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distal femoral fracture

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https://www.readbyqxmd.com/read/29470236/is-the-lesser-trochanter-profile-a-reliable-means-of-restoring-anatomic-rotation-after-femur-fracture-fixation
#1
Lucas S Marchand, Dane C Todd, Patrick Kellam, Temitope F Adeyemi, David L Rothberg, Travis G Maak
BACKGROUND: Restoring normal femoral rotation is an important consideration when managing femur fractures. Femoral malrotation after fixation is common and several preventive techniques have been described. Use of the lesser trochanter profile is a simple method to prevent malrotation, because the profile changes with femoral rotation, but the accuracy of this method is unclear. QUESTIONS/PURPOSES: The purposes of this study were (1) to report the rotational profiles of uninjured femora in an adult population; and (2) to determine if the lesser trochanter profile was associated with variability in femoral rotation...
February 21, 2018: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/29452721/use-of-the-gore-tigris-vascular-stent-in-advanced-femoropopliteal-peripheral-arterial-disease
#2
Pierleone Lucatelli, Marco Cini, Giulio Tommasino, Antonio Benvenuti, Giulia Guaccio, Stefano Bascetta, Eugenio Neri, Carmelo Ricci
PURPOSE: To prospectively evaluate the safety and efficacy of using the Tigris vascular stent (Gore, Flagstaff, Arizona) alone or in combination with the Viabahn stent (Gore) for revascularizing femoropopliteal Trans-Atlantic Intersociety Consensus (TASC) type B-D lesions with varying degrees of calcification. MATERIALS AND METHODS: Patients with Rutherford stage ≥ 3 and TASC type ≥ B were included in the study. From January 2015 to April 2017, 31 segments in 31 patients (21 men, ovarall mean age 73...
February 13, 2018: Journal of Vascular and Interventional Radiology: JVIR
https://www.readbyqxmd.com/read/29446787/the-treatment-of-femoral-fractures-in-children-with-cerebral-palsy
#3
P Persiani, M Murgia, F M Ranaldi, O Mazza, M Mariani, M Crostelli, C Villani
OBJECTIVE: The purpose of this study is to retrospectively evaluate a group of children affected by cerebral palsy with a recent femoral fracture, and to analyse the results and complications in relation to the treatment used. MATERIALS AND METHODS: The analysis was performed on 36 children (21 M, 15 F, 8-14 years old) with cerebral palsy (7 diplegia, 28 tetraparesis, 1 hemiplegia) with a metaphyseal or a diaphyseal femoral fracture. The patients were subdivided into two groups according to their Gross Motor Function Classification System (GMFCS) level: level 2-3 (9 patients) and level 4-5 (27 patients), evaluating the presence of complications and malunions for each group at the end of each follow up...
January 2018: La Clinica Terapeutica
https://www.readbyqxmd.com/read/29430494/elastic-stable-intramedullary-nailing-of-femoral-shaft-fracture-experience-in-48-children
#4
Rajesh Govindasamy, Ramkumar Gnanasundaram, Saravanan Kasirajan, Syed Ibrahim, Jimmy Joseph Melepuram
Background: Femoral shaft fractures are an incapacitating pediatric injury accounting for 1.6% of all pediatric bony injuries. Management of these fractures is largely directed by age, fracture pattern, associated injuries, built of the child and socioeconomic status of the family. We retrospectively evaluated the use of elastic stable intramedullary nail (ESIN) in surgical management of femoral shaft fractures in children and its complications. Methods: Fifty two children were treated with titanium elastic nails (TEN) from June 2009 to June 2014 at our institution...
January 2018: Archives of Bone and Joint Surgery
https://www.readbyqxmd.com/read/29424161/-application-of-convolute-manipulation-for-the-treatment-of-femoral-fractures-in-children
#5
Jian-Guo Xu, Xin Xu, Jun-Hui Yu, Su-Ye Miao, Su-Jian Miao, Jing Wu
OBJECTIVE: To discuss the application of convoluted manipulation in pediatric femoral fractures. METHODS: From March 2015 to October 2016, 12 children with femoral fractures were treated by Chinese traditional manipulation including 8 males and 4 females with an average age of 6 years old ranging from 1 to 12 years old. The causes of injury were falls in 10 cases and traffic accidents in 2 cases. Of which 1 case was transverse fractures, 4 cases were oblique fractures and 4 cases were spiral fractures, 2 cases were comminuted fracture, 1 case was greenstick fracture...
