16,088 results match your criteria Femoral Neck Fracture


Open Reduction Internal Fixation of Femoral Neck Fracture-Anterior Approach.

J Orthop Trauma 2020 Aug;34 Suppl 2:S27-S28

Departments of Surgery & Pediatric Surgery, McGill University, Montreal, QC, Canada.

Femoral neck fractures are frequently treated with open reduction and internal fixation to achieve anatomical reduction. This video demonstrates open reduction internal fixation of a femoral neck fracture in a 59-year-old man, performed through an anterior approach. This approach provides safe and effective access to the femoral neck, including the subcapital and basicervical regions, with excellent direct visualization of the fracture site. Read More

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http://dx.doi.org/10.1097/BOT.0000000000001818DOI Listing

Hemiarthroplasty Through a Direct Anterior Approach for Femoral Neck Fractures.

J Orthop Trauma 2020 Aug;34 Suppl 2:S25-S26

Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA.

This video demonstrates the direct anterior approach (DAA) for placement of an uncemented hemiarthroplasty for a displaced femoral neck fracture. The DAA is an intranervous and intramuscular approach that is believed to allow patients a quicker recovery and decrease the rate of dislocation. Femoral exposure is the most challenging component of the approach. Read More

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http://dx.doi.org/10.1097/BOT.0000000000001820DOI Listing

Direct Anterior Approach to Total Hip Arthroplasty for Femoral Neck Fractures.

J Orthop Trauma 2020 Aug;34 Suppl 2:S23-S24

Department of Orthopaedics, University of Rochester, Strong Memorial Hospital, Rochester, NY.

Femoral neck fractures are a common injury pattern, especially within the elderly. Replacement with either hemiarthroplasty or total hip arthroplasty allows for immediate weight-bearing. This video demonstrates the direct anterior approach to total hip arthroplasty for management of displaced femoral neck fractures. Read More

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http://dx.doi.org/10.1097/BOT.0000000000001817DOI Listing

Biomechanical evaluation of locked plating fixation for unstable femoral neck fractures.

Bone Joint Res 2020 Jun 30;9(6):314-321. Epub 2020 Jun 30.

Institute for Biomechanics, BG Unfallklinik Murnau, Murnau am Staffelsee, Germany.

Aims: Evaluate if treating an unstable femoral neck fracture with a locking plate and spring-loaded telescoping screw system would improve construct stability compared to gold standard treatment methods.

Methods: A 31B2 Pauwels' type III osteotomy with additional posterior wedge was cut into 30 fresh-frozen femur cadavers implanted with either: three cannulated screws in an inverted triangle configuration (CS), a sliding hip screw and anti-rotation screw (SHS), or a locking plate system with spring-loaded telescoping screws (LP). Dynamic cyclic compressive testing representative of walking with increasing weight-bearing was applied until failure was observed. Read More

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http://dx.doi.org/10.1302/2046-3758.96.BJR-2019-0331.R1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7331880PMC

IMPACT-Scot report on COVID-19 and hip fractures.

Bone Joint J 2020 Jul 7:1-10. Epub 2020 Jul 7.

Edinburgh Orthopaedics, Royal Infirmary of Edinburgh, Edinburgh, UK.

Aims: The primary aim was to assess the independent influence of coronavirus disease (COVID-19) on 30-day mortality for patients with a hip fracture. The secondary aims were to determine whether: 1) there were clinical predictors of COVID-19 status; and 2) whether social lockdown influenced the incidence and epidemiology of hip fractures.

Methods: A national multicentre retrospective study was conducted of all patients presenting to six trauma centres or units with a hip fracture over a 46-day period (23 days pre- and 23 days post-lockdown). Read More

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http://dx.doi.org/10.1302/0301-620X.102B9.BJJ-2020-1100.R1DOI Listing

The Association between High Body Mass Index and Early Clinical Outcomes in Patients with Proximal Femur Fractures.

J Clin Med 2020 Jul 2;9(7). Epub 2020 Jul 2.

Klinik und Poliklinik für Unfallchirurgie, Klinikum rechts der Isar, Technische Universität München, 81675 München, Germany.

Background: Fractures of the proximal femur constitute daily work in orthopedic trauma surgery. With the continuous increase of obesity in the general population, surgeons face several known technical challenges. The aim of this study was to investigate the association of high body mass index (BMI) in patients with proximal femur fractures with intra- and postoperative adverse events, as well as with functional outcomes after successful surgery. Read More

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http://dx.doi.org/10.3390/jcm9072076DOI Listing

Multiple screws versus sliding hip screws in femoral neck fractures: A protocol of cohort study.

