15,154 results match your criteria Femoral Neck Fracture


Bone fractures from generalized convulsive seizures and status epilepticus-A systematic review.

Epilepsia 2019 Apr 25. Epub 2019 Apr 25.

Medical Intensive Care Units, University Hospital Basel, Basel, Switzerland.

Objective: We present a systematic review of the literature regarding types and anatomic distribution of fractures in association with generalized convulsive status epilepticus (GCSE) and convulsive seizures in adult patients accompanied by an illustrative case of a patient with GCSE and diffuse postictal pain from underlying bone fractures.

Methods: The library search engines PubMed and EMBASE were screened systematically using predefined search terms. All identified articles written in English were screened for eligibility by two reviewers. Read More

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http://dx.doi.org/10.1111/epi.14738DOI Listing

[Management of pre-existing anticoagulation for timely treatment of proximal femoral fractures].

Unfallchirurg 2019 Apr 24. Epub 2019 Apr 24.

II. Medizinische Klinik, Städtisches Klinikum Dresden, Standort Friedrichstadt, Friedrichstr. 41, 01067, Dresden, Deutschland.

Proximal femoral fractures are urgent indications for surgery. In cases of delayed surgical treatment more than 48 h after hospital admittance, increased rates of general complications, local complications and mortality have been proven. Since 2015, the quality target for the external quality assurance by order of the Federal Joint Committee (G-BA) is surgical treatment within 24 h after hospital admittance for osteosynthesis and within 48 h for joint replacement. Read More

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http://dx.doi.org/10.1007/s00113-019-0646-4DOI Listing

Fracture of the neck of an uncemented femoral component unrelated to trunnion corrosion.

Arthroplast Today 2019 Mar 7;5(1):52-56. Epub 2019 Mar 7.

Department of Orthopaedic Surgery, Duke University, Durham, NC, USA.

This is the first report, to our knowledge, of a fracture, unrelated to trunnion corrosion, through the midneck of a well-fixed uncemented cobalt-chromium alloy femoral component that had been implanted via a total hip revision arthroplasty 25 years ago. Three years after a second revision for polyethylene wear, the patient noted an acute onset of pain in the left hip. There was no antecedent pain in the hip or thigh. Read More

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http://dx.doi.org/10.1016/j.artd.2019.01.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6470384PMC

Mid-term outcomes of titanium modular neck femoral stems in revision total hip arthroplasty.

Ann Transl Med 2019 Mar;7(5):92

Department of Orthopaedic Surgery, Hôpital Belle-Isle, Hôpitaux Privés de Metz, Metz, France.

Background: Modular stems have been widely studied as they allow intraoperative adjustments (offset, anteversion, limb length) to better restore hip biomechanics. Many authors reported outcomes of revision total hip arthroplasty (THA) using modular stems with metaphyseal-diaphyseal junctions, however, little is known about modular neck femoral stems (MNFS) with metaphyseal-epiphyseal junctions. We therefore aimed to report outcomes and implant survival of a MNFS in a consecutive series of revision THA at a minimum follow-up of 5 years. Read More

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http://dx.doi.org/10.21037/atm.2019.01.34DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6462653PMC

Acute hindlimb lameness in a 6-month-old cat.

J Feline Med Surg 2019 May;21(5):449-451

2 Department of Biomedical Sciences and Pathobiology, Virginia Maryland College of Veterinary Medicine, Blacksburg, Virginia, USA.

Clinical Presentation: A 6-month-old female spayed domestic shorthair cat was presented for investigation of acute right hindlimb lameness and paresis.

What Is Your Diagnosis?: Readers are encouraged to review the case history and consider what their diagnostic suspicion is. Also what is the preferred treatment for this injury? And what is the primary cause of this injury? Read More

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http://dx.doi.org/10.1177/1098612X19843214DOI Listing

Adult hypophosphatasia with compound heterozygous p.Phe327Leu missense and c.1559delT frameshift mutations in tissue-nonspecific alkaline phosphatase gene: a case report.

J Med Case Rep 2019 Apr 24;13(1):101. Epub 2019 Apr 24.

Department of General Medicine, Gunma University Graduate School of Medicine, 3-39-15 Showa-machi, Maebashi, Gunma, 371-8511, Japan.

Background: Hypophosphatasia is an inherited bone disease characterized by low alkaline phosphatase activity encoded by ALPL. Clinically, hypophosphatasia can be categorized as perinatal, infantile, childhood, and adult forms, as well as odonto-hypophosphatasia, according to the age at first sign or dental manifestations. Adult hypophosphatasia typically presents in middle-aged patients who appear to be in good health in early adulthood and manifests as painful feet caused by recurrent, slow-healing stress fractures of the lower limb. Read More

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https://jmedicalcasereports.biomedcentral.com/articles/10.11
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http://dx.doi.org/10.1186/s13256-019-2045-4DOI Listing
April 2019
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Using Patient-Reported Outcomes to Predict Revision Arthroplasty Following Femoral Neck Fracture: Enhancing the Value of Clinical Registries through Data Linkage.

Int J Environ Res Public Health 2019 Apr 12;16(8). Epub 2019 Apr 12.

Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, VIC 3004, Australia.

