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Subtrochanteric Fracture

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https://www.readbyqxmd.com/read/30314495/epidemiology-treatment-and-mortality-of-trochanteric-and-subtrochanteric-hip-fractures-data-from-the-swedish-fracture-register
#1
Leif Mattisson, Alicja Bojan, Anders Enocson
BACKGROUND: Hip fractures are a major worldwide public health problem and includes two main types of fractures: the intracapsular (cervical) and the extracapsular (trochanteric and subtrochanteric) fractures. The aim of this study on patients with trochanteric and subtrochanteric hip fractures was to describe the epidemiology, treatment and outcome in terms of mortality within the context of a large register study. METHODS: A descriptive epidemiological register study including patients registered in the national Swedish Fracture Register from January 2014 to December 2016...
October 12, 2018: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/30305989/subtrochanteric-fracture-of-the-femur-accompanying-pre-existing-ipsilateral-osteoarthritis-of-the-hip-successfully-treated-with-intramedullary-nailing-in-the-lateral-decubitus-position-a-case-report
#2
Toru Iga, Ken Kato, Tatsuro Karita
A subtrochanteric fracture of the femur accompanying pre-existing osteoarthritis of the ipsilateral hip is rare. A deformity of the hip joint complicates the insertion of the intramedullary nail and varus malreduction is anticipated when surgery is performed on a fracture table with a perineal post. We report a successful case of intramedullary fixation performed in the lateral decubitus position and discuss the importance of avoiding varus and the superiority of the lateral position in surgery.
July 31, 2018: Curēus
https://www.readbyqxmd.com/read/30305933/the-enigma-of-atypical-femoral-fractures-a-summary-of-current-knowledge
#3
Morten Schultz Larsen, Hagen Schmal
Atypical femoral fractures (AFF) are stress or 'insufficiency' fractures, often complicated by the use of bisphosphonates or other bone turnover inhibitors. While these drugs are beneficial for the intact osteoporotic bone, they probably prevent a stress fracture from healing which thus progresses to a complete fracture.Key features of atypical femoral fractures, essential for the diagnosis, are: location in the subtrochanteric region and diaphysis; lack of trauma history and comminution; and a transverse or short oblique configuration...
September 2018: EFORT Open Reviews
https://www.readbyqxmd.com/read/30302297/breakage-in-two-points-of-a-short-and-undersized-affixus-cephalomedullary-nail-in-a-very-active-elderly-female-a-case-report-and-review-of-the-literature
#4
Giuseppe Rollo, Giuseppe Rinonapoli, Paolo Pichierri, Michele Bisaccia, Auro Caraffa, Luigi Meccariello
Introduction: Trochanteric fractures of the femur are common in elderly individuals with osteoporosis. The use of cephalomedullary nails is increasing, and they are now the most commonly used fixation devices, especially for the treatment of unstable trochanteric fractures. The nail breakage is not the most common complication of intramedullary nailing. Many scientific papers report nail breakage in a specific location: through the lag screw hole, the nail shaft, or the distal locking hole...
2018: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/30281863/cortical-bone-material-strength-index-and-bone-microarchitecture-in-postmenopausal-women-with-atypical-femoral-fractures
#5
Kristin L Popp, Signe Caksa, Adriana Martinez-Betancourt, Amy Yuan, Joy Tsai, Elaine W Yu, Mary L Bouxsein
Atypical femoral fractures are rare fractures that occur in the subtrochanteric or diaphyseal region of the femur with minimal or no trauma. Though the association of atypical femoral fractures and bisphosphonate (BP) use is a growing concern in the management of osteoporosis, currently there is little knowledge about which patients may be at risk for an atypical femoral fracture. Given that these fractures initiate in the femoral cortex, we aimed to determine whether cortical bone tissue properties (bone material strength index; BMSi), as measured by in vivo impact microindentation, are altered in atypical fracture patients...