Medicine (Baltimore) 2020 Jul;99(27):e20970

Background: There has been a paucity of cohort trials directly comparing multiple cannulated screws (MCS) and sliding hip screws (SHS) in femoral neck fractures at any level. Thus, a well-conducted clinical trial with an adequate sample size is urgently needed. We undertake a retrospective study to compare outcomes in patients who undertake MCS or SHS fixation for femoral neck fractures. Read More

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http://dx.doi.org/10.1097/MD.0000000000020970DOI Listing

Health related quality of life and mortality 10 years after a femoral neck fracture in patients younger than 70 years.

Injury 2020 Jun 17. Epub 2020 Jun 17.

Karolinska Institutet, Department of Clinical Science Intervention and Technology, Sweden; Department of Orthopaedics, Karolinska University Hospital, Huddinge, Sweden.

Background And Purpose: A femoral neck fracture (FNF) may have long term effects on the patient's health related quality of life (HRQoL) and mortality, especially in patients younger than 70 years. These long-term effects are unknown since most studies have a short follow-up. The aim of this study was to investigate self-assessed hip function, HRQoL and factors associated with 10-years mortality after a FNF. Read More

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http://dx.doi.org/10.1016/j.injury.2020.06.029DOI Listing

Effect of lesser trochanter posteromedial wall defect on the stability of femoral intertrochanteric fracture using 3D simulation.

J Orthop Surg Res 2020 Jul 3;15(1):242. Epub 2020 Jul 3.

Department of Orthopaedics, Shanghai Pudong Hospital, Fudan University, Pudong Medical Center, No. 2800, Gongwei Road, Shanghai, 201399, China.

Background: This study investigated the effects of posteromedial fracture fragments on the postoperative stability of intertrochanteric fractures of the femur by analyzing the quantity and range of fragments in CT 3D reconstruction.

Materials And Methods: Patients diagnosed with femoral lesser trochanter fractures were collected from September 2015 to February 2018. CT 3D reconstruction was applied to evaluate the quantity and extension of posteromedial fragments and the presence of isolated medial fragments. Read More

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http://dx.doi.org/10.1186/s13018-020-01763-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7333289PMC

A Comparison Between the Direct Anterior and Posterior Approaches for Total Hip Arthroplasty Performed for Femoral Neck Fracture.

J Orthop Trauma 2020 Jun 26. Epub 2020 Jun 26.

Department of Orthopaedic Surgery, University of Alabama at Birmingham, 1313 13 St S, Birmingham, AL, 35205.

Objectives: To compare 90-day and 1-year outcomes, including mortality, of femoral neck fracture patients undergoing total hip arthroplasty (THA) by direct anterior approach (DAA) versus posterior approach (PA).

Design: Retrospective cohort SETTING:: Level I Trauma Center PATIENTS:: One hundred forty-three consecutive intracapsular femoral neck fractures treated with THA from 2010-2018. The minimum follow-up was 12 months and the average follow-up was 14. Read More

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http://dx.doi.org/10.1097/BOT.0000000000001883DOI Listing

Comparative study of Pauwels type III femoral neck fractures managed by short dynamic hip screw with fibula bone graft or cannulated screws in young adults.

Ann Transl Med 2020 Jun;8(11):681

Trauma Emergency Center, Third Hospital of Hebei Medical University, Shijiazhuang, China.

Background: The aim of our study was to compare the clinical effect of short dynamic hip screw (DHS) combined with fibula bone graft and short DHS combined with cannulated screws (CS) on the treatment of femoral neck fracture in young adults.

Methods: Thirty-five Pauwels type III femoral neck fracture patients between January 2014 and May 2019 were divided into two groups: group A (patients treated with DHS combined with fibula bone graft) and group B (patient treated with DHS combined with CS). The operative time, intraoperative blood loss, fracture healing time and complication of two groups were recorded. Read More

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http://dx.doi.org/10.21037/atm-19-3344DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7327311PMC

Risk of fragility fractures in obesity and diabetes: a retrospective analysis on a nation-wide cohort.

Osteoporos Int 2020 Jul 1. Epub 2020 Jul 1.

Rheumatology Unit, University of Verona, Pz Scuro 10, 37134, Verona, Italy.

This study aims to investigate the role of obesity and diabetes on bone health in a nation-wide cohort of women with high risk of fracture.

Introduction: The role of obesity and diabetes on fracture risk is yet poorly understood. Body mass index (BMI) and bone mineral density (BMD) are strongly correlated; however, patients with elevated BMI are not protected against fractures, configuring the obesity paradox. Read More

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http://dx.doi.org/10.1007/s00198-020-05519-5DOI Listing

Trunk Skeletal Muscle Mass and Phase Angle Measured by Bioelectrical Impedance Analysis are Associated with the Chance of Femoral Neck Fracture in Very Elderly People.

