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Fractured neck of femur

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https://www.readbyqxmd.com/read/29457963/3-t-mr-imaging-of-proximal-femur-microarchitecture-in-subjects-with-and-without-fragility-fracture-and-nonosteoporotic-proximal-femur-bone-mineral-density
#1
Gregory Chang, Chamith S Rajapakse, Cheng Chen, Arakua Welbeck, Kenneth Egol, Ravinder R Regatte, Punam K Saha, Stephen Honig
Purpose To determine if 3-T magnetic resonance (MR) imaging of proximal femur microarchitecture can allow discrimination of subjects with and without fragility fracture who do not have osteoporotic proximal femur bone mineral density (BMD). Materials and Methods Sixty postmenopausal women (30 with and 30 without fragility fracture) who had BMD T scores of greater than -2.5 in the hip were recruited. All subjects underwent dual-energy x-ray absorptiometry to assess BMD and 3-T MR imaging of the same hip to assess bone microarchitecture...
February 19, 2018: Radiology
https://www.readbyqxmd.com/read/29440477/the-man-with-two-broken-hips-neck-of-femur-fracture-with-previous-girdlestone-arthroplasty
#2
Nainesha Kulkarni, Abhishek Chitnis
No abstract text is available yet for this article.
February 12, 2018: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29433801/risk-factors-of-fixation-failure-in-basicervical-femoral-neck-fracture-which-device-is-optimal-for-fixation
#3
Young-Kyun Lee, Byung-Ho Yoon, Ji Sup Hwang, Yong-Han Cha, Ki-Choul Kim, Kyung-Hoi Koo
BACKGROUND: Basicervical femur neck fracture (FNF) is a rare type of fracture, and is associated with increased risk of fixation failure due to its inherent instability. The purpose of this study was (1) to investigate the incidence of fixation failure and (2) to determine risk factors for fixation failure in basicervical FNF after internal fixation. METHODS: To identify basicervical FNF with a minimum of 12 months follow-up, we retrospectively reviewed records of 3217 patients who underwent hip fracture surgery from May 2003 to March 2016...
February 9, 2018: Injury
https://www.readbyqxmd.com/read/29429857/risk-factors-for-trochanteric-and-femoral-neck-fracture
#4
A R Díaz, P Z Navas
INTRODUCTION AND OBJECTIVES: The differences between the two main types of fracture of proximal end of the femur, trochanteric and cervical fractures, are still a subject of study, and could be the key to a better understanding of its pathophysiology and prevention. The aim of this study is to determine whether epidemiological differences in the distribution of risk factors associated with hip fracture exist between these two entities. PATIENTS AND METHOD: A descriptive cross-sectional study of 428 patients over the age of 65 admitted for trochanteric or cervical fractures in 2015, in which gender, age, previous diagnosis, external causes associated with fracture and place of the event were recorded...
February 8, 2018: Revista Española de Cirugía Ortopédica y Traumatología
https://www.readbyqxmd.com/read/29429066/outcomes-following-surgical-management-of-femoral-neck-fractures-in-elderly-dialysis-dependent-patients
#5
Varun Puvanesarajah, Raj Amin, Rabia Qureshi, Babar Shafiq, Ben Stein, Hamid Hassanzadeh, Seth Yarboro
INTRODUCTION: Proximal femur fractures are one of the most common fractures observed in dialysis-dependent patients. Given the large comorbidity burden present in this patient population, more information is needed regarding post-operative outcomes. The goal of this study was to assess morbidity and mortality following operative fixation of femoral neck fractures in the dialysis-dependent elderly. METHODS: The full set of medicare data from 2005 to 2014 was retrospectively analyzed...
February 10, 2018: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/29424771/t-cell-receptor-activator-of-nuclear-factor-%C3%AE%C2%BAb-ligand-osteoprotegerin-imbalance-is-associated-with-hiv-induced-bone-loss-in-patients-with-higher-cd4-t-cell-counts
#6
Kehmia Titanji, Aswani Vunnava, Antonina Foster, Anandi N Sheth, Jeffrey L Lennox, Andrea Knezevic, Neeta Shenvi, Kirk A Easley, Ighovwerha Ofotokun, M Neale Weitzmann
OBJECTIVE: Higher incidence of osteopenia and osteoporosis underlie increased rates of fragility fracture in HIV infection. B cells are a major source of osteoprotegerin (OPG), an inhibitor of the key osteoclastogenic cytokine receptor activator of nuclear factor-κB ligand (RANKL). We previously showed that higher B-cell RANKL/OPG ratio contributes to HIV-induced bone loss. T-cell OPG production in humans, however, remains undefined and the contribution of T-cell OPG and RANKL to HIV-induced bone loss has not been explored...
