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https://www.readbyqxmd.com/read/29022791/x-bolt-unforeseen-placement-complication-case-report
#1
A D Clarke, Jbt Herron, J L McVie
With the introduction of the World Hip Trauma Evaluation Four clinical trial, fixation of pertrochanteric neck of femur fractures is becoming a hot topic. In this trial, the novel X-Bolt expanding bolt implant is being compared with the current gold standard of a sliding hip screw. We present a previously undescribed complication when inserting the bolt into the femoral head, where the expandable wings penetrate the femoral neck due to misplacement of the bone crusher or the X-Bolt prosthesis. This unforeseen complication required the introduction of several additional corrective intraoperative steps...
September 15, 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/28983383/the-incidence-of-hip-fractures-in-long-term-care-homes-in-saskatchewan-from-2008-to-2012-an-analysis-of-provincial-administrative-databases
#2
Lilian U Thorpe, Susan J Whiting, Wenbin Li, William Dust, Thomas Hadjistavropoulos, Gary Teare
BACKGROUND: Hip fractures (HFs) represent an important cause of morbidity and mortality among adults in long-term care (LTC), but lack of detailed epidemiological data poses challenges to intervention planning. We aimed to determine the incidence of HFs among permanent LTC residents in Saskatchewan between 2008 and 2012, using linked, provincial administrative health databases, exploring associations between outcomes and basic individual and institutional characteristics. METHODS: We utilized the Ministry of Health databases to select HF cases based on ICD 10 diagnoses fracture of head and neck of femur, pertrochanteric fracture and subtrochanteric fracture of femur...
September 2017: Canadian Geriatrics Journal: CGJ
https://www.readbyqxmd.com/read/28951636/management-of-unstable-pertrochanteric-fractures-with-proximal-femoral-locking-compression-plates-and-affect-of-neck-shaft-angle-on-functional-outcomes
#3
Emrah Kovalak, Cenk Ermutlu, Tolga Atay, Özgür Başal
BACKGROUND: Management of unstable pertrochanteric fractures remains a challenge with various implant choices. Intramedullary devices are usually preferred for the management of the unstable fractures. When nailing is unsuitable for the configuration of the fracture extra medullary procedures are preferred. PFLCP is a contact limited implant that allows multiple angularly stable fixations with preserving more bone stock after implantation as an extramedullary implant. There are only a few reports in the literature about the osteosynthesis of unstable trochanteric fractures with proximal femoral locking compression plates and their results are conflicting...
July 2017: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/28891021/anteromedial-cortical-support-reduction-in-unstable-pertrochanteric-fractures-a-comparison-of-intra-operative-fluoroscopy-and-post-operative-three-dimensional-computerised-tomography-reconstruction
#4
Shi-Min Chang, Ying-Qi Zhang, Shou-Chao Du, Zhuo Ma, Sun-Jun Hu, Xi-Zhou Yao, Wen-Feng Xiong
PURPOSE: Anteromedial cortical support reduction is favourable for secondary stability after limited sliding in unstable pertrochanteric fractures. The aim of this study was to compare the accuracy and agreement between intra-operative fluoroscopy and post-operative 3D reconstruction. MATERIALS AND METHODS: A retrospective analysis of 28 patients (mean 81.6 years) treated with short cephalomedullary nails was performed. All patients had full sets of intra-operative fluoroscopy and post-operative 3D CT images...
September 10, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/28836973/comparison-and-analysis-of-reoperations-in-two-different-treatment-protocols-for-trochanteric-hip-fractures-postoperative-technical-complications-with-dynamic-hip-screw-intramedullary-nail-and-medoff-sliding-plate
#5
Johnny Paulsson, Josefine Corin Stig, Ola Olsson
BACKGROUND: In treatment of unstable trochanteric fractures dynamic hip screw and Medoff sliding plate devices are designed to allow secondary fracture impaction, whereas intramedullary nails aim to maintain fracture alignment. Different treatment protocols are used by two similar Swedish regional emergency care hospitals. Dynamic hip screw is used for fractures considered as stable within the respective treatment protocol, whereas one treatment protocol (Medoff sliding plate/dynamic hip screw) uses biaxial Medoff sliding plate for unstable pertrochanteric fractures and uniaxial Medoff sliding plate for subtrochanteric fractures, the second (intramedullary nail/dynamic hip screw) uses intramedullary nail for subtrochanteric fractures and for pertrochanteric fractures with intertrochanteric comminution or subtrochanteric extension...
