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Fractured neck of femur

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https://www.readbyqxmd.com/read/29030710/comparison-of-functional-outcome-of-bipolar-hip-arthroplasty-and-total-hip-replacement-in-displaced-femoral-neck-fractures-in-elderly-in-a-developing-country-a-2-year-prospective-study
#1
Jayesh Chandrakant Sonaje, Pradeep Kumar Meena, Ramesh Chandra Bansiwal, Sandesh Satish Bobade
PURPOSE: To compare the short-term functional outcome between bipolar hip arthroplasty (BHA) and total hip replacement (THR) in displaced femoral neck fractures in elderly patients in a developing country. MATERIALS AND METHODS: A prospective study was conducted which included a total of 42 patients of age more than 60 years with closed displaced femoral neck fractures, and the patients were randomized into two groups of 21 patients each and their outcomes were compared...
October 13, 2017: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29022791/x-bolt-unforeseen-placement-complication-case-report
#2
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/29019343/the-association-between-dietary-inflammatory-properties-and-bone-mineral-density-and-risk-of-fracture-in-us-adults
#3
M Mazidi, N Shivappa, M D Wirth, J R Hebert, H Vatanparast, A P Kengne
BACKGROUND/OBJECTIVES: To examine the associations of dietary inflammatory index (DII) with bone mineral density (BMD) and fracture risk in adult Americans.Subjects/Method:The United States National Health and Nutrition Examination Survey participants during 2005-2010 were included if they had measured data on dietary intake and BMD. DII scores were calculated from estimated micro- and macronutrients from a single 24-h dietary recall. BMD was measured using dual-energy X-ray absorptiometry densitometers...
October 11, 2017: European Journal of Clinical Nutrition
https://www.readbyqxmd.com/read/29018580/a-systematic-review-of-cost-effectiveness-comparing-traction-to-intramedullary-nailing-of-femoral-shaft-fractures-in-the-less-economically-developed-context
#4
Rebekah J Parkes, Gary Parkes, Kyle James
INTRODUCTION: Femoral shaft fractures carry considerable morbidity and are increasingly common in less economically developed countries (LEDCs). Treatment options include traction and intramedullary (IM) nailing but in a limited-resource environment; cost-effectiveness is fundamental to policy development. The objective herein was to evaluate the cost-effectiveness of moving from traction to IM nailing for femoral shaft fractures, in adults, in LEDCs. Incorporating a systematic review of complications and functional outcomes and a cost-minimization analysis...
2017: BMJ Global Health
https://www.readbyqxmd.com/read/28983890/skin-closure-following-fractured-neck-of-femur-surgery-a-survey-of-orthopaedic-surgeons-practices
#5
Daniel S Hill, Matthew Freudmann, Jamie C Sergeant, Tim N Board
INTRODUCTION: Surgical intervention for patients presenting with a fractured neck of femur is common, however the best method of skin closure remains unclear. It has been suggested that the use of metallic skin clips in the closure of hip wounds may increase the rate of surgical site infections, however there are few high quality studies evaluating this. METHODS: We designed a survey to assess surgeons preferred skin closure method and their reasons for choosing it...
October 4, 2017: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
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
#6
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/28979608/proximal-femur-locking-plate-for-sub-trochanteric-femur-fractures-factors-associated-with-failure
#7
Akbar Zubairi, Rizwan Haroon Rashid, Marij Zahid, Pervaiz Mahmood Hashmi, Shahryar Noordin
INTRODUCTION: Proximal femur locking compression plates (PF-LCP) have gained popularity since their inception due to superior biomechanical stability and durability but clinical experience has shown conflicting results including implant failure. OBJECTIVE: To study the incidence of implant failure in patients with sub-trochanteric fractures managed with proximal femoral locking compression plate and identify potential risk factors associated with the failure. MATERIALS & METHODS: Fifty patients with sub-trochanteric fractures, operated upon with titanium PF-LCP were included in the study from January 2012 to December 2014...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28979579/combined-intracapsular-and-extracapsular-neck-of-femur-fractures-case-series-literature-review-and-management-recommendations
#8
Wasim Khan, Rhodri Williams, Sam Hopwood, Sanjeev Agarwal
Concomitant ipsilateral intracapsular and extracapsular fractures of the femoral neck are rare injuries with only 14 cases described in the literature as single case reports. We present three cases that were successfully and uniquely treated by uncemented hip arthroplasties. Two patients underwent complex primary uncemented total hip replacements, and one patient underwent an uncemented bipolar fluted stem hemiarthroplasty. The level of bearing constraint varied between implants. After describing our cases we review the literature and make recommendations on the management of these injuries...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28975661/high-intensity-resistance-and-impact-training-improves-bone-mineral-density-and-physical-function-in-postmenopausal-women-with-osteopenia-and-osteoporosis-the-liftmor-randomized-controlled-trial
#9
Steven L Watson, Benjamin K Weeks, Lisa J Weis, Amy T Harding, Sean A Horan, Belinda R Beck
Optimal osteogenic mechanical loading requires the application of high-magnitude strains at high rates. High-intensity resistance and impact training (HiRIT) applies such loads but is not traditionally recommended for individuals with osteoporosis because of a perceived high risk of fracture. The purpose of the LIFTMOR trial was to determine the efficacy and to monitor adverse events of HiRIT to reduce parameters of risk for fracture in postmenopausal women with low bone mass. Postmenopausal women with low bone mass (T-score < -1...