October 3, 2018: Journal of Bone and Mineral Research: the Official Journal of the American Society for Bone and Mineral Research
https://www.readbyqxmd.com/read/30257754/-extracapsular-proximal-femoral-fractures-retrospective-evaluation-of-a-group-of-patients-with-a-focus-on-complications-of-treatment
#6
P Novotný, T Dědek, M Frank, K Šmejkal, S Bútora, J Kočí, J Trlica
PURPOSE OF THE STUDY The purpose of this study is to retrospectively evaluate the treatment and the complications in patients with extracapsular proximal femoral fractures. MATERIAL AND METHODS The evaluation focused on a group of patients who underwent a surgery at the authors department in the period from 1 January 2011 to 31 December 2013. The inclusion criteria were a simple fall and a monotrauma. The injury-to-surgery interval, course of the surgery and hospital stay, occurrence of early and late complications were assessed...
2018: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
https://www.readbyqxmd.com/read/30229225/implant-related-complications-and-mortality-after-use-of-short-or-long-gamma-nail-for-intertrochanteric-and-subtrochanteric-fractures-a-prospective-study-with-minimum-13-year-follow-up
#7
Nolan S Horner, Kristian Samuelsson, Janos Solyom, Kristian Bjørgul, Olufemi R Ayeni, Bengt Östman
Background: The purpose of this study was to evaluate the rates of implant-related complications and mortality after treatment of an intertrochanteric or subtrochanteric fracture with a short or long Gamma nail. Methods: Between September 1998 and August 2003, 644 patients at 2 centers treated with a long or short Gamma nail for a hip fracture were prospectively enrolled in this study. These patients were followed until they reached 1 of the study end points, which included death, a reoperation directly related to the Gamma nail, or the end date of the study...
September 28, 2017: JB & JS open access
https://www.readbyqxmd.com/read/30219147/salvage-for-intramedullary-nailing-breakage-after-operative-treatment-of-trochanteric-fractures
#8
Jordi Tomás-Hernández, Jorge Núñez-Camarena, Jordi Teixidor-Serra, Ernesto Guerra-Farfan, Jordi Selga, Juan Antonio Porcel, José Vicente Andrés-Peiró, Vicente Molero
BACKGROUND: Trochanteric fractures are one of the most common fractures in elderly people. The use of intramedullary nails is an option for their treatment, especially in unstable patterns. Nail breakage is a rarely reported complication. The aim of this study was to determine the prevalence of nail breakage in our center. Secondary objectives are to show the management of this complication in our institution as well as the technical problems, complications and final outcomes of these patients in our hands...
September 2018: Injury
https://www.readbyqxmd.com/read/30182543/-rehabilitation-of-hip-fractures-systematic-review
#9
REVIEW
A Izaguirre, I Delgado, C Mateo-Troncoso, H R Sánchez-Nuncio, W Sánchez-Márquez, A Luque-Ramos
INTRODUCTION: Hip fractures are considered among one of the most disabling injuries in patients older than 60 years of age. This fractures are associated with a high incidence of mortality and it is the leading cause of hospital admission that requires surgical treatment in Orthopaedic Trauma Centers. METHODS: This systematic review aimed to group, classify and report the best level of evidence of physical therapy and rehabilitation of patients that have been treated with osteostynthesis after trochanteric or subtrochanteric fracture...
January 2018: Acta Ortopédica Mexicana
https://www.readbyqxmd.com/read/30182268/-trochanteric-and-subtrochanteric-fractures
#10
C Bahrs, A Schreiner, U Stöckle, T Klopfer, P Hemmann
Proximal femoral fractures are one of the most common fractures, particularly in older people. The most common cause is a falling event due to dizziness and gait insecurity. In most cases prompt surgical treatment is necessary to achieve early mobilization and to reduce the risk of mortality. The aim is a stable osteosynthesis and patient-centered care. A great variety of implants are available for this purpose. Furthermore, perioperative management is important to prevent further problematic events, such as delirium, reoccurrence of falling events and to diagnose and adequately treat a pre-existing osteoporosis...