August 24, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28819608/profunda-femoris-artery-pseudoaneurysm-after-intramedullary-fixation-for-a-pertrochanteric-hip-fracture
#6
Nicola Piolanti, Michele Giuntoli, Anna Maria Nucci, Pietro Battistini, Michele Lisanti, Lorenzo Andreani
INTRODUCTION: Vascular complications after femoral fixation are rare and not only easy to recognize but also potentially life-threatening. The aim of this case report is to describe how a pseudoaneurysm of the deep femoral artery can complicate an intramedullary nailing after a pertrochanteric fracture and how it can be treated. CASE REPORT: We report the case of a 90-year-old female who developed a pseudoaneurysm of the profunda femoris artery 16 days after intramedullary femoral nailing for a pertrochanteric hip fracture...
March 2017: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/28817157/extent-and-morbidity-of-lateralization-of-a-trochanteric-fixation-nail-blade
#7
Phillip A Sandifer, Robert M Hulick, Matthew L Graves, Clay A Spitler, George V Russell, Josie M Hydrick, LaRita C Jones, Patrick F Bergin
This study examined the incidence and risk factors associated with lateral helical blade migration and trochanteric pain with the trochanteric fixation nail. A retrospective review was performed of 141 cases of pertrochanteric femur fracture treated with a trochanteric fixation nail at a level I trauma center over a period of 42 months. Exclusion criteria included follow-up of less than 60 days, preexisting osteonecrosis of the femoral head, and prophylactic trochanteric fixation nail treatment. Patient demographics, operative findings, and radiographic findings were recorded...
September 1, 2017: Orthopedics
https://www.readbyqxmd.com/read/28790037/a-six-year-retrospective-analysis-of-cut-out-risk-predictors-in-cephalomedullary-nailing-for-pertrochanteric-fractures-can-the-tip-apex-distance-tad-still-be-considered-the-best-parameter
#8
G Caruso, M Bonomo, G Valpiani, G Salvatori, A Gildone, V Lorusso, L Massari
OBJECTIVES: Intramedullary fixation is considered the most stable treatment for pertrochanteric fractures of the proximal femur and cut-out is one of the most frequent mechanical complications. In order to determine the role of clinical variables and radiological parameters in predicting the risk of this complication, we analysed the data pertaining to a group of patients recruited over the course of six years. METHODS: A total of 571 patients were included in this study, which analysed the incidence of cut-out in relation to several clinical variables: age; gender; the AO Foundation and Orthopaedic Trauma Association classification system (AO/OTA); type of nail; cervical-diaphyseal angle; surgical wait times; anti-osteoporotic medication; complete post-operative weight bearing; and radiological parameters (namely the lag-screw position with respect to the femoral head, the Cleveland system, the tip-apex distance (TAD), and the calcar-referenced tip-apex distance (CalTAD))...
August 2017: Bone & Joint Research
https://www.readbyqxmd.com/read/28670054/rate-of-contralateral-hip-fracture-after-dynamic-hip-screw-vs-intramedullary-nail-for-treatment-of-pertrochanteric-hip-fractures
#9
Jonathan D Hughes, Justin H Bartley, Kindyle L Brennan, Yolanda Munoz Maldonado, Michael L Brennan, Christopher D Chaput
A retrospective, comparative study was performed reviewing the electronic medical records and digital radiographs of patients who underwent treatment for intertrochanteric and pertrochanteric hip fractures with either a hip screw and side plate (HSSP) or intramedullary nail. A total of 430 patients were treated with HSSP, and 725 were managed with a cephalomedullary nail (CMN). Of these, 103 sustained a contralateral hip fracture. Fixation technique was not associated with a significant difference in the rate of contralateral fracture...
