14,996 results match your criteria Femoral Neck Fracture


Surgical treatment with cannulated screws for pediatric femoral neck fractures: A case series.

Injury 2019 Feb 2. Epub 2019 Feb 2.

Department of Orthopaedics and Traumatologic Surgery, AOU Policlinico-Vittorio Emanuele, University of Catania, Catania, Italy.

Introduction: Femoral neck fractures are uncommon injuries in children, but the high incidence of long-term complications makes it important clinical entity. Early surgical treatment to achieve optimal results and to avoid a high rate of complications is widely advised. The purpose of this study was to retrospectively analyze the outcome of 8 children who sustained a femoral neck fracture. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.injury.2019.01.043DOI Listing
February 2019

Bushen Yijing Fang Reduces Fall Risk in Late Postmenopausal Women with Osteopenia: A Randomized Double-blind and Placebo-controlled Trial.

Sci Rep 2019 Feb 14;9(1):2089. Epub 2019 Feb 14.

Institute for Advancing Translational Medicine in Bone & Joint Diseases, School of Chinese Medicine, Hong Kong Baptist University, Hong Kong SAR, China.

Falls in late postmenopausal women with osteopenia usually cause fractures with severe consequences. This 36-month randomized, double-blind and placebo-controlled trial with a 10-year observational follow-up study aimed to investigate the long-term effect of herbal formula Bushen Yijing Fang (BSYJF) on fall risk in the late postmenopausal women with osteopenia. 140 late postmenopausal women (Femoral neck T-score, -2. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1038/s41598-018-38335-3DOI Listing
February 2019

A scoring assessment tool for the risk of vertebral fractures in patients with type 2 diabetes mellitus.

Bone 2019 Feb 11. Epub 2019 Feb 11.

Department of Internal Medicine 1, Shimane University Faculty of Medicine, Shimane 693-8501, Japan. Electronic address:

Background: Development of assessment tool for fracture risk is an urgent task, because bone mineral density (BMD) is less useful for evaluating fracture risk in type 2 diabetes mellitus (T2DM).

Subjects And Methods: In total, 808 T2DM patients were enrolled in this cross-sectional study. To develop a scoring assessment tool using clinical risks for vertebral fracture (VF), we evaluated which variables were associated with VF by logistic regression analysis, and categorized these variables based on cut-off values obtained by using receiver operating characteristic (ROC) curves. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.bone.2019.02.003DOI Listing
February 2019

Biomechanical Test Following Removal of a Dynamic Hip Screw: In Vitro Analysis.

Cureus 2018 Dec 4;10(12):e3680. Epub 2018 Dec 4.

Orthopedics and Traumatology, Hospital Regional Do Gama, Brasilia, BRA.

The objective of this study was to evaluate, by means of a static flexural test, the biomechanical parameters necessary for the occurrence of a proximal femoral fracture in a synthetic bone model after the removal of a dynamic hip screw (DHS) and comparing the results obtained with a reinforcement technique using polymethylmethacrylate (PMMA). Twenty synthetic bones made of the same material and from the same manufacturer were used: ten units as the control group (CG), five units as the test group without reinforcement (TG), and five units as the test group with reinforcement (TGR). The biomechanical analysis was performed simulating a fall over the trochanter using a servo-hydraulic machine. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7759/cureus.3680DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6367115PMC
December 2018

Hip fracture care in Manitoba, Canada and New York State, United States: an analysis of administrative data.

CMAJ Open 2019 Jan-Mar;7(1):E55-E62. Epub 2019 Feb 11.

North American Observatory on Health Systems and Policies (Cram), Institute for Health Policy, Management and Evaluation, University of Toronto; Departments of Medicine (Cram) and Surgery (Gandhi), University of Toronto; Division of General Internal Medicine and Geriatrics (Cram), Sinai Health System and University Health Network, Toronto, Ont.; Departments of Community Health Sciences (Lix, Bohm, Yan, Roos), Surgery (Bohm) and Medicine (Leslie), University of Manitoba, Winnipeg, Man.; Biostatistics Research Unit (Matelski) and Arthritis Program (Gandhi), University Health Network, Toronto, Ont.; Department of Health Care Policy (Landon), Harvard Medical School; Division of General Medicine and Primary Care (Landon), Beth Israel Deaconess Medical Center, Boston, Mass.

Background: Nearly 30 years ago, a series of studies showed increased hip fracture mortality in Manitoba compared to the United States, but these data have not been updated. Our objective was to compare the organization of hip fracture care and short-term outcomes in Manitoba and New York State using contemporary data.