The aim of this study was to determine the association between patient-reported outcome measures (PROMs) six months following femoral neck fracture after a low fall and future arthroplasty, and the factors associated with this. Six-month post-fracture PROMs were collected from the Victorian Orthopaedic Trauma Outcomes Registry (VOTOR) for patients aged >55 years who were admitted for a femoral neck fracture after a low fall between March 2007 and June 2015. These cases were linked with those registered by Australian Orthopaedic Association National Joint Replacement Registry (AOANJRR) up to October 2016. Read More

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http://dx.doi.org/10.3390/ijerph16081325DOI Listing

Patients with Clinically Suspected but Unproven Hip Fractures, Who Require Cross-Sectional Imaging, Are Best Initially Admitted under Geriatrician-Led Care-A Retrospective Review.

Geriatrics (Basel) 2018 Oct 10;3(4). Epub 2018 Oct 10.

Gloucestershire Hospitals NHS Foundation Trust, Cheltenham, GL53 7AN, UK.

Patients with suspected hip fractures who require further imaging to confirm or disprove the diagnosis may be admitted to orthopaedic or medical departments. We aim to provide evidence regarding the appropriate admission pathway for such patients. This is a retrospective study of all suspected hip fracture patients receiving second-line imaging between 1 January 2015 to 30 June 2016 in one hospital trust. Read More

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http://dx.doi.org/10.3390/geriatrics3040068DOI Listing
October 2018

Association between Inflammatory Potential of Diet and Bone-Mineral Density in Korean Postmenopausal Women: Data from Fourth and Fifth Korea National Health and Nutrition Examination Surveys.

Nutrients 2019 Apr 19;11(4). Epub 2019 Apr 19.

Department of Food and Nutrition, Wonkwang University, 460 Iksandaero, Iksan, Jeonbuk 54538, Korea.

Post menopause is considered a critical period for bone-mass loss. Impaired bone metabolism during this phase can increase the risk of fractures in old age. Inflammation is a risk factor for bone health, and diet is a potential source of inflammation. Read More

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http://dx.doi.org/10.3390/nu11040885DOI Listing

Damage control orthopedics applied in an 8-year-old child with life-threatening multiple injuries: A CARE-compliant case report.

Medicine (Baltimore) 2019 Apr;98(16):e15294

University Children's Hospital Basel (UKBB), Department of Pediatric Surgery, 4056 Basel.

Rationale: Damage control is a staged surgical approach to manage polytraumatized patients. The damage control approach comprises three steps. First, bleeding is controlled and fractures are stabilized temporarily; second, vital parameters are stabilized and the child is rewarmed in the intensive care unit; and third, the child is reoperated for definitive repair of injuries. Read More

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http://Insights.ovid.com/crossref?an=00005792-201904190-0005
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http://dx.doi.org/10.1097/MD.0000000000015294DOI Listing
April 2019
2 Reads

Breakage of metal hip arthroplasty components: Retrieval and structural analysis.

Biomed Mater Eng 2019 Apr 12. Epub 2019 Apr 12.

Department of General Orthopaedics, Musculoskeletal Oncology and Trauma Surgery, Poznan University of Medical Sciences, Poznan, Poland.

Background: Breakage of joint arthroplasty components are rare, yet during an implant retrieval program we found several cases.

Objective: In this study we examined the components to determine the causes and mechanisms of breakage of these implants.

Methods: From our collection of 849 retrievals we selected 682 cases with metal parts (503 hip, 79 knee arthroplasties) and identified fractured components: seven hip resurfacing implants, five total hip replacement stems, one monopolar femoral head, and one modular revision femoral stem from. Read More

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http://dx.doi.org/10.3233/BME-191053DOI Listing

The spatial differences in bone mineral density and hip structure between low-energy femoral neck and trochanteric fractures in elderly Chinese using quantitative computed tomography.

Bone 2019 Apr 17. Epub 2019 Apr 17.

Department of Radiology, Beijing Jishuitan Hospital, Beijing, China. Electronic address:

The purpose of this study was to investigate the differences in bone mineral density (BMD) and hip structure between femoral neck and trochanteric fractures in elderly Chinese individuals using quantitative computed tomography (QCT). A total of 625 Chinese patients (mean age 75.8 years) who sustained low-energy hip fractures (female: 293 femoral neck, 175 trochanteric; male: 82 femoral neck, 75 trochanteric) were recruited. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S87563282193013
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http://dx.doi.org/10.1016/j.bone.2019.04.007DOI Listing
April 2019
2 Reads

Bone mineral density in patients with longstanding type 1 diabetes: Results from the Canadian Study of Longevity in Type 1 Diabetes.

J Diabetes Complications 2018 Dec 22. Epub 2018 Dec 22.

Division of Endocrinology and Metabolism, Department of Medicine, University of Toronto, Toronto, Ontario, Canada; Lunenfeld-Tanenbaum Research Institute, Mount Sinai Hospital, Toronto, Ontario, Canada. Electronic address:

Aim: It is currently unclear if longstanding type 1 diabetes (T1D) affects bone mineral density (BMD).

