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Pertrochanteric

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https://www.readbyqxmd.com/read/27903406/morphology-of-the-posteromedial-fragment-in-pertrochanteric-fractures-a-three-dimensional-computed-tomography-analysis
#1
Gaurav Sharma, Kiran Kumar Gn, Kavin Khatri, Ravijot Singh, Shivanand Gamanagatti, Vijay Sharma
BACKGROUND: In this study we describe the morphology of the posteromedial fragment in pertrochanteric fractures using 3D CT scans and answer two questions 1) Do differences exist between the 3D CT appearances of posteromedial fragments and the depictions made in the AO classification 2) Does the posteromedial fragment affect stability in pertrochanteric fractures, in terms of fracture collapse? METHODS: Preoperative CT scans of eight 31-A1 and fifty 31-A2 fractures were analysed...
November 17, 2016: Injury
https://www.readbyqxmd.com/read/27874910/short-versus-long-cephalomedullary-nails-for-pertrochanteric-hip-fracture
#2
Nicholas B Frisch, Nickolas J Nahm, Jad G Khalil, Clifford M Les, Stuart T Guthrie, Michael A Charters
This study compared patients who underwent treatment with short or long cephalomedullary nails with integrated cephalocervical screws and linear compression. Patients with AO/OTA 31-A2 or A3 pertrochanteric fractures treated with either short (n=72) or long (n=97) InterTAN (Smith & Nephew, Memphis, Tennessee) cephalomedullary nails were reviewed. Information on perioperative measures (estimated blood loss, surgical time, and fluoroscopy time) and postoperative orthopedic complications (infection, implant failure, screw cutout, and periprosthetic femur fracture) was included...
November 22, 2016: Orthopedics
https://www.readbyqxmd.com/read/27852903/effects-of-teriparatide-compared-with-risedronate-on-recovery-after-pertrochanteric-hip-fracture-results-of-a-randomized-active-controlled-double-blind-clinical-trial-at-26-weeks
#3
Per Aspenberg, Jorge Malouf, Umberto Tarantino, Pedro A García-Hernández, Costantino Corradini, Søren Overgaard, Jan J Stepan, Lars Borris, Eric Lespessailles, Frede Frihagen, Kyriakos Papavasiliou, Helmut Petto, José Ramón Caeiro, Fernando Marin
BACKGROUND: Osteoporosis drugs might affect fracture-healing. We therefore studied the effects of teriparatide in comparison with risedronate on recovery after pertrochanteric hip fractures. METHODS: The study was a randomized, multicenter, active-controlled, 78-week trial comparing teriparatide (20 μg/day) with risedronate (35 mg/week) initiated within 2 weeks after fixation of a low-trauma pertrochanteric hip fracture (AO/OTA 31-A1 or 31-A2). The main inclusion criteria were a bone mineral density T-score of ≤-2...
November 16, 2016: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/27523625/is-distal-locking-with-short-intramedullary-nails-necessary-in-stable-pertrochanteric-fractures-a-prospective-multicentre-randomised-study
#4
V Caiaffa, G Vicenti, C Mori, A Panella, V Conserva, G Corina, L Scialpi, A Abate, M Carrozzo, Leonardo Petrelli, G Picca, A Aloisi, G Rollo, M Filipponi, V Freda, A Pansini, A Puce, G Solarino, B Moretti
We investigated whether a proximal femoral nail can be implanted without a distal locking screw in AO/OTA 31-A1 and 31-A2 pertrochanteric stable femur fractures. A multicentre, randomised study was conducted in six level-two trauma centres in our area (Puglia, Italy). A total of 333 patients received their allocated intervention (162 in the locking group [LG] and 171 in the unlocking group [UG]) and 266 patients were included in the final analysis at 1year. Our data showed no statistically significant difference between the two groups at 1-year follow-up for ability to walk, SF-36 questionnaire results, residual pain (visual analogue scale [VAS] score) and level of overall satisfaction...