Methods: This was a retrospective cohort study of administrative data for all adults aged 50 years or more admitted to hospital with hip fracture between Jan. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.9778/cmajo.20180126DOI Listing
February 2019

Mid-term results with a neck-preserving femoral stem for total hip arthroplasty.

Hip Int 2018 Nov;28(2_suppl):28-34

1 Joint Replacement Division, Department of Orthopedic Surgery and Trauma, ASST Niguarda Hospital, Milan, Italy.

Introduction:: This prospective study aims to evaluate the mid-term clinical and radiological performance of a new short, neck-preserving femoral stem in total hip arthroplasty (THA).

Patients And Methods:: 178 consecutive patients (190 hips) underwent THA from November 2008 to July 2016. Mean follow-up is 62. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/1120700018813216DOI Listing
November 2018

Surgical prevention of femoral neck fractures in elderly osteoporotic patients: a randomised controlled study on the prevention nail system device.

Hip Int 2018 Nov;28(2_suppl):78-83

1 I.R.C.C.S. - Istituto Ortopedico Rizzoli, Bologna, Italy.

Introduction:: Hip fractures represent an enormous challenge for our health care system. The aim of this randomised controlled trial was to assess both efficacy and safety of a novel device called Prevention Nail System (PNS) and developed for the surgical prevention of a contralateral femoral neck fracture (FNF) in elderly osteoporotic patients.

Methods:: Primary outcome was to evaluate, in patients suffering from osteoporotic FNF, the effectiveness of PNS in reducing the incidence of a contralateral hip fracture. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/1120700018813207DOI Listing
November 2018

Hip fractures in children and adolescents.

Br Med Bull 2019 Feb 7. Epub 2019 Feb 7.

Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, 00100 Rome, Italy.

Background: Femoral neck fractures account for <1% of the fractures in children, and are produced by high energy trauma. The most commonly accepted treatment for such fractures is gentle manual anatomical reduction and internal fixation, yielding a healing rate between 80% and 90%.

Sources Of Data: Electronic search through major web databases (Medline, Cochrane and Google Scholar). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1093/bmb/ldz004DOI Listing
February 2019
1 Read

Diastolic dysfunction and acute kidney injury in elderly patients with femoral neck fracture.

Kidney Res Clin Pract 2019 Feb 11. Epub 2019 Feb 11.

Department of Internal Medicine, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea.

Background: Femoral neck fracture is common in the elderly population. Acute kidney injury (AKI) is an important risk factor for mortality in patients who have had such fracture. We evaluated the incidence of AKI in patients who had femoral neck fracture and identified risk factors for AKI and mortality. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.23876/j.krcp.18.0083DOI Listing
February 2019
1 Read

High prevalence of vertebral fractures and low trabecular bone score in patients with fragility fractures: A cross-sectional sub-study of NoFRACT.

Bone 2019 Feb 8;122:14-21. Epub 2019 Feb 8.

Department of Clinical Medicine, University of Oslo, Oslo, Norway; Department of Endocrinology, Morbid Obesity and Preventive Medicine, Oslo University Hospital, Oslo, Norway.

Purpose: Norway has among the highest incidence rates of fractures in the world. Vertebral fracture assessment (VFA) and trabecular bone score (TBS) provide information about fracture risk, but their importance have not been studied in Norwegian patients with fragility fractures. The objectives of this study were to examine the clinical characteristics of a cohort of women and men with fragility fractures, their prevalence of vertebral fractures using VFA and prevalence of low TBS, and explore the differences between the sexes and patients with and without vertebral fractures. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.bone.2019.02.008DOI Listing
February 2019
1 Read

Hemiarthroplasty of the Hip in a 52-Year-old Patient with Osteogenesis Imperfecta-Related Femoral Neck Fracture: A Case Report.

J Orthop Case Rep 2018 Sep-Oct;8(5):86-88

Department of Orthopedics and Trauma, CHUV Centre Hospitalier Universitaire Vaudois, Rue du Bugnon 46, 1011 Lausanne, Switzerland.

Introduction: Osteogenesis imperfecta (OI)-related femoral neck fractures are rare. This is rarely described in the literature. This article presents a way to surgically treat such a fracture. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.13107/jocr.2250-0685.1226DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6367281PMC
February 2019
1 Read

Standardization of torsional CT measurements of the lower limbs with threshold values for corrective osteotomy.