July 25, 2017: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29416165/distal-medullary-canal-decompression-in-long-stem-hip-replacement-in-long-bone-metastasis-does-it-reduce-cardiopulmonary-complications
#6
Vivek Ajit Singh, Siamak Sarrafan, Ramesh Singh Veriah
Background: The femur is the most common long bone affected by metastatic bone disease, with 25% involving the proximal third of the femur. Long stem cemented hip replacement (LHR) is an important option for cases of impending fracture. Pulmonary embolism is a critical complication that can occur. This study evaluates the effectiveness of distal femoral canal decompression in reducing the risk of cardiopulmonary events. Materials and Methods: Thirty two patients with metastatic bone disease of the proximal femur undergoing LHR were recruited and randomized...
January 2018: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/29407864/local-bone-quality-measurements-correlates-with-maximum-screw-torque-at-the-femoral-diaphysis
#7
Christopher M McAndrew, Avinesh Agarwalla, Adam C Abraham, Eric Feuchtbaum, William M Ricci, Simon Y Tang
BACKGROUND: Successful fracture fixation depends critically on the stability of the screw-bone interface. Maximum achievable screw torque reflects the competence of this interface, but it cannot be quantified prior to screw stripping. Typically, the surgeon relies on the patients' bone mineral density and radiographs, along with experience and tactile feedback to assess whether sufficient compression can be generated by the screw and bone. However, the local bone quality would also critically influence the strength of the bone-screw interface...
February 2, 2018: Clinical Biomechanics
https://www.readbyqxmd.com/read/29397414/the-antegrade-angle-stable-locking-intramedullary-nail-for-type-c-distal-femoral-fractures-a-thirty-four%C3%A2-case-experience
#8
Zhihui Zhao, Yi Li, Kifayat Ullah, Basanta Sapkota, Hongbin Bi, Yongqing Wang
INTRODUCTION: This is a retrospective study that provides initial experience and verifies the effectiveness of the newly-designed antegrade interlocking angle-stable intramedullary nail (IAIN) combined with half-threaded cancellous screws in the management of type-C (AO/OTA classification) distal femoral fractures. METHODS: During a period of 30 months, 34 patients (mean age 43.1 years) with type-C (AO/OTA classification) fractures of the distal femur were treated with IAIN and half-threaded cancellous screws were reviewed...
February 3, 2018: International Orthopaedics
https://www.readbyqxmd.com/read/29393732/outcome-of-limb-fracture-repair-in-rabbits-139-cases-2007-2015
#9
Hiroshi Sasai, Daisuke Fujita, Eiko Seto, Yuki Denda, Yutaro Imai, Kanako Okamoto, Kensaku Okamura, Masaru Furuya, Hiroyuki Tani, Kazumi Sasai
OBJECTIVE To evaluate outcome of limb fracture repair in rabbits. DESIGN Retrospective case series. ANIMALS 139 client-owned rabbits with limb fractures treated between 2007 and 2015. PROCEDURES Medical records were reviewed for information on fracture location, fracture treatment, and time to fracture healing. RESULTS 25 rabbits had fractures involving the distal aspects of the limbs (ie, metacarpal or metatarsal bones, phalanges, and calcaneus or talus). Fractures were treated in 23 of these 25 rabbits (external coaptation, n = 17; external skeletal fixation, 4; and intramedullary pinning, 2) and healed in all 23, with a median healing time of 28 days (range, 20 to 45 days)...
February 15, 2018: Journal of the American Veterinary Medical Association
https://www.readbyqxmd.com/read/29387910/bone-density-and-microarchitecture-in-hepatitis-c-and-hiv-coinfected-postmenopausal-minority-women
#10
M T Yin, A RoyChoudhury, K Nishiyama, T Lang, J Shah, S Olender, D C Ferris, C Zeana, A Sharma, B Zingman, M Bucovsky, I Colon, E Shane
We found that HIV+/HCV+ women had 7-8% lower areal bone mineral density (aBMD) by dual-energy x-ray absorptiometry (DXA) at the spine, hip, and radius (p < 0.01) and 5-7% lower volumetric BMD (vBMD) by central quantitative computed tomography (cQCT) at the spine and hip (p < 0.05). These data suggest that true deficits in vBMD may contribute to bone fragility and excess fractures reported in HIV+/HCV+ women. INTRODUCTION: aBMD by DXA is lower in persons coinfected with HIV and HCV (HIV+/HCV+) than with HIV monoinfection (HIV+)...
