection of the head-neck junction during the treatment of a cam deformity can be a devastating complication and is difficult to treat. Large defects of the femoral head-neck junction (FHNJ) increase the risk of femoral neck fracture and can also affect hip biomechanics. We describe a case of an iatrogenic defect of the FHNJ due to excessive bone resection, and a previously non-described treatment using iliac crest autograft to restore femoral head-neck sphericity and hip joint stability...
July 2015: Journal of Hip Preservation Surgery
https://www.readbyqxmd.com/read/26942332/treatment-of-ununited-femoral-neck-fractures-in-young-adults-using-low-intensity-pulsed-ultrasound-report-of-2-cases
#11
Sang Yang Lee, Takahiro Niikura, Takashi Iwakura, Ryosuke Kuroda, Masahiro Kurosaka
INTRODUCTION: Delayed union and non-union of displaced femoral neck fractures remains a difficult clinical problem for orthopaedic surgeons. In the physiologically young patient, every effort should be made to preserve the native hip joint. We present two cases of ununited femoral neck fractures in young adults who were successfully treated with low-intensity pulsed ultrasound (LIPUS) and showed satisfactory results. PRESENTATION OF CASE 1: A 41-year-old woman was involved in a motor vehicle crash and was diagnosed with displaced femoral neck fracture...
2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/26815091/the-dynamic-martin-screw-an-alternative-for-intracapsular-femoral-neck-fractures
#12
Atesch Ateschrang, Karl-Klaus Dittel
OBJECTIVES: The aim of this study was to determine whether the fixation device known as the dynamic Martin screw (DMS) offers a reasonable alternative for stabilizing intracapsular femoral neck fractures. MATERIALS AND METHODS: A total of 63 patients with intracapsular femoral neck fractures, stabilized between 1993 and 1997 with the DMS, were followed up in this retrospective study in both 1999 and 2002. The patients were on average 64 years of age, with 30 younger and 33 older than 65...
December 2007: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/26759255/the-vienna-and-german-heritage-of-orthopaedics-from-the-first-half-of-the-twentieth-century-adolf-lorenz-lorenz-b%C3%A3-hler-friedrich-pauwels-gerhard-k%C3%A3-ntscher
#13
Philippe Hernigou
In the last part of the nineteenth century and beginning of the twentieth century surgeons at the University of Vienna helped transform the practice of surgery. They developed new more effective procedures, analyzed the results of their operations, promoted the emergence and growth of surgical specialties and sought understanding of tissue structure, physiology and pathophysiology. Their efforts made Vienna one of the world's most respected centres for operative treatment, basic and clinical research and surgical education...
May 2016: International Orthopaedics
https://www.readbyqxmd.com/read/26757891/risk-factors-of-adjacent-vertebral-collapse-after-percutaneous-vertebroplasty-for-osteoporotic-vertebral-fracture-in-postmenopausal-women
#14
Kenji Takahara, Mikio Kamimura, Hideki Moriya, Ryohei Ashizawa, Tsuyoshi Koike, Yohei Hidai, Shota Ikegami, Yukio Nakamura, Hiroyuki Kato
BACKGROUND: Recently percutaneous vertebroplasty (PVP) was frequently performed for treatment of osteoporotic vertebral fractures (VFs). It is widely accepted that new compression fractures tend to occur adjacent to the vertebral bodies, typically within a month after PVP. To determine the risk factors among several potential predictors for de novo VFs following PVP in patients with osteoporosis. METHODS: We retrospectively screened the clinical results of 88 patients who had been treated by PVP...
2016: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/26711823/-preliminary-analysis-of-total-cost-and-life-quality-for-elder-patients-with-femoral-neck-fracture
#15
Haonan Liu, Liang He, Guilin Zhang, Xiaofeng Gong, Ning Li
OBJECTIVE: To analyze the total cost and life quality of the femoral neck fracture patients who received different surgery and supplement comprehensive data of osteoporotic fracture. METHODS: One hundred and five patients above 60-year old who were diagnosed femoral neck fracture and received operation in Department of Orthopedics & Traumatology, Beijing Jishuitan Hospital were admitted into our study from August 2013 to December. According to the type of surgery there were 52 and 53 cases in internal fixation (IF) group and hemiarthroplasty (HA) group respectively...