Arch Orthop Trauma Surg 2019 Feb 8. Epub 2019 Feb 8.

Department of Trauma Surgery, University Hospitals Leuven, 3000, Leuven, Belgium.

Introduction: Re-establishing anatomic rotational alignment of shaft fractures of the lower extremities remains challenging. Clinical evaluation in combination with radiological measurements is important in pre- and post-surgical assessment. Based on computed tomography (CT), a range of reference values for femoral torsion (FT) and tibial torsion (TT) have historically been reported, which require standardization to optimize the significant intra- and inter-observer variability. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00402-019-03139-1DOI Listing
February 2019
1 Read

Calciotropic Hormones and the Prevalence of Vertebral Fractures in Chinese Postmenopausal Women with Vitamin D Insufficiency: Peking Vertebral Fracture Study.

Calcif Tissue Int 2019 Feb 8. Epub 2019 Feb 8.

Department of Endocrinology, Key Laboratory of Endocrinology, Ministry of Health, Peking Union Medical College Hospital, National Commission of Health, Chinese Academy of Medical Science, No. 1 Shuaifuyuan, Wangfujing Street, Dongcheng District, Beijing, 100730, China.

This case-control study aimed to examine the effect of high serum parathyroid hormone (PTH) level, especially the effect of secondary hyperparathyroidism (SHPT) related to hypovitaminosis D, on bone metabolism and bone phenotypes. We included a total of 830 Chinese postmenopausal women aged ≥ 50 years with serum 25-hydroxyvitamin D (25(OH)D) level < 30 ng/ml, among whom 415 women had prevalent vertebral fractures (VFs) and others were age-matched controls. We measured serum levels of 25(OH)D, PTH and bone turnover markers (BTMs), which included C-terminal telopeptide of type I collagen (β-CTX), N-aminoterminal prepeptide of type I procollagen (P1NP) and osteocalcin (OC). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00223-019-00531-2DOI Listing
February 2019
1 Read

The relationship between femoral neck fracture in adult and avascular necrosis and nonunion: A retrospective study.

Ann Med Surg (Lond) 2019 Mar 26;39:5-9. Epub 2019 Jan 26.

Security Forces Hospital, Department of Orthopedic Surgery, Riyadh, Saudi Arabia.

Background: One of the most serious sequelae of femoral neck fractures (FNFs) is avascular necrosis (AVN), and this complication translates to significant morbidity and mortality. This study was conducted to determine the relationship between the etiologies and management of FNFs at our institution and the development of AVN or nonunion.

Materials And Methods: This study was a retrospective medical chart review of all adult patients admitted and managed for FNF. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.amsu.2019.01.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6357682PMC
March 2019
1 Read

Assessment of Bone Mineral Density of Patients with Spinocerebellar Ataxia Type 3.

J Mov Disord 2019 Jan 30;12(1):43-46. Epub 2019 Jan 30.

Nuclear Medicine Division, Department of Radiology, University of Campinas (UNICAMP), Campinas, São Paulo.

Objective: Machado-Joseph disease (MJD) is a spinocerebellar ataxia, and osteoporosis is a multifactor disease that may affect patients with neurologic conditions. The frequency of osteoporosis among MJD patients, however, has not been studied. The purpose of this study is to evaluate bone mineral density (BMD) and identify correlations between clinical factors and frequency of vertebral fractures in patients with MJD. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.14802/jmd.18041DOI Listing
January 2019
1 Read

Treatment of Peritrochanteric Femur Fractures with Proximal Femur Locked Plating.

J Orthop Trauma 2019 Jan 30. Epub 2019 Jan 30.

Wake Forest Baptist Medical Center.

Objectives: To report on our results using a proximal femoral locking plate for the treatment of peritrochanteric femur fractures DESIGN:: Retrospective SETTING:: Level I Academic Medical Center PATIENTS:: Sixty-eight patients with sixty- eight fractures INTERVENTION:: Demographics, fracture morphology, preoperative imaging, rationale against nailing, and outcomes were collected.

Main Outcome Measurements: Outcomes were grouped into no complication, minor complication, or major complication. Minor complications included healed fractures with implant failure or change in alignment from immediate post-operative radiographs which did not require intervention, or elective implant removal. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/BOT.0000000000001442DOI Listing
January 2019
2 Reads

The Role of Intraoperative Navigation in Orthopaedic Surgery.

J Am Acad Orthop Surg 2019 Feb 1. Epub 2019 Feb 1.