February 1, 2018: Osteoporosis International
https://www.readbyqxmd.com/read/29382009/patellar-tendon-ossification-after-retrograde-intramedullary-nailing-for-distal-femoral-shaft-fracture-a-case-report-and-review-of-the-literature
#11
Lei Tan, Tiejun Wang, Yan-Hui Li, Tianye Yang, Baohui Hao, Dong Zhu, Da-Hui Sun
RATIONALE: Retrograde femoral nailing was one of the most important treatment means for distal femoral shaft fracture. However, studies regarding heterotopic ossification of the patellar tendon after retrograde intramedullary nailing for distal femoral shaft fracture are limited. We herein present a rare complication, namely heterotopic ossification of the patellar tendon, after retrograde intramedullary nailing for displaced femoral shaft fracture. PATIENT CONCERNS: We present a case of 25-year-old male with displaced femoral shaft fracture who was treated by retrograde intramedullary nailing...
November 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29381938/osteopoikilosis-found-incidentally-in-a-17-year-old-adolescent-with-femoral-shaft-fracture-a-case-report
#12
Conglin Ye, Qi Lai, Shengtao Zhang, Tian Gao, Jin Zeng, Min Dai
RATIONALE: Osteopoikilosis is a rare and asymptomatic disease of the bone, which is often discovered occasionally on radiography for irrelevant complaints. Characterized by multiple, small, circular, or oval-shaped radiodense lesions, it may be confused with bony metastatic tumors. PATIENT CONCERNS: The present study describes a case of a 17-year-old adolescent who suffered from pain and movement limitation of his left thigh following a fall from standing height...
November 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29381920/corrective-osteotomy-with-retrograde-fassier-duval-nail-in-an-osteogenesis-imperfecta-patient-with-bilateral-genu-valgum-a-case-report
#13
Tsung-Yu Lin, Chen-Yu Yang, Shih-Chia Liu
RATIONALE: The treatment of osteogenesis imperfecta (OI) requires a multidisciplinary approach to maximize function and reduce fracture incidence. The aim of this case report was to discuss an alternative surgical approach to stabilize a corrective osteotomy using the Fassier Duval (FD) system in an OI patient. PATIENT CONCERNS: A 20-year-old OI woman presented with left thigh pain, gait disturbance, and bilateral genu valgus deformities. DIAGNOSES: Physical examination and standing radiographs revealed bilateral genu valgum with previous fixation implants in the femoral and the left tibia...
November 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29381884/osteochondral-injuries-of-the-knee-in-pediatric-patients
#14
Kathryn L Bauer
Osteochondral injuries in pediatric patients may occur as a result of a traumatic injury or secondary to an osteochondritis dissecans (OCD) lesion. Lateral patella dislocation is a common traumatic cause of osteochondral injury that typically occurs at the medial facet of the patella or at the lateral aspect of the distal femur. Multiple theories have been proposed for the cause of an OCD lesion in the knee, including trauma or repetitive microtrauma, local vascular insufficiency, and family history. The most "classic" location for OCD lesions of the knee is the lateral aspect of the medial femoral condyle of the distal femur...
January 30, 2018: Journal of Knee Surgery
https://www.readbyqxmd.com/read/29356801/the-effect-of-blocking-screws-on-union-of-infraisthmal-femur-fractures-stabilized-with-a-retrograde-intramedullary-nail
#15
Bryan Van Dyke, Ryan Colley, Christina Ottomeyer, Ryan Palmer, Kevin Pugh
OBJECTIVE: To investigate the effect of blocking screws on the union rate and stability of infra-isthmal femur fractures treated with retrograde intramedullary nail (RIMN) insertion. DESIGN: Retrospective cohort study SETTING:: A single level 1 trauma centerPatients/Participants: All patients with an infra-isthmal femur fracture treated with a RIMN from 2005 to 2012. INTERVENTION: All fractures were treated with a RIMN. Blocking screws (BS) were used at the discretion of the treating surgeon...