Clin Interv Aging 2020 12;15:889-895. Epub 2020 Jun 12.

Department of Orthopedic Surgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, People's Republic of China.

Background: The study aimed to investigate the potential association of trunk skeletal muscle mass (tSM) and phase angle measured by bioelectrical impedance analysis (BIA) with the chance of femoral neck fractures in very elderly people.

Patients And Methods: This case-control study enrolled 78 femoral neck fracture patients aged over 75 years (29 males) and 1:2 matched healthy controls. All participants were subjected to BIA examination by specialists. Read More

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http://dx.doi.org/10.2147/CIA.S250629DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7305852PMC

Three-Dimensional Microstructural Basis for Differential Occurrence of Subcapital versus Basicervical Hip Fractures in Men.

Calcif Tissue Int 2020 Jun 29. Epub 2020 Jun 29.

Laboratory for Anthropology and Skeletal Biology, Institute of Anatomy, Faculty of Medicine, University of Belgrade, Dr Subotica 4/2, Belgrade, 11000, Serbia.

We analyzed the bone microarchitecture of the subcapital and basicervical subregions of the femoral neck in men, to determine whether microarchitectural differences of cortical or trabecular bone can explain differential frequency of subcapital vs. basicervical fractures, especially in aged persons. The study sample encompassed twenty male proximal femora obtained during autopsy. Read More

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http://dx.doi.org/10.1007/s00223-020-00717-zDOI Listing

Neck modularity in total hip arthroplasty: a retrospective study of nine hundred twenty-eight titanium neck implants with a maximum follow-up of eighteen years.

Int Orthop 2020 Jun 29. Epub 2020 Jun 29.

Major Hospital, Parma, Italy.

Purpose: Neck modularity was introduced to improve total hip arthroplasty (THA) accuracy, but it has been associated with early breakages and corrosion issues. In our hospital, modular necks have been in clinical use since the 1990s. We retrospectively analysed the occurrence of these sequelae in implants placed between January 2000 and December 2014. Read More

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http://dx.doi.org/10.1007/s00264-020-04686-8DOI Listing

Hospital and Surgeon Reimbursement Trends for Femoral Neck Fractures Treated With Hip Hemiarthroplasty and Total Hip Arthroplasty.

J Arthroplasty 2020 May 28. Epub 2020 May 28.

Department of Orthopaedic Surgery, University of Virginia, Charlottesville, VA.

Background: The economic impact of hip fractures on the health care system continues to rise with continued pressure to reduce unnecessary costs while maintaining quality patient care. This study aimed to analyze the trend in hospital charges and payments relative to surgeon charges and payments in a Medicare population for hip hemiarthroplasty and total hip arthroplasty (THA) for femoral neck fracture.

Methods: The 5% Medicare sample database was used to capture hospital and surgeon charges and payments related to 32,340 patients who underwent hemiarthroplasty and 4323 patients who underwent THA for femoral neck fractures between 2005 and 2014. Read More

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http://dx.doi.org/10.1016/j.arth.2020.05.059DOI Listing

Displaced Femoral Neck Fractures in Workers' Compensation Patients Aged 45-65 Years: Is It Best to Fix the Fracture or Replace the Joint?

J Arthroplasty 2020 Jun 7. Epub 2020 Jun 7.

Department of Orthopaedic Surgery, University of Utah, Salt Lake City, UT.

Background: Optimal surgical management of displaced femoral neck fractures (dFNFs) in subjects 45-65 years old is unclear. We evaluated days out of work (dOOW), medical and indemnity costs, and secondary outcomes at 2 years between internal fixation (IF), hemiarthroplasty (HA), and total hip arthroplasty (THA) among workers' compensation (WC) subjects with isolated dFNFs aged 45-65.

Methods: We retrospectively identified 105 Ohio Bureau of WC subjects with isolated subcapital dFNFs aged 45-65 with 2 years of follow-up. Read More

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http://dx.doi.org/10.1016/j.arth.2020.06.003DOI Listing

Osteonecrosis of femoral head in young patients with femoral neck fracture: a retrospective study of 250 patients followed for average of 7.5 years.

J Orthop Surg Res 2020 Jun 29;15(1):238. Epub 2020 Jun 29.

Department of Orthopedics, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, China.

Objective: To investigate the risk factors for osteonecrosis of the femoral head (ONFH) after the treatment of femoral neck fracture in patients under 60 years old.

