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https://www.readbyqxmd.com/read/29031173/an-unusual-case-of-transpelvic-impalement-injury-a-case-report
#1
Mushrek Alani, Saeed Mahmood, Ayman El-Menyar, Sajid Atique, Hassan Al-Thani, Ruben Peralta
INTRODUCTION: Impalement injury is a rare type of mechanical injury following forceful insertion of projecting object into the body. Careful planning for removal of the impaling object is essential to decrease the blood loss and preserve the function of the injured organ. PRESENTATION OF CASE: A 27 year-old male fell from 4m height over a U shaped projecting up metallic bar. The bar penetrated the left side of the pelvis and traversed through the left iliac bone causing a comminuted fracture in the supra-acetabular region extending to the left psoas muscle, injuring the viscera and causing fracture of the right femur...
October 5, 2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29028216/clustering-of-morphological-features-for-identifying-femur-cavity-subtypes-with-difficulties-of-intramedullary-nail-implantation
#2
Fang Chen, Zhe Zhao, Jia Liu, Cong Gao, Xiuyun Su, Jingxin Zhao, Peifu Tang, Hongen Liao
Intramedullary (IM) nail implantation is currently the standard treatment for femoral intertrochanteric fractures. However, individual differences in femur cavity bring a challenge in designing well-matched IM nails and cause difficulties in IM nail implantation. Therefore, there is an intense need to analyze femur cavities to predict difficulties in IM nail implantation to assist the design of IM nails. This study proposed a method to automatically identify subtypes of femur cavities that exhibit differences in potential difficulties in nail implantation by clustering the morphological features of femur models...
October 11, 2017: IEEE Journal of Biomedical and Health Informatics
https://www.readbyqxmd.com/read/29026775/hydatid-disease-a-rare-cause-of-fracture-nonunion
#3
Divya Aggarwal, Vaibhav Girotra, Neelam Wadhwa, Manish Chadha
Hydatid disease is an infrequent parasitic infestation caused by cestode, most commonly, Echinococcus granulosus. Bone involvement is distinctly uncommon. We would like to share our experience of a rare case of hydatid disease of femur in a 24-year-old male who presented with nonunion of subtrochanteric fracture. Histopathology showed typical lamellated wall and dagger-shaped hooklets. In view of its rarity, hydatid disease often remains an unsuspected infection of the bone.
January 2017: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/29025611/carbon-fiber-reinforced-intramedullary-nailing-in-musculoskeletal-tumor-surgery-a-national-multicentric-experience-of-the-italian-orthopaedic-society-siot-bone-metastasis-study-group
#4
Andrea Piccioli, Raimondo Piana, Michele Lisanti, Alberto Di Martino, Barbara Rossi, Francesco Camnasio, Marco Gatti, Pietro Maniscalco, Franco Gherlinzoni, Maria Silvia Spinelli, Davide Maria Donati, Roberto Biagini, Rodolfo Capanna, Vincenzo Denaro
INTRODUCTION: Carbon fiber reinforced (CFR) implants have been proposed for the treatment of fractures or impending fractures of the long bones in the oncology patient. Aim of this study is to present the largest cohort of oncology patients operated by CFR nailing by the Italian Orthopaedic Society (SIOT) Bone Metastasis Study Group. METHODS: 53 adult oncology patients were operated on with a CFR-PEEK nail. All the data from adjuvants therapies were collected. Bone callus formation, response to radiotherapy, relapse or progression of the osteolysis were recorded...
October 2017: Injury
https://www.readbyqxmd.com/read/29022791/x-bolt-unforeseen-placement-complication-case-report
#5
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/29020988/haloperidol-affects-bones-while-clozapine-alters-metabolic-parameters-sex-specific-effects-in-rats-perinatally-treated-with-phencyclidine
#6
Tatjana Nikolić, Milan Petronijević, Jelena Sopta, Milica Velimirović, Tihomir Stojković, Gordana Jevtić Dožudić, Milan Aksić, Nevena V Radonjić, Nataša Petronijević
BACKGROUND: The presentation of schizophrenia (SCH) symptoms differs between the sexes. Long-term treatment with antipsychotics is frequently associated with decreased bone mineral density, increased fracture risk and metabolic side effects. Perinatal phencyclidine (PCP) administration to rodents represents an animal model of SCH. The aim of this study was to assess the effects of chronic haloperidol and clozapine treatment on bone mass, body composition, corticosterone, IL-6 and TNF-α concentrations and metabolic parameters in male and female rats perinatally treated with PCP...
October 11, 2017: BMC Pharmacology & Toxicology
https://www.readbyqxmd.com/read/29019343/the-association-between-dietary-inflammatory-properties-and-bone-mineral-density-and-risk-of-fracture-in-us-adults
#7
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
#8
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/28994795/a-method-to-estimate-cadaveric-femur-cortical-strains-during-fracture-testing-using-digital-image-correlation
#9
Timothy Rossman, Susheil Uthamaraj, Asghar Rezaei, Sean McEligot, Hugo Giambini, Iwona Jasiuk, Michael J Yaszemski, Lichun Lu, Dan Dragomir-Daescu
This protocol describes the method using digital image correlation to estimate cortical strain from high speed video images of the cadaveric femoral surface obtained from mechanical testing. This optical method requires a texture of many contrasting fiduciary marks on a solid white background for accurate tracking of surface deformation as loading is applied to the specimen. Immediately prior to testing, the surface of interest in the camera view is painted with a water-based white primer and allowed to dry for several minutes...