July 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28454781/incredible-position-of-broken-sliding-dynamic-hip-screw-implant-in-the-medial-of-thigh
#10
Saeed Solooki, Amir Reza Vosoughi
We report a case with implant failure after nailing of an unstable pertrochanteric fracture with dynamic hip screw. The patient presented with a medial sided thigh pain at 5 years after the surgery. Plain radiographs showed nonunion of the fracture with distant migration of assembled hip screw and side plate to the subcutaneous area of the inner thigh.
April 25, 2017: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/28443571/numerical-optimization-of-the-position-in-femoral-head-of-proximal-locking-screws-of-proximal-femoral-nail-system-biomechanical-study
#11
Mehmet Nuri Konya, Özgür Verim
BACKGROUND: Proximal femoral fracture rates are increasing due to osteoporosis and traffic accident. Proximal femoral nails are routinely used in the treatment of these fractures on the proximal femur. AIMS: The present study aimed to compare various combination and to determine ideal proximal lag screw (PLS) position on the pertrochanteric fractures (AO classification 31-A1) of femur by using optimised finite element analysis. STUDY DESIGN: Biomechanical Study...
April 6, 2017: Balkan Medical Journal
https://www.readbyqxmd.com/read/28431411/influence-of-fracture-stability-on-early-patient-mortality-and-reoperation-after-pertrochanteric-and-intertrochanteric-hip-fractures-erratum
#12
(no author information available yet)
No abstract text is available yet for this article.
May 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28387197/primary-hemiarthroplasty-for-treatment-of-unstable-pertrochanteric-femoral-fractures-ao-ota-type-31-a2-3-in-elderly-osteoporotic-patients
#13
Skender Ukaj, Bahri Gjyshinca, Vlora Podvorica, Fatime Ukaj, Granit Molliqaj, Arben Boshnjaku, Axel Gamulin
INTRODUCTION: The aim of this study was to prospectively analyze the role of primary hemiarthroplasty in unstable osteoporotic pertrochanteric fractures (AO/OTA Type 31 A2.3), with emphasis given to postoperative Functional Independent Measure (FIM) and Harris Hip Score (HHS). METHODS: Fifty-six consecutive patients (average age 78.25 ± 5.45), out of which 24 males (79.29 ± 4.99) and 32 females (77.47 ± 5.72), with unstable pertrochanteric femoral fractures, operated with primary hemiarthroplasty procedure from 2012 to 2014 were included in this prospective study with a follow-up of two years...
2017: SICOT-J
https://www.readbyqxmd.com/read/28360501/can-tad-and-caltad-predict-cut-out-after-extra-medullary-fixation-with-new-generation-devices-of-proximal-femoral-fractures-a-retrospective-study
#14
Gaetano Caruso, Mattia Andreotti, Carlotta Pari, Francesco Soldati, Alessandro Gildone, Vincenzo Lorusso, Leo Massari
BACKGROUND: Intramedullary and extramedullary strategies of pertrochanteric fracture fixation are still controversial, but new percutaneous devices may give advantages regarding operative time, blood loss and rate of cardiovascular complications. We retrospectively analyze our cases regarding Anteversa(®) plate (Intrauma, Turin, Italy) fixation of pertrochanteric femoral fractures, focusing on the correlation between two radiographical parameters (tip-apex distance "TAD" and calcar referenced tip-apex distance "CalTAD") and the occurrence of cut-out...
January 2017: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/28348717/cephalomedullary-nail-versus-sliding-hip-screw-for-fixation-of-ao-31-a1-2-intertrochanteric-femoral-fracture-a-12-year-comparison-of-failure-complications-and-mortality
#15
Casey S Whale, D Andrew Hulet, Michael J Beebe, David L Rothberg, Chong Zhang, Angela P Presson, Ami R Stuart, Erik N Kubiak
BACKGROUND: In the United States intertrochanteric and pertrochanteric fractures occur at a rate of more than 150,000 cases annually. Current standard of care for these fractures includes fixation with either a cephalomedullary nail (CMN) or a sliding hip screw (SHS). The purpose of this study was to compare failure and medical complications of intertrochanteric femoral fractures repaired by CMN or SHS. METHODS: This study is a retrospective cohort study that included 249 patients with AO/OTA 31 A1...