Methods: A total of 250 cases of femoral neck fracture treated at 3 hospitals in Xuzhou from January 2002 to January 2016 were studied. The patients were followed up for 1~15 years, and the clinical data on femoral head necrosis after the femoral neck operation were analysed retrospectively. Read More

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http://dx.doi.org/10.1186/s13018-020-01724-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7322831PMC

Selenium: A Trace Element for a Healthy Skeleton - A Narrative Review.

Endocr Metab Immune Disord Drug Targets 2020 Jun 27. Epub 2020 Jun 27.

Istituto Auxologico Italiano, IRCCS, Unit for Bone Metabolism Diseases and Diabetes & Lab of Endocrine and Metabolic Research, Milan. Italy.

Inadequate serum selenium levels may delay the growth and the physiological changes in bone metabolism. In humans, reduced serum selenium concentrations are associated with both increased bone turnover and reduced bone mineral density. Moreover, a reduced nutritional intake of selenium may lead to an increased risk of bone disease. Read More

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http://dx.doi.org/10.2174/1871530320666200628030913DOI Listing

Outcomes of total hip arthroplasty using dual mobility components in patients with a femoral neck fracture.

Bone Joint J 2020 Jul;102-B(7):811-821

Section of Orthopaedic Surgery, Department of Surgery, University of Calgary, Calgary, Canada.

Aims: Dislocation is the most common indication for further surgery following total hip arthroplasty (THA) when undertaken in patients with a femoral neck fracture. This study aimed to assess the complication rates of THA with dual mobility components (THA-DMC) following a femoral neck fracture and to compare outcomes between THA-DMC, conventional THA, and hemiarthroplasty (HA).

Methods: We performed a systematic review of all English language articles on THA-DMC published between 2010 and 2019 in the MEDLINE, EMBASE, and Cochrane databases. Read More

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http://dx.doi.org/10.1302/0301-620X.102B7.BJJ-2019-1486.R1DOI Listing

Deficits in bone strength, density and microarchitecture in women living with HIV: A cross-sectional HR-pQCT study.

Bone 2020 Jun 26:115509. Epub 2020 Jun 26.

Women's Health Research Institute, H214-4500 Oak St, Vancouver, British Columbia V6H 3N1, Canada; Department of Medicine, Division of Endocrinology, University of British Columbia, Gordon and Leslie Diamond Centre, 2775 Laurel Street, 4th Floor, Vancouver, British Columbia V5Z 1M9, Canada; Centre for Menstrual Cycle and Ovulation Research, The Gordon and Leslie Diamond Health Care Centre, Room 4111 - 4th Floor, 2775 Laurel Street, Vancouver, British Columbia V5Z 1M9, Canada. Electronic address:

Purpose: With the advent of combined antiretroviral therapy (cART), life expectancy has increased among persons living with HIV, but so too has risk for comorbidities including osteoporosis and fragility fracture. To explore whether HIV status and cART influence three-dimensional measures of BMD, bone microarchitecture and strength we aimed to compare these outcomes between women living with HIV (WLWH; n = 50; 50.4 ± 1. Read More

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http://dx.doi.org/10.1016/j.bone.2020.115509DOI Listing

Hip and Subtrochanteric or Femoral Shaft Fractures after Bisphosphonate Use in Korean Women, Using Korean National Sample Cohort.

J Korean Med Sci 2020 Jun 29;35(25):e193. Epub 2020 Jun 29.

Department of Orthopedic Surgery, Seoul National University Bundang Hospital, Seongnam, Korea.

Background: Concern about bisphosphonate-associated subtrochanteric and femoral shaft (ST/FS) fractures has been raised. However, its real risk is still debatable, because there is no study to estimate risk and benefit of bisphosphonate. The objective of this study was to evaluate the risk of typical hip fractures and ST/FS fractures among bisphosphonate users using nationwide database. Read More

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http://dx.doi.org/10.3346/jkms.2020.35.e193DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7324261PMC

Letter to the editor regarding "Treatment of non-united femoral neck fracture by a novel subtrochanteric angulation lateral translation valgus osteotomy (SALVA osteotomy)" by Hegazy et al.

Int Orthop 2020 Jun 27. Epub 2020 Jun 27.

Department of Orthopaedic Surgery, Teikyo University Chiba Medical Center, 3426-3 Anesaki, Ichihara, Chiba, 299-0111, Japan.

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http://dx.doi.org/10.1007/s00264-020-04678-8DOI Listing

Incidence and risk factors of in-hospital prosthesis-related complications following total hip arthroplasty: a retrospective Nationwide Inpatient Sample database study.