October 2018: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
https://www.readbyqxmd.com/read/30174818/atypical-fracture-of-the-proximal-shaft-of-the-ulna-associated-with-prolonged-bisphosphonate-therapy
#11
Byung Hak Oh, Youn Moo Heo, Jin Woong Yi, Tae Gyun Kim, Jae Sin Lee
Atypical fractures have been reported as a complication of long-standing bisphosphonate therapy and occur commonly in the subtrochanteric region or shaft of the femur showing typical radiographic features. We encountered a case of atypical fracture of the proximal one-third of the shaft of the ulna. Radiographic findings of this case differed from previously reported cases of ulnar fracture in terms of showing a transverse fracture line with cortical thickening and an oblique fracture line with anterior cortical spike...
September 2018: Clinics in Orthopedic Surgery
https://www.readbyqxmd.com/read/30153509/women-with-fracture-unidentified-by-frax-but-identified-by-cortical-porosity-have-a-set-of-characteristics-that-contribute-to-their-increased-fracture-risk-beyond-high-frax-score-and-high-cortical-porosity
#12
Rita Kral, Marit Osima, Roald Vestgaard, Elin Richardsen, Åshild Bjørnerem
The Fracture Risk Assessment Tool (FRAX) is widely used to identify individuals at increased risk for fracture. However, cortical porosity is associated with risk for fracture independent of FRAX and is reported to improve the net reclassification of fracture cases. We wanted to test the hypothesis that women with fracture who are unidentified by high FRAX score, but identified by high cortical porosity, have a set of characteristics that contribute to their fracture risk beyond high FRAX score and high cortical porosity...
November 2018: Bone
https://www.readbyqxmd.com/read/30142774/unusual-migration-of-a-kirschner-wire-in-a-patient-with-osteogenesis-imperfecta-a-case-report
#13
REVIEW
Taghi Baghdadi, Soroush Baghdadi, Kamel Dastoureh, Furqan Mohammed Yaseen Khan
RATIONALE: Kirschner wires (K-wires) are the most commonly used implants in orthopedic surgery. Although complications are not uncommon, they are mostly benign in nature and easily managed. While migration of K-wires is a rare complication, fatal outcomes have been reported. A review of the literature showed that only 7 cases of wire migration in the hip and pelvic region have been reported. Only 2 occurred in the pediatric population. Although K-wires are routinely used in osteogenesis imperfecta (OI) patients, there has been no report of complications in this vulnerable patient population...
August 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/30135015/linear-and-nonlinear-analyses-of-femoral-fractures-computational-experimental-study
#14
Majid Mirzaei, Fatemeh Alavi, Farzaneh Allaveisi, Vahid Naeini, Pegah Amiri
This paper describes two new methods for computational fracture analysis of human femur using Quantitative Computed Tomography (QCT) voxel-based finite element (FE) simulation. The paper also reports comprehensive mechanical testing for validation of the methods and evaluation of the required material properties. The analyses and tests were carried out on 15 human femurs under 11 different stance-type loading orientations. Several classical forms of subcapital, transcervical, basicervical, and intertrochanteric fractures plus a specific type of subtrochanteric fracture were created and analyzed...
August 13, 2018: Journal of Biomechanics
https://www.readbyqxmd.com/read/30028235/finite-element-analysis-of-the-impact-of-screw-insertion-distal-to-the-trochanter-minor-on-the-risk-of-iatrogenic-subtrochanteric-fracture
#15
Ersin Sensoz, Fatih Mehmet Özkal, Volkan Acar, Ferit Cakir
Iatrogenic subtrochanteric fractures are rarely encountered after cannulated screw fixation of femoral neck fractures; however, when they do occur, there can be several complications. Many orthopedic surgeons have concerns about the potential for iatrogenic subtrochanteric fractures after screw fixation distal to the trochanter minor; therefore, some surgeons are typically reluctant to perform this procedure. This study focused on the risk of an iatrogenic subtrochanteric fracture after treating femoral neck fractures with cannulated screws...