Methods: BMD measured by dual-energy X-ray absorptiometry and history of fragility fracture was determined in 75 T1D participants with ≥50 years of diabetes duration and 75 age- and sex-matched non-diabetic controls. BMD T-scores were determined for the lumbar spine (LS), total hip (TH) and femoral neck (FN). Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10568727183108
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http://dx.doi.org/10.1016/j.jdiacomp.2018.12.009DOI Listing
December 2018
1 Read

Clustering of morphological fracture lines for identifying intertrochanteric fracture classification with Hausdorff distance-based K-means approach.

Injury 2019 Mar 18. Epub 2019 Mar 18.

Department of Orthopaedics, Chinese PLA General Hospital, No. 28 Fuxing Road, Beijing, 100853, China. Electronic address:

Objectives: The aim of this study was to develop a systematic three-dimensional (3D) classification of intertrochanteric fractures by clustering the morphological features of fracture lines using the Hausdorff distance-based K-means approach and assess the usefulness of it in the clinical setting.

Methods: We retrospectively analyzed the data of 504 patients with intertrochanteric fractures who underwent closed reduction and intramedullary internal fixation. The morphological fracture lines of all patients extracted from computed tomography were transcribed freehand onto the template. Read More

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http://dx.doi.org/10.1016/j.injury.2019.03.032DOI Listing
March 2019
2 Reads

Correlation between miR-1207-5p expression with steroid-induced necrosis of femoral head and VEGF expression.

Eur Rev Med Pharmacol Sci 2019 Apr;23(7):2710-2718

Department of Orthopedic, Daqing Oilfield General Hospital, Daqing, China.

Objective: The aim of this study was to investigate the expression level of micro-ribonucleic acid-1207-5p (miR-1207-5p) in steroid-induced necrosis of femoral head (SNFH) and its correlation with SNFH. Meanwhile, we also aimed to analyze the relationship between miR-1207-5p expression and vascular endothelial growth factor (VEGF) in the femoral head.

Patients And Methods: From May 2016 to December 2017, 60 patients aged (55. Read More

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http://dx.doi.org/10.26355/eurrev_201904_17541DOI Listing

What Is the Impact of a Previous Femoral Osteotomy on THA? A Systematic Review.

Clin Orthop Relat Res 2019 May;477(5):1176-1187

E. Gallazzi, L. Zagra, IRCCS Istituto Ortopedico Galeazzi, Hip Department, vi R. Galeazzi, Milan, Italy I. Morelli, G. Peretti, Department of Biomedical Sciences for Health, University of Milan, Milan, Italy IRCCS Istituto Ortopedico Galeazzi, via R. Galeazzi Milan, Italy.

Background: Femoral osteotomies have been widely used to treat a wide range of developmental and degenerative hip diseases. For this purpose, different types of proximal femur osteotomies were developed: at the neck as well as at the trochanteric, intertrochanteric, or subtrochanteric levels. Few studies have evaluated the impact of a previous femoral osteotomy on a THA; thus, whether and how a previous femoral osteotomy affects the outcome of THA remains controversial. Read More

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http://dx.doi.org/10.1097/CORR.0000000000000659DOI Listing
May 2019
1 Read

Short and mid-term outcomes and functional results in metal-on-metal hip resurfacing arthroplasty at 5 years follow-up: the Spanish experience.

BMC Musculoskelet Disord 2019 Apr 16;20(1):172. Epub 2019 Apr 16.

Traumatology and Orthopedic Surgery Department, Hospital Universitario Santa Cristina, Calle del Maestro Vives 2 y 3, Madrid, Spain.

Background: Hip resurfacing arthroplasty (HRA) and in particular, Birmingham hip resurfacing (BHR), is commonly employed as an alternative to total hip arthroplasty (THA) in young patients, as it allows for preservation of femoral bone stock and resumption of physical activity. The aim of our study was to investigate 5-year survival and functional outcomes of BHR arthroplasty in young Spanish osteoarthritis (OA) patients.

Methods: This is an observational, prospective, cohort study of patients who underwent BHR between June 2005 and December 2009 at a Spanish public hospital with a minimum follow-up of 5 years. Read More

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http://dx.doi.org/10.1186/s12891-019-2498-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6469142PMC
April 2019
1 Read

Correction to: Comparison of three different internal fixation implants in treatment of femoral neck fracture-a finite element analysis.

J Orthop Surg Res 2019 Apr 16;14(1):106. Epub 2019 Apr 16.

Department of Orthopedics, Chinese PLA General Hospital, No. 28 Fuxing Road, Beijing, 100853, People's Republic of China.

In the original publication of this article [1], the word "place" should be changed to "plate". Read More

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http://dx.doi.org/10.1186/s13018-019-1148-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6469202PMC
April 2019
1 Read

Supercapsular percutaneously assisted (SuperPath) approach in total hip arthroplasty : Surgical technique and preliminary results.

Authors:
H Quitmann

Oper Orthop Traumatol 2019 Apr 12. Epub 2019 Apr 12.

Fabricius Klinik, Gelenkzentrum Bergisch Land, Freiheitstsr. 203, 42853, Remscheid, Germany.

Objective: Portal assisted minimally invasive total hip arthroplasty without dislocation of the femoral head with preservation of the hip capsule and the external rotators in the lateral decubitus position for rapid recovery with the option of expandability to a mini posterior or classic posterolateral approach at any time.