Int Orthop 2020 Jun 27. Epub 2020 Jun 27.

Division of Orthopaedic Surgery, Department of Orthopaedics, Nanfang Hospital, Southern Medical University, 1838 Guangzhou Avenue, Guangzhou, 510515, Guangdong, China.

Purpose: The occurrence of prosthesis-related complications (PRCs) after total hip arthroplasty (THA) is devastating, commonly meaning implant failure and revision surgery. The purpose was to examine the incidence and risk factors of in-hospital PRCs following THA using a large-scale national database.

Methods: A retrospective database analysis was performed based on Nationwide Inpatient Sample (NIS) from 2005 to 2014. Read More

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http://dx.doi.org/10.1007/s00264-020-04682-yDOI Listing

The orthopaedic and traumatology scenario during Covid-19 outbreak in Italy: chronicles of a silent war.

Int Orthop 2020 Jun 26. Epub 2020 Jun 26.

Sezione di Chirurgia Protesica ad Indirizzo Robotico - Unità di Traumatologia dello Sport, U.O Ortopedia e Traumatologia, Fondazione Poliambulanza, Via Bissolati 57, 25124, Brescia, Italy.

Background: From February 21, the day of hospitalisation in ICU of the first diagnosed case of Covid-19, the social situation and the hospitals' organisation throughout Italy dramatically changed.

Methods: The CIO (Club Italiano dell'Osteosintesi) is an Italian society devoted to the study of traumatology that counts members spread in public and private hospitals throughout the country. Fifteen members of the CIO, Chairmen of 15 Orthopaedic and Trauma Units of level 1 or 2 trauma centres in Italy, have been involved in the study. Read More

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http://dx.doi.org/10.1007/s00264-020-04637-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7319215PMC

Denosumab, raloxifene, romosozumab and teriparatide to prevent osteoporotic fragility fractures: a systematic review and economic evaluation.

Health Technol Assess 2020 Jun;24(29):1-314

School of Medical Sciences, University of Manchester, Manchester, UK.

Background: Fragility fractures are fractures that result from mechanical forces that would not ordinarily result in fracture.

Objectives: The objectives were to evaluate the clinical effectiveness, safety and cost-effectiveness of non-bisphosphonates {denosumab [Prolia; Amgen Inc., Thousand Oaks, CA, USA], raloxifene [Evista; Daiichi Sankyo Company, Ltd, Tokyo, Japan], romosozumab [Evenity; Union Chimique Belge (UCB) S. Read More

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http://dx.doi.org/10.3310/hta24290DOI Listing

Atypical femoral neck fracture after prolonged bisphosphonate therapy.

J Pathol Transl Med 2020 Jun 29. Epub 2020 Jun 29.

Department of Orthopaedic Surgery, Konyang Unversity Hospital, Daejeon, Korea.

Of the drugs developed to prevent and treat osteoporosis, bisphosphonate has played a very important role in preventing osteoporotic fractures. However, case reports describing atypical femoral fractures in patients using long-term bisphosphonates have emerged. The majority of atypical femur fractures occurs in the lateral aspect of the subtrochanteric or femur diaphysis, which is explained by accumulation of tensile stress in these areas. Read More

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http://dx.doi.org/10.4132/jptm.2020.05.14DOI Listing

Translation, reliability, agreement and validity of the Turkish version of Cumulated Ambulation Score in patients with hip fracture.

Jt Dis Relat Surg 2020 18;31(2):346-352. Epub 2020 Jun 18.

Dr. Lütfi Kırdar Kartal Eğitim ve Araştırma Hastanesi Ortopedi ve Travmatoloji Kliniği 34890 Kartal, İstanbul, Türkiye.

Objectives: This study aims to translate and investigate the inter- rater reliability, agreement and validity of the Turkish version of the Cumulated Ambulation Score (CAS-TR) in patients with hip fracture.

Patients And Methods: This study included patients with a hip fracture of the femoral neck between July 2019 and March 2020 at the Dr. Lütfi Kırdar Kartal Training and Education Hospital, Department of Orthopedics and Traumatology, Istanbul. Read More

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http://dx.doi.org/10.5606/ehc.2020.75526DOI Listing

Comparison of dynamic hip screw and antirotation screw with cannulated screw in the treatment of transcervical collum femoris fractures.

Jt Dis Relat Surg 2020 18;31(2):320-327. Epub 2020 Jun 18.

Kanuni Sultan Süleyman Eğitim ve Araştırma Hastanesi Ortopedi ve Travmatoloji Kliniği, 34303 Küçükçekmece, İstanbul, Türkiye.