November 2016: Current Orthopaedic Practice
https://www.readbyqxmd.com/read/28346314/radiographic-review-of-helical-blade-versus-lag-screw-fixation-for-cephalomedullary-nailing-of-low-energy-peritrochanteric-femur-fractures-there-is-a-difference-in-cutout
#16
Lorraine C Stern, John T Gorczyca, Stephen Kates, John Ketz, Gillian Soles, Catherine A Humphrey
OBJECTIVES: To compare the rate of cutout of helical blades and lag screws in low-energy peritrochanteric femur fractures treated with a cephalomedullary nail (CMN). DESIGN: Retrospective review. SETTING: Academic medical center. PATIENTS: Overall, this study included 362 patients with an average age of 83 year old, a majority of whom were women, and had sustained a low-energy peritrochanteric femur fracture treated with a CMN...
June 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28326400/staged-total-hip-arthroplasty-in-a-patient-with-hip-dysplasia-and-a-large-pertrochanteric-bone-cyst
#17
Joseph R Langston, Alexander M DeHaan, Thomas W Huff
Hip arthroplasty in young patients requires thoughtful preoperative planning. Patients with proximal femoral bone loss complicate this planning and may require a staged procedure to optimize implant insertion. We report on a case of a 26-year-old woman with secondary hip arthritis from developmental dysplasia of the hip and a large pertrochanteric bone cyst that was treated with staged total hip arthroplasty. The cyst was decompressed and filled with an osteoconductive and osteoinductive bone graft substitute called EquivaBone...
June 2016: Arthroplasty Today
https://www.readbyqxmd.com/read/28287002/poor-relation-between-biomechanical-and-clinical-studies-for-the-proximal-femoral-locking-compression-plate
#18
REVIEW
Bjarke Viberg, Katrine M V Rasmussen, Søren Overgaard, Cecilia Rogmark
Background and purpose - The proximal femur locking compression plate (PF-LCP) is a new concept in the treatment of hip fractures. When releasing new implants onto the market, biomechanical studies are conducted to evaluate performance of the implant. We investigated the relation between biomechanical and clinical studies on PF-LCP. Methods - A systematic literature search of relevant biomechanical and clinical studies was conducted in PubMed on December 1, 2015. 7 biomechanical studies and 15 clinical studies were included...
August 2017: Acta Orthopaedica
https://www.readbyqxmd.com/read/28269126/automatic-recognition-of-pertrochanteric-bone-fractures-in-femur-using-level-sets
#19
Ling Wang, Hong Cheng, Hai Lan, Yingjie Zheng, Kainan Li
Femur fracture is one of the common diseases in the elderly. In this paper, an automatic and efficient classification method of femoral pertrochanteric fractures is proposed based on image segmentation techniques. The types of femoral pertrochanteric fracture are defined firstly according to the difference of fracture parts. To reduce the computational complexity, only four directions images are used in each 3D femur, i.e. the anterior, the anterolateral, the posterior and the posterolateral images of a femur...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227355/automatic-recognition-of-pertrochanteric-bone-fractures-in-femur-using-level-sets
#20
Ling Wang, Hong Cheng, Hai Lan, Yingjie Zheng, Kainan Li, Ling Wang, Hong Cheng, Hai Lan, Yingjie Zheng, Kainan Li, Ling Wang, Yingjie Zheng, Hong Cheng, Hai Lan, Kainan Li
Femur fracture is one of the common diseases in the elderly. In this paper, an automatic and efficient classification method of femoral pertrochanteric fractures is proposed based on image segmentation techniques. The types of femoral pertrochanteric fracture are defined firstly according to the difference of fracture parts. To reduce the computational complexity, only four directions images are used in each 3D femur, i.e. the anterior, the anterolateral, the posterior and the posterolateral images of a femur...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
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