Indications: Primary and secondary arthritis of the hip, femoral head necrosis, femoral neck fracture.

Contraindications: Severe anatomical disorders of the proximal femur, congenital high hip dysplasia, implanted hardware in the trochanteric region, local and systemic infections. Read More

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http://dx.doi.org/10.1007/s00064-019-0597-5DOI Listing
April 2019
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Genetic risk factors identified in populations of European descent do not improve the prediction of osteoporotic fracture and bone mineral density in Chinese populations.

Sci Rep 2019 Apr 15;9(1):6086. Epub 2019 Apr 15.

Center for Bioinformatics and Genomics, Department of Global Biostatistics and Data Science, Tulane University, New Orleans, LA, 70112, USA.

Aiming to investigate whether genetic risk factors (GRFs) for fracture and bone mineral density (BMD) identified from people of European descent can help improve the prediction of osteoporotic fracture (OF) risk and BMD in Chinese populations, we built assessment models for femoral neck (FN)-fracture prediction and BMD value prediction using 700 elderly Chinese Han subjects and 1,620 unrelated Chinese Han subjects, respectively. 17 fracture-associated genes and 82 FN-BMD associated genes identified in people of European descent were used to build a logistic regression model with clinical risk factors (CRFs) for FN-fracture prediction in Chinese. Meanwhile 107 BMD-associated genes from people of European descent were used to build a multiple linear regression model with CRFs for BMD prediction in Chinese. Read More

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http://dx.doi.org/10.1038/s41598-019-42606-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6465274PMC
April 2019
1 Read
5.078 Impact Factor

A safe percutaneous technique for the reduction of irreducible femoral neck fractures using ultrasound localization of the femoral vascular and nervous structures at the hip.

Medicine (Baltimore) 2019 Apr;98(15):e15163

Department of Orthopaedics, The Second Affiliated Hospital of Anhui Medical University, Hefei, Anhui, PR China.

We present a safe percutaneous technique for the placement of Kirschner wires into the femoral head to assist in the reduction of irreducible femoral neck fractures using ultrasound to identify the vascular and nervous structures about the hip.From January 2011 to June 2014, a total of 36 patients (25 males and 11 females) were enrolled in this study. Patients were placed on a fracture reduction table for limb traction. Read More

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http://dx.doi.org/10.1097/MD.0000000000015163DOI Listing
April 2019
2 Reads

Effects of SGLT2 inhibitors on fractures and bone mineral density in type 2 diabetes mellitus: an updated meta-analysis.

Diabetes Metab Res Rev 2019 Apr 15:e3170. Epub 2019 Apr 15.

NHC Key Laboratory of Hormones and Development (Tianjin Medical University), Tianjin Key Laboratory of Metabolic Diseases, Tianjin Medical University Metabolic Diseases Hospital & Tianjin Institute of Endocrinology, Tianjin Medical University, Tianjin, China.

Aims: To update and determine the effects of sodium glucose co-transporter 2 (SGLT2) inhibitor therapy on fracture and bone mineral density (BMD) in type 2 diabetes mellitus (T2DM) patients.

Materials And Methods: We identified 27 eligible randomized controlled trials (RCTs) that compared the efficacy and safety of SGLT2 inhibitors to a placebo in 20895 T2DM participants, with an average duration of 64.22 weeks. Read More

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http://dx.doi.org/10.1002/dmrr.3170DOI Listing
April 2019
1 Read

High Failure at a Minimum 5-Year Follow-Up in Primary Total Hip Arthroplasty Using a Modular Femoral Trunnion.

J Arthroplasty 2019 Mar 19. Epub 2019 Mar 19.

Department of Orthopedic Surgery, Rush University Medical Center, Chicago, IL.

Background: Modular femoral trunnions enable the surgeon to independently adjust offset, leg length, and anteversion in total hip arthroplasty (THA). However, modularity may result in an increased risk of fretting and corrosion along with a higher risk of implant dissociation or fracture. The purpose of this study is to evaluate mid-term survivorship of THAs using a cementless modular system. Read More

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http://dx.doi.org/10.1016/j.arth.2019.03.033DOI Listing
March 2019
1 Read

Comparison of Mid-term Survivorship and Clinical Outcomes between Bipolar Hemiarthroplasty and Total Hip Arthroplasty with Cementless Stem: A Multicenter Retrospective Study.

Orthop Surg 2019 Apr 12. Epub 2019 Apr 12.

Department of Orthopaedic Surgery, Taipei Tzu-Chi Hospital, New Taipei City, Taiwan.

Objectives: To compare the clinical outcome between bipolar hemiarthroplasty (BHA) and total hip arthroplasty (THA) using a U2 HA cementless hip stem, and the results of elderly femoral neck fracture patients who underwent BHA with a cementless hip stem.

Methods: A multicenter retrospective study enrolled 96 BHA and 115 THA cases using U2 HA cementless hip stems with mean age (BHA: 67.9 years; THA: 64. Read More

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http://dx.doi.org/10.1111/os.12440DOI Listing
April 2019
1 Read

Septic arthritis following femoral neck fracture: A case report.

Int J Surg Case Rep 2019 Apr 4;57:167-169. Epub 2019 Apr 4.