Objectives: This study aims to compare the results of internal fixation with dynamic hip screw (DHS)/antirotation screw and conventional cannulated screw (CS) for femoral neck fracture.

Patients And Methods: This retrospective study included a total of 78 patients (57 males, 21 females) with collum femoris fractures treated with internal fixation between January 2015 and January 2019. Group 1 comprised 41 patients with a mean age of 45. Read More

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http://dx.doi.org/10.5606/ehc.2020.73416DOI Listing

Femoral neck fracture detection in X-ray images using deep learning and genetic algorithm approaches.

Jt Dis Relat Surg 2020 26;31(2):175-183. Epub 2020 Mar 26.

Başkent Üniversitesi Adana Turgut Noyan Eğitim ve Araştırma Merkezi Ortopedi ve Travmatoloji Kliniği, 01240 Yüreğir, Adana, Türkiye.

Objectives: This study aims to detect frontal pelvic radiograph femoral neck fracture using deep learning techniques.

Patients And Methods: This retrospective study was conducted between January 2013 and January 2018. A total of 234 frontal pelvic X-ray images collected from 65 patients (32 males, 33 females; mean age 74. Read More

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http://dx.doi.org/10.5606/ehc.2020.72163DOI Listing

Gluteus Medius Insertion Damage: A Comparison of Reconstruction and Hip Fracture Nails.

J Surg Orthop Adv 2020 ;29(2):77-80

San Antonio Military Medical Center, Fort Sam Houston, Texas.

This study assessed damage to the gluteus medius tendon insertion when performing trochanteric nailing with either a reconstruction nail or a cephalomedullary nail. Ten cadavers were randomized to receive proximal reaming for either a reconstruction nail or cephalomedullary nail; the contralateral hip served as an internal control. One specimen was found to have a displaced femoral neck fracture and was excluded from data analysis. Read More

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January 2020

Advanced Deep Learning Techniques Applied to Automated Femoral Neck Fracture Detection and Classification.

J Digit Imaging 2020 Jun 24. Epub 2020 Jun 24.

Columbia University Irving Medical Center, 622 West 168th Street, PB 01-301, New York, NY, 10032, USA.

To use deep learning with advanced data augmentation to accurately diagnose and classify femoral neck fractures. A retrospective study of patients with femoral neck fractures was performed. One thousand sixty-three AP hip radiographs were obtained from 550 patients. Read More

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http://dx.doi.org/10.1007/s10278-020-00364-8DOI Listing

Deep Vein Thrombosis after Cement Intravasation during Hip Hemiarthroplasty.

Arthroplast Today 2020 Jun 13;6(2):283-287. Epub 2020 Apr 13.

Department of Orthopaedic Surgery, George Washington University, Washington, DC, USA.

Cement intravasation occurs in hemiarthroplasty when pressurization of cement through the medullary canal backflows through the nutrient vessels. This case report describes a 70-year-old woman who underwent hip hemiarthroplasty for a displaced left femoral neck fracture. Postoperative radiographs demonstrated radio-opacity consistent with local cement intravasation. Read More

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http://dx.doi.org/10.1016/j.artd.2020.03.007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7303492PMC

Geriatric Femoral Neck Fractures: Hemiarthroplasty Implant Trends Across a Health System From 2006 to 2018.

Geriatr Orthop Surg Rehabil 2020 10;11:2151459320927378. Epub 2020 Jun 10.

Department of Orthopaedic Surgery, Methodist Hospital, St. Louis Park, MN, USA.

Introduction: Hemiarthroplasty is increasingly used for the treatment of geriatric femoral neck fractures in an effort to optimize value-based care. The current American Association of Orthopaedic Surgeons (AAOS) guidelines released in 2014 for the treatment of geriatric hip fractures recommend the utilization of monopolar cemented constructs. The purpose of this study was to evaluate hip hemiarthroplasty implant cost variability and implant selection trends from 2006 to 2018. Read More

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http://dx.doi.org/10.1177/2151459320927378DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7288846PMC

A Possible Protective Effect of the 'Cam Deformity' on Femoral Neck Fracture: The Relationship between Hip Morphology and the Types of Hip Fracture.

Acta Med Okayama 2020 Jun;74(3):221-227

Department of Orthopaedic Surgery, Kansai Medical University, Osaka 573-1010, Japan.

We retrospectively evaluated the cases of 169 hip fracture patients, their previous fractures, and the contralateral hip joint's morphology. A history of contralateral hip fracture was present in 23 patients (Contra group). The other patients had a unilateral hip fracture: a trochanteric fracture (Troch group, n=73) or a femoral neck fracture (Neck group, n=73). Read More

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http://dx.doi.org/10.18926/AMO/59954DOI Listing

Factors associated with the burden of family caregivers of elderly patients with femoral neck fracture: a cross-sectional study.