February 8, 2018: AIDS
https://www.readbyqxmd.com/read/29424146/-comparison-of-pfna-and-intertan-intramedullary-nail-in-treating-unstable-femoral-intertrochanteric-fractures
#7
Jun Zhang, Lie-Hu Cao, Xiao Chen, Jia-Can Su
OBJECTIVE: To compare the clinical effects of PFNA and InterTAN for the treatment of unstable intertrochanteric fractures in the elderly patients. METHODS: From April 2012 to February 2014, 113 elderly patients with unstable intertrochanteric fractures were treated by PFNA or InterTAN. There were 64 cases in PFNA group, including 25 males and 39 females with an average age of (73.3±6.5) years old (ranged, 66 to 85);while 49 cases in InterTAN group, including 20 males and 29 females with an average age of (74...
July 25, 2017: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29423638/a-new-configuration-of-cannulated-screw-fixation-in-the-treatment-of-vertical-femoral-neck-fractures
#8
Baokun Zhang, Jingwen Liu, Yi Zhu, Wei Zhang
PURPOSE: The treatment of vertical femoral neck fractures in young patients is a worldwide challenge. The purpose of this study is to introduce a new configuration of cannulated screw fixation in vertical femoral neck fractures by comparing with using ordinary cannulated compression screw (OCCS) alone biomechanically and clinically. MATERIAL AND METHOD: Biomechanically, 20 synthetic femur models of femoral neck fractures with 20° of VN angle were divided into two groups...
February 8, 2018: International Orthopaedics
https://www.readbyqxmd.com/read/29417025/fracture-neck-of-femur-in-factor-xiii-deficiency-was-better-outcome-possible
#9
Sandeep Vijayan, Harish Pai, Hitesh Shah, Nalini Bhaskaranand
The fracture in a Factor XIII deficiency patient is being reported for the first time in the literature. We report a displaced fracture neck of femur in a 17-year-old boy with Factor XIII deficiency. Open reduction and internal fixation was done 8 days after the following the initial injury. Two units each of fresh frozen plasma and cryoprecipitate were given perioperatively to prevent excessive bleeding. No perioperative bleeding complications were encountered. At 18-months follow-up, the fracture had united with evidence of avascular necrosis...
July 2017: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/29416170/benign-aggressive-lesions-of-femoral-head-and-neck-is-salvage-possible
#10
Yogesh Panchwagh, Sujit K Joshi, Parag K Sancheti
Background: Benign aggressive bone lesions of the femoral head and neck are mostly seen in young adults and warrant treatment for pain, impending fracture or established fracture, and disease clearance. It becomes challenging to treat them effectively while attempting salvage of the femoral head and yet achieving long term disease control with minimum complications. We describe our technique and experience in dealing with these lesions which can achieve the above-mentioned goals and can be easily replicated...
January 2018: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/29414436/how-does-the-femoral-cortex-depend-on-bone-shape-a-methodology-for-the-joint-analysis-of-surface-texture-and-shape
#11
A H Gee, G M Treece, K E S Poole
In humans, there is clear evidence of an association between hip fracture risk and femoral neck bone mineral density, and some evidence of an association between fracture risk and the shape of the proximal femur. Here, we investigate whether the femoral cortex plays a role in these associations: do particular morphologies predispose to weaker cortices? To answer this question, we used cortical bone mapping to measure the distribution of cortical mass surface density (CMSD, mg/cm2) in a cohort of 125 females...
February 2, 2018: Medical Image Analysis
https://www.readbyqxmd.com/read/29377850/does-the-angle-of-the-nail-matter-for-pertrochanteric-fracture-reduction-matching-nail-angle-and-native-neck-shaft-angle
#12
Joshua A Parry, Ian Barrett, Bradley Schoch, Brandon Yuan, Joseph Cass, William Cross
OBJECTIVES: To determine if fixation of pertrochanteric hip fractures with cephalomedullary nails (CMN) with a neck-shaft angle (NSA) less than the native NSA affects reduction and lag screw cutout. DESIGN: Retrospective comparative study SETTING:: Level one trauma center PATIENTS/PARTICIPANTS:: Patients treated with a CMN for unstable pertrochanteric femur fractures (OTA/AO 31-A2.2 and 31-A2.3) between 2005 and 2014 INTERVENTION:: CMN fixation MAIN OUTCOME MEASUREMENT:: NSA reduction, lag screw cutout RESULTS:: Patients fixed with a nail angle less than their native NSA were less likely to have good reductions (17% versus 60%, 95% CI -63% to -18%; p=0...
November 20, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29370886/functional-outcome-and-health-related-quality-of-life-after-dual-mobility-cup-total-hip-replacement-for-displaced-femoral-neck-fractures-in-middle-aged-egyptian-patients
#13
Ramy Ahmed Rashed, Hannah Sevenoaks, Amira Mohammed Shabaan, Qaisar Akhlaq Choudry, Abdullah Said Hammad, Mohammed Samir Kasem, Tarek Aly El Khadrawe, Magdy Mohammed El Dakhakhny
AIM: This study was done to assess the functional and clinical results after one year of cemented THR with dual mobility cup for the treatment of fracture neck femur in active middle-aged patients in Egypt (Middle Eastern population). PATIENTS AND METHODS: This study included 31 patients (32 hips) with displaced femoral neck fractures that were admitted to El Hadara University Hospital, Alexandria, Egypt. Their mean age was 66.4 ± 5.9 years. Fifteen patients were females...