September 14, 2017: Journal of Visualized Experiments: JoVE
https://www.readbyqxmd.com/read/28993082/noncemented-total-hip-arthroplasty-in-sickle-cell-disease-long-term-results
#10
Imran Ilyas, Husam A Alrumaih, Samar Rabbani
BACKGROUND: Avascular necrosis of the femoral head is a well-known sequela of sickle-cell disease (SCD) requiring a surgical intervention that comes with technical challenges. METHODS: Uncemented hip arthroplasty for avascular necrosis of the femoral head due to SCD was carried out for 101 patients (133 hips) between 2000 and 2012. The duration of follow-up ranged from 5 to 17 years (mean, 14.59 years). All patients received a noncemented femoral stem and a noncemented acetabular shell...
September 14, 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/28992299/fracture-after-radiation-therapy-for-femoral-metastasis-incidence-timing-and-clinical-features
#11
Tetsuo Shimoyama, Hirohisa Katagiri, Hideyuki Harada, Hideki Murata, Junji Wasa, Seiichi Hosaka, Takayoshi Suzuki, Mitsuru Takahashi, Hirofumi Asakura, Tetsuo Nishimura, Harumoto Yamada
We analyzed 428 femoral metastases initially treated with radiotherapy between 2002 and 2011 to clarify the clinical details of post-irradiation fractures of femoral metastasis. Patients included 161 men and 167 women, with a mean age of 62 years. Fracture incidence, fracture site, fracture risk based on X-ray images before radiotherapy, and interval from completion of radiotherapy to fracture occurrence were assessed. In addition, 24 pathological specimens obtained during 27 surgeries for these fractures were examined...
July 15, 2017: Journal of Radiation Research
https://www.readbyqxmd.com/read/28983890/skin-closure-following-fractured-neck-of-femur-surgery-a-survey-of-orthopaedic-surgeons-practices
#12
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
#13
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/28982680/chronic-psychosocial-stress-disturbs-long-bone-growth-in-adolescent-mice
#14
S Foertsch, M Haffner-Luntzer, J Kroner, F Gross, K Kaiser, M Erber, S O Reber, A Ignatius
Although a strong association between psychiatric and somatic disorders is generally accepted, little is known regarding the interrelation between mental and skeletal health. While depressive disorders were shown to be strongly associated with osteoporosis and increased fracture risk, evidence from post-traumatic stress disorder (PTSD) patients is less consistent. Therefore, the present study investigated the influence of chronic psychosocial stress on bone using a well-established murine model for PTSD. 7-week-old C57BL/6N mice were subjected to chronic subordinate colony housing (CSC) for 19 days, whereas control mice were singly housed...
October 5, 2017: Disease Models & Mechanisms
https://www.readbyqxmd.com/read/28982481/the-role-of-computed-tomography-scans-in-diaphyseal-femur-fractures-following-gunshot-injuries-a-survey-of-orthopaedic-traumatologists
#15
John S Hwang, Peter D Gibson, Kenneth L Koury, Nicholas Stekas, Michael S Sirkin, Mark C Reilly, Mark R Adams
The objective of this study was to analyze if the addition of CT changed the management of femoral shaft fractures caused by gunshot wounds when compared to those managed with plain radiography alone. METHODS: A multiple-choice, single-answer electronic survey was created to compare utility of advanced imaging when treating femur fractures resulting from gunshot injury. A total of ten femoral shaft fracture cause by gunshot injuries were selected for an online survey to be administered to orthopeaedic traumatologists...
September 28, 2017: Injury
https://www.readbyqxmd.com/read/28981158/low-intensity-pulsed-ultrasound-stimulation-promotes-osteoblast-differentiation-through-hedgehog-signaling
#16
Kenichi Matsumoto, Tsuyoshi Shimo, Naito Kurio, Tatsuo Okui, Soichiro Ibaragi, Yuki Kunisada, Kyoichi Obata, Masanori Masui, Pang Pai, Yuu Horikiri, Nobuyuki Yamanaka, Masaharu Takigawa, Akira Sasaki
Low-intensity pulsed ultrasound (LIPUS) has been used as an adjunct to fracture healing therapies, but the mechanisms underlying its action are not known. We reported that sonic hedgehog (SHH) signaling was activated in osteoblasts at the dynamic remodeling site of a bone fracture. Mechanical stimulation is a crucial factor in bone remodeling, and it is related to the primary cilia as a sensor of hedgehog signaling. Here we observed that LIPUS promoted callus formation in accord with Gli2-positive cells after 14 days at the mouse femur fractured site compared with a control group...
October 5, 2017: Journal of Cellular Biochemistry
https://www.readbyqxmd.com/read/28979858/using-humeral-nail-for-surgical-reconstruction-of-femur-in-adolescents-with-osteogenesis-imperfecta
#17
Paphon Sa-Ngasoongsong, Tanyawat Saisongcroh, Chanika Angsanuntsukh, Patarawan Woratanarat, Pornchai Mulpruek
Osteogenesis imperfecta (OI) is a rare inherited connective tissue disorder caused by mutation of collagen which results in a wide spectrum of clinical manifestations including long bone fragility fractures and deformities. While the treatment for these fractures was recommended as using intramedullary fixation for minimizing stress concentration, the selection of the best implant in the adolescent OI patients for the surgical reconstruction of femur was still problematic, due to anatomy distortion and implant availability...
September 18, 2017: World Journal of Orthopedics
https://www.readbyqxmd.com/read/28979608/proximal-femur-locking-plate-for-sub-trochanteric-femur-fractures-factors-associated-with-failure
#18
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
#19
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/28976445/the-surgical-hip-and-femur-fracture-treatment-model-medicare-s-next-orthopaedic-bundle
#20
Ameer Elbuluk, Richard Iorio, Kenneth A Egol, Joseph A Bosco
No abstract text is available yet for this article.
October 3, 2017: JBJS Reviews
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