August 11, 2016: Injury
https://www.readbyqxmd.com/read/27411264/-clinical-observation-of-othofix-pertrochanteric-fixator-for-fixation-of-intertrochanteric-fracture
#5
Zenaiun Liu, Hengsheng Shu, Xu Chen, Feng Guo, Kegang Zhang, Yabin Liu, Bowen Shi
OBJECTIVE: To evaluate the effectiveness of Othofix pertrochanteric fixator for fixation of intertrochanteric fracture. METHODS: A retrospective analysis was made on the clinical data from 36 cases of intertrochanteric fracture treated with Othofix pertrochanteric fixator (OPF group) and 47 cases treated with Gamma nail (Gamma group) between October 2012 and March 2015. There was no significant difference in gender, age, cause of injury, side, AO fracture classification, combined medical disease, and injury to operation time between 2 groups (P > 0...
April 2016: Chinese Journal of Reparative and Reconstructive Surgery
https://www.readbyqxmd.com/read/27352073/long-term-results-after-treatment-of-pertrochanteric-femoral-fractures-with-percutaneous-compression-plate-pccp
#6
E Crespo, S Gómez, V Palacios, J Galvez, J M Tenías, I Cano, R Peñuela, A Arcas, R Crespo
OBJECTIVE: This study sought to evaluate the long-term osteosynthesis results for AO/OTA 31.A1-A2 pertrochanteric fractures treated with the percutaneous compression plate (PCCP). MATERIALS AND METHODS: This investigation was a retrospective observational descriptive study of 335 patients, with a minimum follow-up of 2 years and a maximum follow-up of 8 years (2004-2011). RESULTS: The average post-operative hospital stay was 6.2 days, and the average decrease in haemoglobin levels after the intervention was 2...
August 2016: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/27351165/-not-available
#7
U Dorn, F Landauer, T Hofstaedter
Gluteal tendinopathy as well as partial and full-thickness tears of gluteal tendons (gluteus minimus and/or medius tendon) were underestimated as a cause of chronic pain in the past, and treatment was most commonly based on the diagnosis of trochanteric bursitis. Tendinous pathologies can either stay asymptomatic or cause pain and muscular dysfunction, not necessarily being associated with osteoarthritis of the hip 1. As the terminus "rotator cuff tear of the hip" was published in 1997 2, its aetiopathogenesis was reconsidered, resulting in improvements in diagnosis and treatment...
June 2016: Zeitschrift Für Orthopädie und Unfallchirurgie
https://www.readbyqxmd.com/read/27347234/three-dimensional-computed-tomographic-analysis-for-comminution-of-pertrochanteric-femoral-fracture-comminuted-anterior-cortex-as-a-predictor-of-cutting-out
#8
Sachiyuki Tsukada, Motohiro Wakui, Hiroshi Yoshizawa, Masunao Miyao, Takeshi Honma
BACKGROUND: Fixed angle sliding hip screw devices allow controlled impaction between the head neck fragment and the femoral shaft fragment in the surgical treatment of pertrochanteric fractures. This study was performed to evaluate the frequency and pattern of comminution at the fracture site, which may prevent the intended impaction. MATERIALS AND METHODS: Three-dimensional computed tomography was used to investigate 101 pertrochanteric fractures treated with fixed angle sliding hip screw devices, with emphasis on the comminuted cortex...
2016: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/27344643/falling-age-related-incidence-of-hip-fractures-in-women-but-not-men-in-northern-ireland-2001-2011
#9
P N Karayiannis, M G McAlinden
: Hip fractures place a large burden on healthcare and determining the variation in incidence is important to plan resources. We found, in Northern Ireland, that the age-related incidence for women is declining but the incidence for men and the total number of fractures remains static as the elderly population increases. INTRODUCTION: Hip fractures place a significant burden on healthcare systems throughout the world. Recent studies have shown that the incidence is starting to decline or plateau...
June 25, 2016: Osteoporosis International
https://www.readbyqxmd.com/read/27313926/late-occurring-medial-migration-of-a-lag-screw-in-gamma-nailing
#10
S van Hoef, M C H W Fuchs, R H M Ten Broeke
An 81-year-old female was treated for a pertrochanteric multifragmentary fracture of the proximal femur with a third-generation Gamma nail. After 3 months she presented herself again with acute pain and inability to bear weight on the leg. Radiographs showed medial migration of the lag screw. She was treated with a total hip arthroplasty, after which she was successfully discharged. In this case report the possible causes of this late and unusual complication are discussed.