From the Department of Orthopaedic Surgery, Montefiore Medical Center, the Children's Hospital at Montefiore, and Albert Einstein College of Medicine, New York, NY.

An orthopaedic surgeon's knowledge of anatomical landmarks is crucial, but other modalities supplement this by providing guidance and feedback to a surgeon. Advances in imaging have enabled three-dimensional visualization of the surgical field and patient anatomy, whereas advances in computer technology have allowed for real-time tracking of instruments and implants. Together, these innovations have given rise to intraoperative navigation systems. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.5435/JAAOS-D-18-00478DOI Listing
February 2019
2 Reads

MiR-146a regulates osteogenic differentiation and proliferation of bone marrow stromal cells in traumatic femoral head necrosis.

Authors:
Y Kong Z-T Chen

Eur Rev Med Pharmacol Sci 2019 Jan;23(2):441-448

Department of Bone and Joint Surgery, Affiliated Hospital of Jining Medical University, Jining, China.

Objective:   To investigate the regulatory mechanism of micro ribonucleic acid (miR)-146a in osteogenic differentiation and proliferation of bone marrow stromal cells (BMSCs) in traumatic femoral head necrosis.

Patients And Methods: Femoral neck fracture patients undergoing surgery were divided into necrosis group and non-necrosis group. The expression level of miR-146a in BMSCs isolated from these patients was detected via quantitative Real Time-Polymerase Chain Reaction (qRT-PCR). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.26355/eurrev_201901_16853DOI Listing
January 2019
1 Read

Effect of abaloparatide on vertebral, nonvertebral, major osteoporotic, and clinical fractures in a subset of postmenopausal women at increased risk of fracture by FRAX probability.

Arch Osteoporos 2019 Feb 5;14(1):15. Epub 2019 Feb 5.

Centre for Metabolic Bone Diseases, University of Sheffield, Sheffield, UK.

We evaluated the efficacy of abaloparatide in women who were at increased risk for fracture, based on CHMP recommended risk thresholds, at the Abaloparatide Comparator Trial In Vertebral Endpoints (ACTIVE) study baseline. Among patients at high risk based on FRAX probabilities, 18 months of abaloparatide significantly decreased risk for all fracture endpoints compared with placebo.

Purpose: Abaloparatide, a novel anabolic agent for the treatment of postmenopausal osteoporosis, significantly reduced the risk of vertebral and nonvertebral fractures in the ACTIVE study compared with placebo. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11657-019-0564-7DOI Listing
February 2019
2 Reads

Acute Cholecystitis in Elderly Patients after Hip Fracture: a Nationwide Cohort Study.

J Korean Med Sci 2019 Feb 25;34(5):e36. Epub 2019 Jan 25.

Department of Orthopaedic Surgery, Eulji University Hospital, Daejeon, Korea.

Background: Because acute cholecystitis in elderly hip fracture is not easily distinguishable from other gastrointestinal symptoms and involves atypical clinical behaviors, it may not be diagnosed in the early stage. However, the exact incidences could not be reported. We utilized data from a nationwide claims database and attempted to assess the incidence of acute cholecystitis in elderly hip fracture patients and how cholecystitis affects mortality rates after hip fracture. Read More

View Article

Download full-text PDF

Source
https://synapse.koreamed.org/DOIx.php?id=10.3346/jkms.2019.3
Publisher Site
http://dx.doi.org/10.3346/jkms.2019.34.e36DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6356031PMC
February 2019
3 Reads

Dual mobility total hip arthroplasty in the treatment of femoral neck fractures: a retrospective evaluation at mid-term follow-up.

Acta Biomed 2019 01 10;90(1-S):98-103. Epub 2019 Jan 10.

.

Background And Aim Of The Work: Partial or total hip replacement is the method of choice for displaced femoral neck fractures (FNF) treatment. Dislocation is a major complication, accounting for about 3.8% of cases for hemiarthroplasty (HA) and 10% for total hip arthroplasty (THA). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.23750/abm.v90i1-S.8070DOI Listing
January 2019
1 Read

Perforated H-beam implant can be used in femoral neck fracture.

Proc Inst Mech Eng H 2019 Feb 3:954411919827041. Epub 2019 Feb 3.