January 5, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29349981/-clinical-results-in-early-and-mid-term-of-using-the-s-rom-femoral-stem-in-revision
#16
Shang Piao, Yong-Gang Zhou, Yin-Qiao Du, Hai-Yang Ma, Jing-Yang Sun, Zhi-Sen Gao, Ya-Wen Peng, Wen-Ming Wu
OBJECTIVE: To investigate and the clinical effect of S-ROM modular stem in femur reconstruction in hip revision arthroplasty. METHODS: From January 2008 to January 2016, 21 patients received revision hip arthroplasties using S-ROM stems. There were 5 males and 16 females with an average of 48.33 years old(range, 29 to 73 years old). There were 13 cases caused by aseptic loosening, 4 cases by infection, 2 cases by nonunion of sub-tuberosity osteotomy, 1 case for repeated dislocation, 1 case for traumatic great trochanter fracture...
April 25, 2017: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29313319/early-experience-with-a-tapered-titanium-porous-plasma-sprayed-stem-with-updated-design
#17
Antonio G Manocchio, Keith R Berend, Michael J Morris, Joanne B Adams, Adolph V Lombardi
INTRODUCTION: The Taperloc® Complete femoral stem (Zimmer Biomet, Warsaw, Indiana) builds on the widespread clinical success of the original Taperloc design used since 1982. Enhancements to the Complete design include a lowered caput-collum-diaphyseal (CCD) angle from 138° to 133° for improved offset, optimized neck taper with polished neck flats to increase range of motion, reduced distal geometry to improve proximal canal fill, and gradual off-loading that is the goal of tapered geometry...
December 22, 2017: Surgical Technology International
https://www.readbyqxmd.com/read/29302709/sports-participation-in-high-school-and-college-leads-to-high-bone-density-and-greater-rates-of-bone-loss-in-young-men-results-from-a-population-based-study
#18
Maggie M Minett, Lee Weidauer, Howard E Wey, Teresa L Binkley, Tianna M Beare, Bonny L Specker
Estimated lifetime risk of an osteoporotic fracture in men over the age of 50 years is substantial and lifestyle factors such as physical activity may explain variation in bone mass and bone loss associated with aging. Men (n = 253) aged 20-66 years were followed for 7.5 years and factors that influence changes in means and rates of change in bone mass, density, and size using dual-energy X-ray absorptiometry (DXA) and peripheral quantitative computed tomography (pQCT) were investigated; in particular, seasons of sports participation during high school and college...
January 4, 2018: Calcified Tissue International
https://www.readbyqxmd.com/read/29259963/comparison-of-bone-mineral-density-and-appendicular-lean-body-mass-between-osteoporotic-distal-radius-fracture-and-degenerative-rotator-cuff-tear-in-women-patients
#19
Jun-Ku Lee, Byung-Ho Yoon, Kyunghun Jung, Gotak Kim, Soo-Hong Han
Background: Authors assessed lean body mass (fat free tissue), upper and lower, and bone mineral density (BMD) in patients of osteoporotic bone distal radius fracture (DRF) and degenerative rotator cuff tear (RCT) patients of shoulder. We predict inferior muscle mass and osteoporosis are more frequent in DRF group than RCT group. Methods: Between January 2016 and June 2017, overall 38 of DRF and 30 of RCT were eligible for this retrospective comparison study after excluding of patients with compounding factors...
November 2017: Journal of Bone Metabolism
https://www.readbyqxmd.com/read/29258687/analysis-of-mortality-and-fixation-failure-in-geriatric-fractures-using-quantitative-computed-tomography
#20
Tyler S Pidgeon, Joey P Johnson, Matthew E Deren, Andrew R Evans, Roman A Hayda
OBJECTIVES: While osteoporosis has been shown to be a contributing factor in low energy fractures in the elderly, limited data exists regarding the correlation of bone mineral density (BMD) and T-Scores to mortality and failure of fracture fixation. This study seeks to determine the relationship between femoral neck BMD in elderly patients with typical geriatric fractures and mortality and fracture fixation failure using Quantitative Computed Tomography (QCT). MATERIALS AND METHODS: Patients over the age of 65 who sustained fractures of the proximal humerus, distal radius, pelvic ring, acetabulum, hip, proximal tibia, and ankle who also underwent a CT scan that included an uninjured femoral neck were retrospectively reviewed...
December 15, 2017: Injury
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