Department of Orthopedics, Faculty of Medicine, Prince of Songkla University, Songkhla, 90110, Thailand. Electronic address:

Introduction: Femoral neck fracture is common in the elderly, especially in the era of aging populations. Septic arthritis of the hip after femoral neck fracture is a rare complication. There are limited reports on this complication especially in patients without a severe medical condition and there is no consensus on the method of treatment of this complication. Read More

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http://dx.doi.org/10.1016/j.ijscr.2019.03.016DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6460221PMC
April 2019
1 Read

Comparison of impact on death and critical care admission of acute kidney injury between common medical and surgical diagnoses.

PLoS One 2019 11;14(4):e0215105. Epub 2019 Apr 11.

Emergency Assessment Unit, Salford Royal NHS Foundation Trust, Stott Lane, Salford, United Kingdom.

Background: Acute Kidney Injury (AKI) is common and associated with increased morbidity and mortality. This retrospective analysis quantified and compared the association between AKI and the risk of death and admission to critical care in acute admissions of different aetiology.

Methods: Data were extracted anonymously from the Trust 'data warehouse' for admissions between 2011and 2017. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0215105PLOS
April 2019
1 Read

Finite element analysis of different internal fixation methods for the treatment of Pauwels type III femoral neck fracture.

Biomed Pharmacother 2019 Apr 2;112:108658. Epub 2019 Mar 2.

The First Affiliated Hospital of Guangdong University of Traditional Chinese Medicine, Guangzhou University of Chinese Medicine, Guangzhou 510405, China. Electronic address:

Objective: To compare the bifomechanical advantages and disadvantages of different internal fixation methods for the treatment of Pauwels type III femoral neck fractures.

Methods: 4 internal fixations were developed to treat Pauwels type III femoral neck fracture finite element models: a: the "F" shaped cannulated screw model, b: the traditional cannulated screw model, c: the "F" shaped cannulated screw coupled with medial plate model, d: the traditional cannulated screw coupled with medial plate. Under the same conditions, the 4 internal fixations and femur of von Mises stress and displacement distribution were studied. Read More

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http://dx.doi.org/10.1016/j.biopha.2019.108658DOI Listing
April 2019
1 Read

Outcomes of cerclage wiring to manage intra-operative femoral fracture occurring during cementless hemiarthroplasty in older patients with femoral neck fractures.

Int Orthop 2019 Apr 9. Epub 2019 Apr 9.

Department of Orthopaedic Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, 2 Wanglang Road, Bangkoknoi, Bangkok, 10700, Thailand.

Background: Cementless hemiarthroplasty is a widely used treatment for femoral neck fractures. Intra-operative femoral fracture occasionally occurs during the procedure, and the use of cerclage wire has been proposed to stabilize both the prosthesis and the bone. This study aimed to investigate the outcomes of cerclage wiring to manage intra-operative fractures occurring during cementless hemiarthroplasty in older patients with a femoral neck fracture. Read More

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http://dx.doi.org/10.1007/s00264-019-04327-9DOI Listing
April 2019
4 Reads

Incidence, Classification, and Risk Factors for Intraoperative Periprosthetic Femoral Fractures in Patients Undergoing Total Hip Arthroplasty With a Collum Femoris Preserving Stem: A Retrospective Study.

J Arthroplasty 2019 Mar 19. Epub 2019 Mar 19.

Department of Orthopaedic Surgery, The Third Hospital of Hebei Medical University, Shijiazhuang, Hebei, P.R. China.

Background: The collum femoris preserving (CFP) stem was a specially designed femoral neck preserving component. The incidence, classification, and risk factors for intraoperative periprosthetic femoral fractures with this special stem remain unclear.

Methods: This was a retrospective study. Read More

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http://dx.doi.org/10.1016/j.arth.2019.03.031DOI Listing
March 2019
2 Reads
2.666 Impact Factor

Screw trajectory affects screw cut-out risk after fixation for nondisplaced femoral neck fracture in elderly patients.

J Orthop Surg (Hong Kong) 2019 May-Aug;27(2):2309499019840252

2 Department of Rehabilitation Sciences, Faculty of Health and Social Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong.

Background:: Incidence of femoral neck fracture has risen with the aging of the population and has critical implications with regard to patient death, functional dependence, and social costs. Screw fixation using triangular configurations and calcar placement are still the preferred treatment for nondisplaced femoral neck fracture, to reduce the risk of loss of reduction and nonunion. However, this method is still controversial in terms of the effects of screw trajectory, including parallel or nonparallel configurations, on fixation of femoral neck fractures. Read More

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http://dx.doi.org/10.1177/2309499019840252DOI Listing
April 2019
3 Reads

The effectiveness of preoperative colon cleansing on post-operative surgical site infection after hip hemiarthroplasty.

Eur J Trauma Emerg Surg 2019 Apr 4. Epub 2019 Apr 4.

Umraniye Education and Research Hospital, Department of Orthopedics and Trauma, SB University, Istanbul, Turkey.

Aim: This study aimed to evaluate the effectiveness of prophylactic mechanical bowel preparation in elderly patients undergoing hip hemiarthroplasty in a single training institution over a period of 2 years.