September 1, 2015: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/26662772/neglected-femoral-neck-fracture-in-patient-with-seizure-a-case-of-a-delayed-fixation-of-type-1a-fracture-in-11-month-old-infant
#16
Halil Atmaca, Kaya Memişoğlu, Tuncay Baran
Fractures of the hip are rare injuries in children, accounting for less than 1 % of all pediatric fractures. Compared with other pediatric skeletal injuries, hip fractures are associated with high complication rates and poor outcomes, most commonly osteonecrosis, as well as non-union and malunion. Although significant trauma is the most common reason of the separation of upper femoral epiphysis, furthermore some cases were reported after seizures. To our knowledge, there is no previous publication in the literature that reports the results of delayed reduction and fixation of transepiphyseal separation of the proximal femoral epiphysis...
November 2012: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/26662758/simultaneous-bilateral-femoral-neck-stress-fractures-in-a-young-military-cadet-a-rare-case-report
#17
Sameer Naranje, Nosezol Sezo, Vivek Trikha, Ramprasad Kancherla, Laxman Rijal, Ramkinkar Jha
Simultaneous bilateral femoral neck stress fracture in healthy young adult is one of the very rare clinical entities that an orthopedic surgeon may encounter once in lifetime. Bilateral femoral neck stress fractures have been very well documented in elderly and osteomalacia patients; however, its simultaneous occurrence in a healthy adult is challenging to diagnose and manage. This article describes a 34-year-old man a military personnel who sustained bilateral stress femoral neck fractures, during a routine training activity...
November 2012: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/26549945/comparative-study-of-fresh-femoral-neck-fractures-managed-by-multiple-cancellous-screws-with-and-without-fibular-graft-in-young-adults
#18
Snajay Kumar, Ajay Bharti, Ashok Rawat, Vineet Kumar, Sachin Avasthi
OBJECTIVES: Aim of our study was to assess the role of addition of fibular strut graft to multiple cancellous screws in functional outcome, union and complications associated with those managed by only multiple cancellous screws in fresh femoral neck fractures. METHODS: A randomized control trial study was conducted on the patients of femoral neck fractures managed with multiple cancellous screws (group A) and multiple cancellous screws with fibular graft (group B)...
March 2015: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/26494270/current-therapeutic-strategies-of-heterotopic-ossification-a-survey-amongst-orthopaedic-and-trauma-departments-in-germany
#19
Sebastian Winkler, Ferdinand Wagner, Markus Weber, Jan Matussek, Benjamin Craiovan, Guido Heers, Hans Robert Springorum, Joachim Grifka, Tobias Renkawitz
BACKGROUND: Heterotopic ossification (HO) is a complication after tissue trauma, fracture and surgery (i.e. total hip arthroplasty). Prophylaxis is the most effective therapy. If HO formations become symptomatic and limit patients' quality of life, revision surgery is indicated and is usually combined with a perioperative oral prophylaxis (NSAIDs) and/or irradiation. However, a long-term use of NSAIDs can induce gastro-intestinal or cardiac side-effects and possible bony non-unions during fracture healing...
2015: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/26403625/evaluation-of-valgus-intertrochanteric-osteotomy-in-neglected-fracture-neck-femur-in-young-adults
#20
Nishikant Kumar, Mukesh Kalra
BACKGROUND: Femoral neck fractures in young adults have always presented a difficult problem with high rates of non-union and avascular necrosis. At our centre we have been using the traditional Pauwels intertrochanteric osteotomy for neglected un-united femoral neck fractures in young adults. We have made certain modifications in this procedure to suit our resources and so we evaluated the outcome of this procedure at our institute. METHODS: The study included fifty consecutive cases of neglected femoral neck fractures treated at our centre between February 1996 and October 2012...
June 2013: Journal of Clinical Orthopaedics and Trauma
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