October 4, 2017: Journal of Bone and Mineral Research: the Official Journal of the American Society for Bone and Mineral Research
https://www.readbyqxmd.com/read/28974207/study-of-the-variations-of-fall-induced-hip-fracture-risk-between-right-and-left-femurs-using-ct-based-fea
#10
Tanvir R Faisal, Yunhua Luo
BACKGROUND: Hip fracture of elderly people-suffering from osteoporosis-is a severe public health concern, which can be reduced by providing a prior assessment of hip fracture risk. Image-based finite element analysis (FEA) has been considered an effective computational tool to assess the hip fracture risk. Considering the femoral neck region is the weakest, fracture risk indicators (FRI) are evaluated for both single-legged stance and sideways fall configurations and are compared between left and right femurs of each subject...
October 3, 2017: Biomedical Engineering Online
https://www.readbyqxmd.com/read/28963079/comparisons-of-tbs-and-lumbar-spine-bmd-in-the-associations-with-vertebral-fractures-according-to-the-t-scores-a-cross-sectional-observation
#11
Jie-Eun Lee, Kyoung Min Kim, Lee-Kyung Kim, Kyong Young Kim, Tae Jung Oh, Jae Hoon Moon, Sung Hee Choi, Soo Lim, Sang Wan Kim, Chan Soo Shin, Hak Chul Jang
Trabecular bone score (TBS) is a parameter of bone quality that has been shown to be related to vertebral fractures. This study aimed to analyze the difference in discriminatory power of TBS for vertebral fractures according to the bone mineral density (BMD) T-score. Areal BMD at the lumbar spine (LS, L1-L4), femur neck (FN) and total hip were assessed using dual x-ray absorptiometry (Discovery W, Hologic, Bedford, MA) in 929 women aged 50years or older. TBS was analyzed using iNsight software (Med-Imaps, Pessac, France)...
September 28, 2017: Bone
https://www.readbyqxmd.com/read/28958658/a-minimum-ten-years-of-follow-up-of-alumina-head-on-delta-liner-total-hip-arthroplasty
#12
Won-Sik Choy, Yong-Han Cha, Chung-Youb Jeon, Kyu-Sang Lee, Ha-Yong Kim
BACKGROUND: In the early days when delta ceramics were developed, there was a period of using delta ceramic liner and alumina ceramic head. Therefore, the purpose of this study is to investigate the clinical and radiological outcomes of total hip arthroplasty using delta ceramic liner on alumina ceramic head after a minimum of 10 years of follow-up and to evaluate problems of early delta ceramic liner. METHODS: Alumina on delta cementless total hip arthroplasty was performed in 92 hips (85 patients) from August 2005 to March 2007 at our hospital...
September 7, 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/28956892/evidence-based-management-of-intracapsular-neck-of-femur-fractures
#13
Wayne Hoskins, Darren Webb, Roger Bingham, Marinis Pirpiris, Xavier L Griffin
Neck of femur fractures are occurring at an increased incidence. Functionally independent patients without cognitive impairment can expect reasonable life expectancy. This indicates the need for a durable surgical option that optimises the chance to return to pre-injury functional status, with minimal risk of complications and reoperation. Most fractures are displaced. Surgical options include internal fixation, hemiarthroplasty or total hip arthroplasty (THA). Evidence is conclusive that arthroplasty options outperform internal fixation in terms of function, quality of life and reoperation rates...
September 19, 2017: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/28956296/the-epidemiology-of-osteoporosis-in-italian-postmenopausal-women-according-to-the-national-bone-health-alliance-nbha-diagnostic-criteria-a-multicenter-cohort-study
#14
C Cipriani, J Pepe, F Bertoldo, G Bianchi, F P Cantatore, A Corrado, M Di Stefano, B Frediani, D Gatti, A Giustina, T Porcelli, G Isaia, M Rossini, L Nieddu, S Minisola, G Girasole, M Pedrazzoni
PURPOSE: The study was aimed at evaluating the prevalence of osteoporosis, defined by BMD and the National Bone Health Alliance (NBHA) criteria, and the prevalence of clinical risk factors for fractures in Italian postmenopausal women. METHODS: This is a cross-sectional, multicenter, cohort study evaluating 3247 postmenopausal women aged ≥ 50 and older in different areas of Italy in the period 2012-2014. All the participants were evaluated as far as anthropometrics; questionnaires for FRAX(®) and DeFRA calculation were administered and bone mineral density was measured at lumbar spine, femoral neck and total hip by DXA...