2016: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/27299061/intra-pelvic-migration-of-sliding-hip-screw-during-osteosynthesis-of-hip-fracture-a-rare-avoidable-intraoperative-complication
#11
G Zarattini, L Breda, M Zacharia, F Sibona
INTRODUCTION: Hip fractures, which are common among old patients, are classified into two groups: intracapsular and extracapsular fractures. Extracapsular fractures can be treated with extramedullary implants [e.g. dynamic hip screw (DHS)] or intramedullary nails. Dynamic hip screw is the treatment of choice in stable pertrochanteric fractures. Intrapelvic migration of the sliding screw is a very rare complication. CASE REPORT: We report a case of a 90-year old Caucasian woman who had an unusual intraoperative complication during osteosynthesis procedure for extracapsular hip fracture fixation...
July 2015: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/27293287/assessment-of-the-geometry-of-proximal-femur-for-short-cephalomedullary-nail-placement-an-observational-study-in-dry-femora-and-living-subjects
#12
Devendra Pathrot, Rehan Ul Haq, Aditya N Aggarwal, Mahindra Nagar, Shuchi Bhatt
BACKGROUND: Intramedullary devices have increasingly become popular and are widely used for fixation of unstable intertrochanteric and subtrochanteric fractures. These implants have been designed taking into consideration of the anthropometry of the western population which varies from those of other ethnic groups. This study was carried out to assess the geometry of proximal femur for the placement of short cephalomedullary nails in our subset of patients and suggest suitable design modifications based on these parameters...
May 2016: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/27242330/new-classification-focusing-on-the-relationship-between-the-attachment-of-the-iliofemoral-ligament-and-the-course-of-the-fracture-line-for-intertrochanteric-fractures
#13
Kentaro Futamura, Tomonori Baba, Yasuhiro Homma, Atsuhiko Mogami, Akio Kanda, Osamu Obayashi, Kazuo Sato, Yasuhisa Ueda, Yoshiaki Kurata, Hideki Tsuji, Kazuo Kaneko
PURPOSE: There are various types of intertrochanteric fractures that are unstable pertrochanteric fractures of the hip. The aim of this study was to develop a systematic and comprehensive classification of intertrochanteric fractures. MATERIALS AND METHODS: This study enrolled 74 patients with intertrochanteric fractures treated by us between 2012 and 2015. The fractures were classified using 3D-CT images taken immediately after the fractures occurred based on the course of the lateral fracture line (LFL) that extends through the lateral femoral cortex distal to the vastus ridge of the greater trochanter in the intertrochanteric area...
August 2016: Injury
https://www.readbyqxmd.com/read/27190907/a-study-on-the-correlation-of-pertrochanteric-osteoporotic-fracture-severity-with-the-severity-of-osteoporosis
#14
Prabhnoor Singh Hayer, Anit Kumar Samuel Deane, Atul Agrawal, Rajesh Maheshwari, Anil Juyal
INTRODUCTION: Osteoporosis is a metabolic bone disease caused by progressive bone loss. It is characterized by low Bone Mineral Density (BMD) and structural deterioration of bone tissue leading to bone fragility and increased risk of fractures. When classifying a fracture, high reliability and validity are crucial for successful treatment. Furthermore, a classification system should include severity, method of treatment, and prognosis for any given fracture. Since it is known that treatment significantly influences prognosis, a classification system claiming to include both would be desirable...
April 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27143742/the-warwick-hip-trauma-evaluation-one-a-randomised-pilot-trial-comparing-the-x-bolt-dynamic-hip-plating-system-with-sliding-hip-screw-fixation-in-complex-extracapsular-hip-fractures-white-one
#15
X L Griffin, N Parsons, J McArthur, J Achten, M L Costa
AIMS: The aim of this study was to inform a definitive trial which could determine the clinical effectiveness of the X-Bolt Dynamic Hip Plating System compared with the sliding hip screw for patients with complex pertrochanteric fragility fractures of the femur. PATIENTS AND METHODS: This was a single centre, participant blinded, randomised, standard-of-care controlled pilot trial. Patients aged 60 years and over with AO/ASIF A2 and A3 type femoral pertrochanteric fractures were eligible...