J Orthop Surg Res 2020 Jun 23;15(1):234. Epub 2020 Jun 23.

Department of Orthopedics, Shaanxi Provincial People's Hospital, Xi'an, Shaanxi, People's Republic of China.

Background: This study aimed to study the factors associated with caregiver burden among caregivers of elderly patients with femoral neck fracture.

Methods: This cross-sectional study was based on a non-probabilistic sampling of 183 elderly postoperative patients (aged 65 years or older) with femoral neck fracture who were hospitalized in the orthopedic center in our hospital and their family caregivers. Data were collected from January 2016 to June 2019. Read More

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http://dx.doi.org/10.1186/s13018-020-01749-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7310331PMC

The fate of positive intraoperative cultures following conversion total hip arthroplasty.

Hip Int 2020 Jun 23:1120700020936628. Epub 2020 Jun 23.

Department of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.

Introduction: The objectives of this study are to report the rates of positive intraoperative cultures obtained during conversion total hip arthroplasty (THA) according to index surgery, and to describe the natural history of treatment for a consecutive series of patients with unexpected positive intraoperative cultures during conversion THA.

Methods: We reviewed all patients at 2 institutions undergoing conversion THA from prior open reduction and internal fixation (ORIF) of acetabular and hip fractures or hemiarthroplasty for displaced femoral neck fractures from 2011 to 2018. Intraoperative cultures were taken in 105 patients. Read More

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http://dx.doi.org/10.1177/1120700020936628DOI Listing

[Biomechanical study on femoroplasty-augmentation for prevention of osteoporotic hip fractures].

Zhongguo Gu Shang 2020 Jun;33(6):572-5

Department of Orthopaedics, Huamei Hospital, University of Chinese Academy of Science, Ningbo 315010, Zhejiang, China.

Objective: To explore whether femoral plasty can improve the fracture resistance of osteoporotic femoral specimens and prevent hip fracture, and to compare the difference of mechanical strength changes between two different femoral plasty methods in osteoporotic femoral specimens, so as to determine the best strengthening area of the plasty.

Methods: Eighteen pairs of fresh osteoporotic femur specimens were collected and divided into two groups, A and B, 9 pairs in each group. Nine fresh osteoporotic femur specimens in each group were randomly selected for enhancement, and the corresponding contralateral specimens were used as control group. Read More

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http://dx.doi.org/10.12200/j.issn.1003-0034.2020.06.017DOI Listing

The Effect of Denosumab on Bone Mass in Super Elderly Patients.

J Bone Metab 2020 May 31;27(2):119-124. Epub 2020 May 31.

Division of Endocrinology and Metabolism, Department of Internal Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.

Background: Denosumab is a potent antiresorptive drug leading to significant reduction in the risk of vertebral and non-vertebral fractures in postmenopausal osteoporosis. The effect of denosumab in super-elderly patients lacks data to date and few literature has proven the efficacy to this specific group. The purpose of this study was to determine the effectiveness and safety of denosumab in the super-elderly. Read More

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http://dx.doi.org/10.11005/jbm.2020.27.2.119DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7297623PMC

Letter regarding "Popere et al. A cross sectional study of outcomes of muscle pedicle grafting in neck of femur fractures and avascular necrosis of femoral head. Injury.2020. Doi.org/10.1016/j.injury.2020.04.026.

Injury 2020 Jun 15. Epub 2020 Jun 15.

Department of Orthopaedic Surgery, Teikyo University Chiba Medical Center, 3426-3 Anesaki, Ichihara, Chiba 299-0111, Japan. Electronic address:

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http://dx.doi.org/10.1016/j.injury.2020.06.012DOI Listing

Study protocol: The DUALITY trial-a register-based, randomized controlled trial to investigate dual mobility cups in hip fracture patients.

Acta Orthop 2020 Jun 22:1-8. Epub 2020 Jun 22.

Department of Surgical Sciences, Orthopaedics, Uppsala University.

Background and purpose - Physically and mentally fit patients with a displaced femoral neck fracture (FNF) are mostly treated with total hip arthroplasty (THA). Dislocation is a severe and frequent complication in this group, and dual mobility cups (DMC) were developed to reduce the risk of dislocation after THA. The DUALITY trial investigates whether the use of DMC in FNF patients treated with a THA reduces the risk of dislocation. Read More

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http://dx.doi.org/10.1080/17453674.2020.1780059DOI Listing

Optimization and Validation of a Human Femoral Head Model for Preclinical Cartilage Research and Regenerative Therapies.