Patients And Methods: The study was conducted in a prospective-randomised manner. All patients, who underwent primary hip hemiarthroplasty for femoral neck fracture in our institution between 20 February 2015 and 29 December 2016, were included. Read More

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http://dx.doi.org/10.1007/s00068-019-01125-1DOI Listing
April 2019
1 Read

Autosomal Dominant Hypophosphatemic Rickets Presenting in a Phenotypically Normal Adult Female.

Case Rep Endocrinol 2019 4;2019:8917519. Epub 2019 Mar 4.

Division of Endocrinology, Diabetes and Metabolism, University of Cincinnati, 231 Albert Sabin Way, Cincinnati, OH 45267-0542, USA.

We describe a presentation of Autosomal Dominant Hypophosphatemic Rickets (ADHR) in a 22-year-old female with normal pubertal growth and development and a negative family history in first-degree relatives. The patient presented with a 2-year history of upper and lower extremity proximal muscle pain and weakness and bilateral femoral neck and pubic bone insufficiency fractures. She had a normal serum calcium but a low phosphate as well as 25-hydroxyvitamin D (25(OH)D) levels leading initially to a diagnosis of osteomalacia. Read More

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http://dx.doi.org/10.1155/2019/8917519DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6425306PMC
March 2019
1 Read

Elastic stabile intramedullary nailing (ESIN) of diaphyseal femur fractures in children and adolescents: A strobe-compliant study.

Medicine (Baltimore) 2019 Apr;98(14):e15085

Murdoch Children's Research Institute, The Royal Children's Hospital Melbourne, Parkville, Victoria, Australia.

Elastic stabile intramedullary nailing (ESIN) is a well-established method to stabilize diaphyseal fracture of the femur (DFF) in children. We aimed to evaluate the minimal medullary canal diameter (MMCD) of the fractured femur relative to the diameter of the nails. We also analyzed the real anteversion angle (AVA) of the affected femur in comparison to the healthy femur. Read More

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http://dx.doi.org/10.1097/MD.0000000000015085DOI Listing
April 2019
2 Reads

Time to Put Aside the Controversy Between Total Hip Arthroplasty and Hemiarthroplasty: Commentary on an article by Bheeshma Ravi, MD, PhD, et al.: "Comparing Complications and Costs of Total Hip Arthroplasty and Hemiarthroplasty for Femoral Neck Fractures. A Propensity Score-Matched, Population-Based Study".

Authors:
Cecilia Rogmark

J Bone Joint Surg Am 2019 Apr;101(7):e29

Clinical and Molecular Osteoporosis Research Unit, Department of Clinical Sciences, Lund University, Lund, Sweden Department of Orthopedics, Skåne University Hospital, Malmö, Sweden Swedish Hip Arthroplasty Register, Gothenburg, Sweden.

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http://Insights.ovid.com/crossref?an=00004623-201904030-0001
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http://dx.doi.org/10.2106/JBJS.18.01444DOI Listing
April 2019
6 Reads

Comparing Complications and Costs of Total Hip Arthroplasty and Hemiarthroplasty for Femoral Neck Fractures: A Propensity Score-Matched, Population-Based Study.

J Bone Joint Surg Am 2019 Apr;101(7):572-579

Division of Orthopaedic Surgery, Department of Surgery (B.R., D.P., H.K., D.W., R.J., and H.J.K.), and Institute of Health Policy, Management and Evaluation (D.P. and H.J.K.), University of Toronto, Toronto, Ontario, Canada.

Background: Although the prevalence of displaced femoral neck fractures in the elderly population is increasing worldwide, there remains controversy as to whether these injuries should be managed with hemiarthroplasty or total hip arthroplasty. Although total hip arthroplasties result in better function, they are more expensive and may have higher complication rates. Our objective was to compare the complication rates and health-care costs between hemiarthroplasty and total hip arthroplasty for displaced femoral neck fractures in the elderly population. Read More

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http://dx.doi.org/10.2106/JBJS.18.00539DOI Listing
April 2019
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Type 1 diabetes onset at young age is associated with compromised bone quality.

Bone 2019 Mar 29;123:260-264. Epub 2019 Mar 29.

Barbara Davis Center for Diabetes, University of Colorado Anschutz Medical Campus, Aurora, CO 80045, United States of America.

Women with type 1 diabetes (T1D) are at increased risk for fracture. We studied the association of T1D and young age at T1D onset (T1D onset before 20 years) on bone structural quality. 24 postmenopausal women with T1D (mean age 60. Read More

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http://dx.doi.org/10.1016/j.bone.2019.03.039DOI Listing
March 2019
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Effects of Bone Fragility and Antiresorptive Drugs on Periodontal Disease and Tooth Loss: A Longitudinal Study.

JDR Clin Trans Res 2018 Oct 9;3(4):378-387. Epub 2018 Jul 9.

8 Academic Unit of Oral Health, Dentistry and Society, School of Clinical Dentistry, University of Sheffield, Sheffield, UK.