May 2016: Bone & Joint Journal
https://www.readbyqxmd.com/read/27000204/-fracture-arthroplasty-of-femoral-neck-fractures
#16
K F Braun, M Hanschen, P Biberthaler
A paradigm shift in the treatment of elderly patients has recently taken place leading to an increase in joint replacement surgery. The aim of this article is to highlight new developments and to present a treatment algorithm for femoral neck fractures. The age limit must be individually determined considering the comorbidities and perioperative risk profile. Pertrochanteric femoral fractures are nearly exclusively treated by osteosynthesis regardless of age. The situation for femoral neck fractures is more complex...
April 2016: Der Unfallchirurg
https://www.readbyqxmd.com/read/26961434/distal-locking-in-short-hip-nails-cause-or-prevention-of-peri-implant-fractures
#17
Jiří Skála-Rosenbaum, Valér Džupa, Radek Bartoška, Pavel Douša, Petr Waldauf, Martin Krbec
OBJECTIVES: The most common cause of femoral fractures after osteosynthesis of trochanteric fractures with short nails is weakening of the femoral cortex via distal locking and stress concentrations at the tip of the nail. The aim of the study was to verify whether the incidence of peri-implant fractures is dependent upon the distal locking technique. METHODS: We prospectively analysed a group of 849 pertrochanteric fractures (AO/ASIF 31-A1+2) managed with short nails from 2009 to 2013...
April 2016: Injury
https://www.readbyqxmd.com/read/26948107/the-long-and-short-of-cephalomedullary-nails-in-the-treatment-of-osteoporotic-pertrochanteric-fracture
#18
Choon Chiet Hong, Nazrul Nashi, Milindu Chanaka Makandura, Jiong Hao Jonathan Tan, Luke Peter, Diarmuid Murphy
INTRODUCTION: Pertrochanteric fractures after low energy trauma are common among osteoporotic patients. Although the use of intramedullary devices to treat such fractures is becoming increasingly popular, there is a paucity of data comparing the outcomes of the use of short cephalomedullary nails (SCN) and the use of long cephalomedullary nails (LCN). This study aimed to compare the outcomes of patients with osteoporotic pertrochanteric fractures who were treated using LCN with the outcomes of those who were treated using SCN...
March 7, 2016: Singapore Medical Journal
https://www.readbyqxmd.com/read/26920361/locked-plating-versus-cephalomedullary-nailing-of-unstable-intertrochanteric-femur-fractures
#19
Philipp N Streubel, Michael Moustoukas, William T Obremskey
BACKGROUND: Proximal femur locking plates (PFLP) have received increased attention as an alternative for the treatment of proximal femur fractures. However, recent clinical data on these implants has raised concern about higher than expected failure rates. QUESTION/PURPOSE: The purpose of the present study was to compare outcomes of unstable pertrochanteric femur fractures (AO/OTA 31A3) treated at a level-1 trauma center using either PFLP or cephalomedullary nailing (CMN)...
May 2016: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/26900462/avascular-necrosis-of-the-femoral-head-at-2-years-after-pertrochanteric-fracture-surgery-case-report
#20
Bogdan Deleanu, Radu Prejbeanu, Dinu Vermesan, Lucian Honcea, Mihail Lazar Mioc, Eleftherios Tsiridis, Vlad Predescu
INTRODUCTION: The avascular necrosis of the femoral head represents the death of bone tissue due to the lack of blood supply. The disease has a progressive evolution and left untreated leads to femoral head collapse and severe arthritis. CASE PRESENTATION: We present a case of a pertrochanteric fracture which has been successfully operated with a dynamic interlocking trochanteric gamma nail on the right hip. At 2 years after surgery the patient developed an incipient avascular necrosis of the femoral head...
February 2016: Annals of Medicine and Surgery
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