Cartilage 2020 Jun 21:1947603520934534. Epub 2020 Jun 21.

Biomedical Sciences, Edinburgh Medical School, University of Edinburgh, Edinburgh, Scotland, UK.

Objective: Articular cartilage is incapable of effective repair following injury or during osteoarthritis. While there have been developments in cartilage repair technologies, there is a need to advance biologically relevant models for preclinical testing of biomaterial and regenerative therapies. This study describes conditions for the effective culture of the whole human femoral head. Read More

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http://dx.doi.org/10.1177/1947603520934534DOI Listing

The Influence of Renal Dialysis on All-Cause Mortality in Older Patients with Hip Fracture: a Korean Nationwide Cohort Study.

J Korean Med Sci 2020 Jun 22;35(24):e190. Epub 2020 Jun 22.

Department of Orthopaedic Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.

Background: The purpose of this study was to analyze the all-cause mortality rate over time after elderly hip fracture in end-stage renal disease (ESRD) patients with dialysis, using a Korean nationwide claims database.

Methods: This retrospective nationwide study identified subjects from the Korean National Health Insurance Service-Senior cohort (NHIS-Senior). The NHIS-Senior (total of 588,147 participants) was constructed by 10% random sampling and was designed to represent the elderly living in Korea. Read More

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http://dx.doi.org/10.3346/jkms.2020.35.e190DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7308139PMC

Internal Fixation of Pauwels Type-3 Undisplaced-incomplete Insufficiency Femoral Neck Fractures with Cephalomedullary Nails.

Hip Pelvis 2020 Jun 15;32(2):105-111. Epub 2020 Jun 15.

Department of Orthopedic Surgery, The Catholic University of Korea, St. Vincent Hospital, Suwon, Korea.

Femoral neck stress fractures are rare and when treating are difficult to achieve favorable outcomes. This study characterizes outcomes associated with the use of cephalomedullary nails for fixation of Pauwels type-3 vertical femoral neck undisplaced-incomplete insufficiency fractures. Four consecutive patients with a Pauwels type-3 vertical femoral neck tensile insufficiency fracture from 2016 to 2018 were reviewed. Read More

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http://dx.doi.org/10.5371/hp.2020.32.2.105DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7295618PMC

Sequential Bilateral Hip Fractures in Elderly Patients.

Hip Pelvis 2020 Jun 15;32(2):99-104. Epub 2020 Jun 15.

Department of Orthopedic Surgery, Center for Joint Disease, Chonnam National University Hwasun Hospital, Hwasun, Korea.

Purpose: To evaluate the incidence and presentation of osteoporotic sequential bilateral hip fractures (SBHF) in Center for Joint Disease, Chonnam National University Hwasun Hospital as there are limited studies with variable results reported in Korea.

Materials And Methods: Records of 507 patients aged >60 years old presenting with osteoporotic hip fractures between 2009 and 2015 were retrospectively reviewed to document the occurrence and presentation of sequential hip fractures; mean post-treatment follow-up was 48 months. Additionally, any correlations between sequential fractures and initial fracture and risk factors were assessed. Read More

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http://dx.doi.org/10.5371/hp.2020.32.2.99DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7295611PMC

Early Experience of Direct Anterior Approach Total Hip Arthroplasty: Analysis of the First 53 Cases.

Hip Pelvis 2020 Jun 15;32(2):78-84. Epub 2020 Jun 15.

Department of Orthopaedic Surgery, Kwangju Christian Hospital, Gwangju, Korea.

Purpose: To determine if it is feasible and safe for a surgeon to transition from using the posterolateral approach to direct anterior approach (DAA) by evaluating the first 53 cases of total hip arthroplasty using a DAA.

Materials And Methods: A retrospective review of 52 patients who underwent THA using a DAA between July 2017 and December 2018. Reasons for THA were: femoral neck fracture (n=34), avascular necrosis (n=13), and arthritis (n=6). Read More

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http://dx.doi.org/10.5371/hp.2020.32.2.78DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7295612PMC

Fibrin sealant reduces need for transfusions after hip hemiarthroplasty for femoral neck fractures.

Injury 2020 May 23. Epub 2020 May 23.

UOC Ortopedia e Traumatologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma.

Introduction: Every year more than 300,000 proximal femur fractures are diagnosed. Their number will double within 30 years. In femoral neck fractures treated with hip hemiarthroplasty 90-days mortality is 29. Read More

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http://dx.doi.org/10.1016/j.injury.2020.05.026DOI Listing