September 27, 2017: Journal of Endocrinological Investigation
https://www.readbyqxmd.com/read/28951638/non-parallel-screw-fixation-for-femoral-neck-fractures-in-young-adults
#15
Sherif Galal, Mohamed Nagy
INTRODUCTION: Current literature shows divergence of views regarding screws positioning in femoral neck fractures fixation. The goal of this study is to evaluate the efficiency of divergent screw fixation for fracture neck of femur (NOF). METHODS: The study was conducted at an academic Level 1 Trauma Center. This is a retrospective study conducted from October 2013 to October 2016. The study included 41 patients (33 males, 8 females) suffering from fracture NOF who were fixed using BDSF technique (26 within 24 h...
July 2017: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/28942397/catastrophic-cement-reaction-following-cementation-for-megaprosthesis-for-proximal-femoral-fracture
#16
Muhammad Nouman Baig, William Curtin, Michael Andrew Callaghan, Colin G Murphy
Bone cement implantation syndrome (BCIS) is a well-described and potentially fatal complication of orthopaedic surgery involving pressurised bone cement. Although also described for certain spinal procedures, it is most commonly associated with cemented hip and knee arthroplasty and with cemented hemiarthroplasty following neck of femur fracture in particular.Donaldson et alproposed the definition of BCIS as a syndrome "characterized by hypoxia, hypotension or both and/or unexpected loss of consciousness occurring around the time of cementation, prosthesis insertion, reduction of the joint or, occasionally, limb tourniquet deflation in a patient undergoing cemented bone surgery"...
September 23, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28938339/reduction-techniques-for-diaphyseal-femur-fractures
#17
Philip R Wolinsky, Justin F Lucas
Achieving and maintaining reduction in patients with a diaphyseal femur fracture may be difficult; therefore, thorough preoperative planning is required. To fully prepare for successful surgical management of diaphyseal femur fractures, surgeons must consider appropriate patient positioning and necessary tools, including surgical tables, traction devices, and instruments. Principles of acceptable reduction rely on the restoration of length, alignment, and rotation. Reduction of diaphyseal femur fractures should be attained in the least invasive manner, via percutaneous reduction techniques, if possible, to preserve fracture biology and promote successful fracture healing...
September 21, 2017: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/28924360/the-correct-implant-choice-for-transtrochanteric-fracture-in-brazil
#18
Diogo Fernandes Torquato, André Figueiredo Bordini, Gustavo Ferreira, Edmilson Takehiro Takata, Gustavo Trigueiro, Ricardo Basile
OBJECTIVE: To assess the adequacy to the Brazilian population of orthopedic implants used for treatment of proximal femoral fractures. METHODS: The neck-shaft angle of the femur of 101 patients was measured in anteroposterior pelvis radiographs and these measurements were correlated to gender, age, height, weight and ethnicity. In addition, we compared the values of the neck -shaft angle with the angulation of the main implants available in the Brazilian market for the treatment of transtrochanteric fractures...
November 2016: Acta Ortopedica Brasileira
https://www.readbyqxmd.com/read/28869754/the-irisin-hormone-profile-and-expression-in-human-bone-tissue-in-the-bone-healing-process-in-patients
#19
Sancar Serbest, Uğur Tiftikçi, Hacı Bayram Tosun, Üçler Kısa
BACKGROUND Whether or not there is a relationship between the newly-discovered irisin hormone and bone healing is not yet known. The aim of this study was to investigate what effect irisin hormone has on the bone healing process. MATERIAL AND METHODS The study included 21 adult patients with a diagnosed fracture of the lower extremity (femur or tibia). Informed consent was obtained from all the patients. A total of four venous blood samples were taken from the patients: before fracture stabilization, then postoperatively on days 1, 10, and 60...
September 4, 2017: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://www.readbyqxmd.com/read/28859846/the-influence-of-the-hips-position-on-measurements-of-posterior-tilt-in-a-valgus-impacted-femoral-neck-fracture
#20
Sigurd Erik Hoelsbrekken, Filip C Dolatowski
INTRODUCTION: Lateral radiographs are important for the evaluation of Garden I and II femoral neck fractures. These fractures appear undisplaced in the anteroposterior view, but posterior tilt of the femoral head may still be present in the lateral view. The influence of posterior tilt is, however, debated, which could be caused by the use of non-standardized cross-table radiographs in the conflicting reports. The aim of this bone-model study was therefore to evaluate the influence of the hips position on measurements of posterior tilt...
August 26, 2017: Injury
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