August 2018: Proceedings of the Institution of Mechanical Engineers. Part H, Journal of Engineering in Medicine
https://www.readbyqxmd.com/read/30024559/titanium-elastic-nailing-versus-locking-compression-plating-in-school-aged-pediatric-subtrochanteric-femur-fractures
#16
Yunlan Xu, Jingxia Bian, Kaiying Shen, Bin Xue
The treatment of children between 5 and 12 years of age suffering from subtrochanteric femoral fracture is challenging. The optimal choice of internal fixation for these patients is controversial. The purpose of this study is to compare the outcomes and complications of titanium elastic nail and open reduction with plate fixation of subtrochanteric femur fractures in school-aged children.A total of 67 children aged 5 to 12 years with subtrochanteric femur fractures treated with titanium elastic nails or open plating were identified at our institution from January 2007 to December 2017...
July 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29960077/the-effect-of-the-cerclage-wire-in-the-treatment-of-subtrochanteric-femur-fracture-with-the-long-proximal-femoral-nail-a-review-of-52-cases
#17
Bekir Eray Kilinc, Yunus Oc, Adnan Kara, Ramazan Erden Erturer
INTRODUCTION: To present the effect of the cerclage fixation, which was performed for the purpose of preserving the alignment obtained by open reduction, on the long-term clinical and radiological results of subtrochanteric fractures. MATERIALS AND METHODS: The inclusion criterias were at least 2 years of follow-up, no severe cognitive impairment, and to be able to walk independently prior to fracture. Patients with transverse or short oblique subtrochanteric hip fractures (AO/OTA class 32-A3...
August 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29959502/fragility-fractures-of-the-proximal-femur-review-and-update-for-radiologists
#18
REVIEW
Kimia Khalatbari Kani, Jack A Porrino, Hyojeong Mulcahy, Felix S Chew
Proximal femoral fragility fractures are common and result in significant morbidity and mortality along with a considerable socioeconomic burden. The goals of this article are to review relevant proximal femoral anatomy together with imaging, classification, and management of proximal femoral fragility fractures, and their most common complications. Imaging plays an integral role in classification, management and follow-up of proximal femoral fragility fractures. Classification of proximal femoral fragility fractures is primarily based on anteroposterior hip radiographs...
June 29, 2018: Skeletal Radiology
https://www.readbyqxmd.com/read/29945596/is-fast-reversal-and-early-surgery-within-24-h-in-patients-on-warfarin-medication-with-trochanteric-hip-fractures-safe-a-case-control-study
#19
Leif Mattisson, Lasse J Lapidus, Anders Enocson
BACKGROUND: Hip fracture patients in general are elderly and they often have comorbidities that may necessitate anticoagulation treatment, such as warfarin. It has been emphasized that these patients benefit from surgery without delay to avoid complications and reduce mortality. This creates a challenge for patients on warfarin and especially for those with trochanteric or subtrochanteric hip fractures treated with intramedullary nailing, as this is associated with increased bleeding compared to other types of hip fractures and surgical methods...
June 26, 2018: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29911091/high-congenital-hip-dislocation-in-adults-arthroplasty-and-functional-results
#20
Diogo Lino Moura, António Figueiredo
Objective: Retrospective case-control study on the authors' experience regarding arthroplasty in high congenital dislocations of the hip in adults. Methods: Sample with 11 high congenital hip dislocations (Hartofilakidis type C) that occurred in seven patients, who were submitted to hip arthroplasty by the same surgeon and with the same surgical technique. Mean follow-up period was 4.32 ± 2.67 years (minimum one year) and all patients were evaluated by the same examiner...
March 2018: Revista Brasileira de Ortopedia
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