January 8, 2018: Injury
https://www.readbyqxmd.com/read/29366552/mortality-in-patients-sustaining-a-periprosthetic-fracture-following-a-previous-extracapsular-hip-fracture-fixation
#14
T Jennison, R Yarlagadda
BACKGROUND: Mortality rates following hip fractures are decreasing. As these outcomes improve, it increases the potential for further falls and the potential to sustain a periprosthetic fracture. The aim of this study was to analyse the 1 year mortality of periprosthetic fractures around an implant used to treat an extracapsular hip fracture. Secondary outcomes included 30 day mortality, complications and risk factors associated with mortality. METHODS: A retrospective case note and radiographic review of all patients who presented to a single institution with a periprosthetic femoral fracture around an implant previously used to treat an extracapsular hip fracture between 1st January and 2008 and 31st May 2015...
January 2, 2018: Injury
https://www.readbyqxmd.com/read/29354441/arthroscopic-excision-of-an-osteoid-osteoma-of-the-lesser-trochanter-of-the-femoral-neck
#15
Byung-Ho Yoon, Jung Gon Kim, Yong-Chan Ha
Osteoid osteoma frequently requires surgical treatment, especially among young, active patients. However, surgeons are reluctant to perform open surgery for an osteoid osteoma of the femoral neck area because the conventional surgical approach requires a large incision in muscular patients, and percutaneous resection with a trephine has the attendant risk of subsequent fracture. Recently, arthroscopic excision of an osteoid osteoma has been reported as a less invasive, safer procedure than traditional open curettage...
August 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29353395/comparison-of-osteoporosis-in-us-adults-with-type-1-and-type-2-diabetes-mellitus
#16
S C DeShields, T D Cunningham
PURPOSE: We examined bone mineral density (BMD) and osteoporosis prevalence in those with type 1 compared to type 2 diabetes derived from a nationally representative sample from the civilian community in the United States. METHODS: Data from the National Health and Nutrition Examination Survey (NHANES) for 2005-2006, 2007-2008, 2009-2010, and 2013-2014 were merged to obtain a large sample of diabetics at least 20 years of age with participation in the interview and medical examination...
January 20, 2018: Journal of Endocrinological Investigation
https://www.readbyqxmd.com/read/29349981/-clinical-results-in-early-and-mid-term-of-using-the-s-rom-femoral-stem-in-revision
#17
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/29344033/investigating-the-prevalence-of-low-bone-mass-in-children-of-southern-iran-and-its-associated-factors
#18
Forough Saki, Gholamhossein Ranjbar Omrani, Marjan Jeddi, Marzie Bakhshaieshkaram, Mohammad Hossein Dabbaghmanesh
Background: Improving peak bone mass and bone strength in the first years of life and enhancing it during young adulthood could prevent osteoporosis and fractures in the last years of life. We evaluated the prevalence of low bone mass in the lumbar and femoral neck and its associated factors in southern Iranian children. Methods: This is a cross-sectional study on healthy Iranian children aged 9 - 18 years old during 2011 - 2012. Dual energy X-ray absorptiometry (DEXA) was used for measuring bone mineral density (BMD)...
October 2017: International Journal of Endocrinology and Metabolism
https://www.readbyqxmd.com/read/29331010/implants-for-extracapsular-neck-of-femur-fracture-dynamic-hip-screw-versus-intramedullary-nailing
#19
Faisal Farooq Butt, Adnan Shabbair Hussain, Ahmed Mushtaq Khan, Maria Sultan
Neck of femur fractures are the most prevalent type of injury in elderly trauma patients. Both intra and extra capsular type of fractures are equally distributed in the given population. Traditionally, Extra capsular fractures are fixed with Dynamic Hip screw or Intra medullary nailing based on the type of fracture. NICE (National Institute of Clinical Excellence) recommends fixing 31-A1 and 31-A2 fractures with DHS (Dynamic Hip Screw) whereas AO recommends fixing 31-A1 with DHS and 31-A2.1 subtype with DHS and 31-A2...
October 2017: Journal of Ayub Medical College, Abbottabad: JAMC
https://www.readbyqxmd.com/read/29328790/hospital-stay-and-blood-transfusion-in-elderly-patients-with-hip-fractures
#20
Efthymios Iliopoulos, Sohail Yousaf, Hazel Watters, Arshad Khaleel
Neck of femur (NOF) fractures in elderly patients are the most frequent condition which an orthopaedic surgeon confronts nowadays. The incidence of these fractures is increasing as the population continues to age. These patients absorb the majority of the resources in the hospitals, as their healthcare demands are increased. This study included all patients who were admitted to our hospital between January and October 2015 following a neck of femur fracture. A total of 336 patients were included (72.3% female)...
December 2017: Journal of Perioperative Practice
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