This longitudinal study aimed to elucidate whether systemic bone fragility predicts severe periodontal clinical attachment loss (CAL) and tooth loss over the years and to test the influence of bone medication and periodontal maintenance in these relationships. Elderly women were evaluated for bone mineral density (BMD) and for fracture risk assessment (FRAX) in a cross-sectional analysis and retrospective follow-up (6- and 10-y periods). Data on BMD and FRAX were used as indicators of bone fragility in structural equation modeling. Read More

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http://dx.doi.org/10.1177/2380084418787451DOI Listing
October 2018
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Cementing does not increase the immediate postoperative risk of death after total hip arthroplasty or hemiarthroplasty: a hospital-based study of 10,677 patients.

Acta Orthop 2019 Apr 1:1-8. Epub 2019 Apr 1.

a Department of Orthopaedics and Traumatology , Turku University Hospital ;

Background and purpose - It has been suggested that cemented arthroplasty is associated with increased peri- and postoperative mortality due to bone cement implanting syndrome, especially in fracture surgery. We investigated such an association in elective total hip arthroplasty (THA) patients and hemiarthroplasty (HA) patients treated for femoral neck fracture. Patients and methods - All 10,677 patients receiving elective THA or HA for fracture in our hospital between 2004 and 2015 were identified. Read More

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http://dx.doi.org/10.1080/17453674.2019.1596576DOI Listing
April 2019
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Colecalciferol Initiation Post Minimal Trauma Fracture.

Hosp Pharm 2019 Apr 30;54(2):105-111. Epub 2018 Apr 30.

The Royal Melbourne Hospital, Victoria, Australia.

The purpose of this study was to determine the proportion of patients admitted to a major tertiary teaching hospital in Australia aged 50 years and older with a confirmed neck of femur or vertebral minimal trauma fracture, who are commenced on colecalciferol supplementation by discharge, and to describe the doses prescribed. A subanalysis of a retrospective audit of electronic medical files for patients admitted with a minimal trauma fracture of the hip or vertebra between January 1, 2016, and June 30, 2016, was conducted. A total of 406 patients were screened and 64 patients were included in the audit. Read More

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http://dx.doi.org/10.1177/0018578718769564DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6431723PMC

Dual mobility cups in total hip arthroplasty after failed internal fixation of proximal femoral fractures.

Orthop Traumatol Surg Res 2019 May 25;105(3):491-495. Epub 2019 Mar 25.

Department of Orthopaedic Surgery, University hospital of Saint-Etienne, avenue Albert-Raimond, 42270 Saint-Priest-en-Jarez, France; EA 7424, Inter-university Laboratory of Human Movement Science, University Lyon, University Jean-Monnet, 42000 Saint-Etienne, France.

Introduction: Performing total hip arthroplasty (THA) following failed internal fixation of proximal femur fractures is associated with an elevated risk of implant dislocation. We hypothesized that using a dual mobility (DM) cup will help to reduce the risk of postoperative instability in this specific context.

Material And Methods: This was a retrospective study of 33 consecutive patients who underwent DM THA following failed internal fixation of a proximal femur fracture. Read More

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http://dx.doi.org/10.1016/j.otsr.2019.01.014DOI Listing
May 2019
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Bone mineral density, bone turnover markers, and incident fractures in de novo kidney transplant recipients.

Kidney Int 2019 Mar 4. Epub 2019 Mar 4.

Department of Nephrology and Renal Transplantation, University Hospitals Leuven and Laboratory of Nephrology, Department of Microbiology and Immunology, KU Leuven, Leuven, Belgium.

Kidney transplant recipients are at increased risk of fractures. This prospective observational study investigated whether areal bone mineral density (aBMD) as assessed by dual-energy x-ray absorptiometry can predict incident fragility fractures in de novo kidney transplant recipients and whether bone turnover markers increase diagnostic accuracy. Parameters of bone mineral metabolism including parathyroid hormone (PTH), fibroblast growth factor 23, sclerostin, calcidiol and calcitriol, and bone turnover markers were assessed in blood samples collected immediately prior to kidney transplantation in 518 adult recipients. Read More

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http://dx.doi.org/10.1016/j.kint.2018.12.024DOI Listing
March 2019
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Femoral Neck Fracture Fixation with a Medial Buttress Plate That Led to Impingement with Hip Flexion: A Case Report.

JBJS Case Connect 2019 Jan-Mar;9(1):e21

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

Case: A 47-year-old man with an isolated femoral neck fracture was treated with open reduction and internal fixation with a medial femoral neck buttress plate and a dynamic hip screw. Union was achieved without osteonecrosis of the femoral head. However, hip arthroscopy that was performed for persistent hip pain following the fracture union revealed an intra-articular impingement of the buttress plate and a substantial anterior acetabular chondral injury. Read More

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http://dx.doi.org/10.2106/JBJS.CC.18.00135DOI Listing
March 2019
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Performance of FRAX and FRAX-Based Treatment Thresholds in Women Aged 40 and Older: The Manitoba BMD Registry.

J Bone Miner Res 2019 Mar 28. Epub 2019 Mar 28.

Departments of Medicine (Endocrinology) and Radiology (Nuclear Medicine), University of Manitoba, Winnipeg, Manitoba, Canada.

We examined among women aged ≥40 years the performance of the Fracture Risk Assessment Tool (FRAX) and FRAX-based osteoporosis treatment thresholds under the U.S. National Osteoporosis Foundation (NOF) and U. Read More

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http://dx.doi.org/10.1002/jbmr.3717DOI Listing
March 2019
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Relationship Between Bone Mineral Density T-score and Nonvertebral Fracture Risk Over 10 Years of Denosumab Treatment.

J Bone Miner Res 2019 Mar 28. Epub 2019 Mar 28.

New Mexico Clinical Research & Osteoporosis Center, Albuquerque, NM, USA.

Although treat-to-target strategies are being discussed in osteoporosis, there is little evidence of what the target should be to maximally reduce fracture risk. We investigated the relationship between total hip BMD T-score and the incidence of nonvertebral fracture in women who received up to 10 years of continued denosumab therapy in the FREEDOM trial (3 years) and its long-term Extension (up to 7 years). We report the percentages of women who achieved a range of T-scores at the total hip or femoral neck over 10 years of denosumab treatment (1,343 women completed 10 years of treatment). Read More

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http://dx.doi.org/10.1002/jbmr.3722DOI Listing
March 2019
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Contemporary cemented versus uncemented hemiarthroplasty for the treatment of displaced intracapsular hip fractures: a meta-analysis of forty-two thousand forty-six hips.

Int Orthop 2019 Mar 27. Epub 2019 Mar 27.

Balgrist University Hospital, University of Zurich, Zurich, Switzerland.

Introduction: Controversy exists regarding the use of cement for hemiarthroplasty to treat displaced intracapsular hip fractures. The aim of this systematic review and meta-analysis was to compare the clinical outcomes between contemporary cemented and contemporary uncemented hemiarthroplasty for the treatment of displaced femoral neck fractures.

Methods: Literature searches of PubMed, Scopus, Web of Science, and Cochrane Central, up to May 2017, were performed. Read More

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http://link.springer.com/10.1007/s00264-019-04325-x
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http://dx.doi.org/10.1007/s00264-019-04325-xDOI Listing
March 2019
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Effect of type 2 diabetes mellitus on treatment outcomes of patients with postmenopausal osteoporosis: a retrospective study.

J Diabetes Metab Disord 2018 Dec 26;17(2):181-187. Epub 2018 Oct 26.

Physical Medicine and Rehabilitation Clinic, Ankara Diskapi Yildirim Beyazit Training and Research Hospital, Irfan Bastug Street, Altindag, Ankara, Turkey.

Objectives: The aim of this study is to investigate the effect of type 2 diabetes mellitus (T2DM) on the treatment outcomes of patients with postmenopausal osteoporosis (PMOP).

Material And Method: Thirty-five patients who had been diagnosed as PMOP by lumbar and/or femoral neck bone mineral density screening (BMD) and who had comorbid T2DM were included in the study. Thirty-five patients who had been diagnosed as PMOP but who had no comorbidity including DM constituted the control group. Read More

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http://dx.doi.org/10.1007/s40200-018-0359-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6405402PMC
December 2018

Intraoperative hypotension is a risk factor for postoperative acute kidney injury after femoral neck fracture surgery: a retrospective study.

BMC Musculoskelet Disord 2019 Mar 27;20(1):131. Epub 2019 Mar 27.

Department of Orthopaedic Surgery, Anam Hospital, Korea University College of Medicine, 73 Inchon-Ro (Anam-dong 5-ga), Seongbuk-gu, Seoul, 02841, South Korea.

Background: Hip fracture in elderly patients is a serious health concern due to the associated morbidity and mortality. Although acute kidney injury after hip fracture is known to be a significantly poor prognostic factor for morbidity and mortality, the literature regarding the risk factors for acute kidney injury after hip fracture is insufficient. This study aimed to investigate the incidence and associated risk factors for acute kidney injury in patients with femoral neck fracture. Read More

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http://dx.doi.org/10.1186/s12891-019-2496-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6438026PMC
March 2019
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Ultrasound-based estimates of cortical bone thickness and porosity are associated with non-traumatic fractures in postmenopausal women: A pilot study.

J Bone Miner Res 2019 Mar 26. Epub 2019 Mar 26.

Sorbonne Université, CNRS, INSERM, Laboratoire d'Imagerie Biomédicale, F-75006, Paris, France.

Recent ultrasound axial transmission techniques exploit the multimode waveguide response of long bones to yield estimates of cortical bone structure characteristics. This pilot cross-sectional study aimed to evaluate the performance at the one-third distal radius of a bidirectional axial transmission (BDAT) device to discriminate between fractured and non-fractured postmenopausal women. Cortical thickness (Ct. Read More

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http://dx.doi.org/10.1002/jbmr.3733DOI Listing
March 2019
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Failure Patterns of Femoral Neck Fracture Fixation in Young Patients.

Orthopedics 2019 Mar 26:1-5. Epub 2019 Mar 26.

The primary purpose of this study was to describe the failure patterns of femoral neck fracture fixation in young patients. The secondary purpose was to determine if pattern of failure varies by type of implant. Adult patients (age range, 18-55 years) who experienced a "fixation failure" following internal fixation of a femoral neck fracture were identified from 5 level 1 trauma centers. Read More

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https://www.healio.com/doiresolver?doi=10.3928/01477447-2019
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http://dx.doi.org/10.3928/01477447-20190321-03DOI Listing
March 2019
4 Reads