5 Department of Mechanical Engineering, TOBB University of Economics and Technology, Ankara, Turkey.

This biomechanical study evaluated comparison osteosynthesis of the femoral neck fracture model by 3 cannulated screw implants and new perforated H beam implants under different loading conditions with 45 third generation right proximal femur bones. A standardized Pauwels Type 3 of the femoral neck fracture was performed in the femur models. For assessing the rigidity and strength of fixation methods, the proximal femur bones after their osteosynthesis were then mechanically tested in axial compression, and torsional and dynamic axial compression loading. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/0954411919827041DOI Listing
February 2019
2 Reads

High rate of reoperation and conversion to total hip arthroplasty after internal fixation of young femoral neck fractures: a population-based study of 796 patients.

Acta Orthop 2019 Feb;90(1):21-25

c Department of Orthopaedics , University of Maryland, R Adams Cowley Shock Trauma Center , Baltimore , MD , USA.

Background and purpose - Most often, the goal of non-geriatric femoral neck fracture surgery is to preserve the native hip joint. However, reoperations for painful implants, osteonecrosis, and nonunion are common. We determined the reoperation rate and time-to-reoperation following internal fixation of these fractures in a large population cohort. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/17453674.2018.1558380DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6366467PMC
February 2019
1 Read

Predictions of Birmingham hip resurfacing implant offset - In vitro and numerical models.

Comput Methods Biomech Biomed Engin 2019 Feb 4:1-12. Epub 2019 Feb 4.

b Institut de Mécanique et d'Ingénierie , Université de Bordeaux , Talence , France.

The number of hip resurfacing arthroplasty procedures has declined dramatically in recent years, for reasons related to the survival rate. Some studies suggest that metal particles are the main critical problem, but do not specify the effect of femoral position on the failure rate. The present study aims to analyze whether the positioning of the resurfacing head implant is important in the distribution of bone strains and in the risk of fracture of the femur. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/10255842.2018.1556973DOI Listing
February 2019
2 Reads

Postmenopausal osteoporotic fracture-associated COLIA1 variant impacts bone accretion in girls.

Bone 2019 Jan 31;121:221-226. Epub 2019 Jan 31.

Division of Human Genetics, Children's Hospital of Philadelphia, Philadelphia, PA, United States of America; Department of Genetics, University of Pennsylvania, Philadelphia, PA, United States of America; Center for Spatial and Functional Genomics, Children's Hospital of Philadelphia, Philadelphia, PA, United States of America. Electronic address:

Over the past two decades, a low frequency variant (rs1800012) within the first intron of the type I collagen alpha 1 (COLIA1) gene has been implicated in lower areal BMD (aBMD) and increased risk of osteoporotic fracture. This association is particularly strong in postmenopausal women, in whom net bone loss arises in the context of high bone turnover. High bone turnover also accompanies childhood linear growth; however, the role of rs1800012 in this stage of net bone accretion is less well understood. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S87563282193003
Publisher Site
http://dx.doi.org/10.1016/j.bone.2019.01.026DOI Listing
January 2019
3 Reads

The influence of pre-operative antiplatelet and anticoagulant agents on the outcomes in elderly patients undergoing early surgery for hip fracture.

J Orthop Sci 2019 Jan 29. Epub 2019 Jan 29.

Department of Orthopedic Surgery and Joint Reconstructive Surgery, Toyama Municipal Hospital, Toyama, Japan.

Background: Early surgery improves the prognosis of elderly patients with hip fractures. However, many patients take antiplatelet and anticoagulant therapies for comorbidities. This study compared perioperative outcomes and 1-year mortality rates with early surgery in elderly patients with hip fractures taking or not taking these agents preoperatively. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jos.2018.12.027DOI Listing
January 2019
2 Reads

Clinical decision support system for the management of osteoporosis compared to NOGG guidelines and an osteology specialist: a validation pilot study.

BMC Med Inform Decis Mak 2019 Feb 1;19(1):27. Epub 2019 Feb 1.

Landspitali - University Hospital, Reykjavik, Iceland.

Background: Although osteoporosis is an easily diagnosed and treatable condition, many individuals remain untreated. Clinical decision support systems might increase appropriate treatment of osteoporosis. We designed the Osteoporosis Advisor (OPAD), a computerized tool to support physicians managing osteoporosis at the point-of-care. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12911-019-0749-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6359836PMC
February 2019
1 Read

[A mini-incision on the anterior hip for pediatric femur neck fractures of type Delbet Ⅱ].

Zhonghua Wai Ke Za Zhi 2019 Feb;57(2):129-133

Department of Pediatric Orthopaedic, Children's Hospital, Nanjing Medical University, Nanjing 210019, China.

To investigate the early clinical outcomes of hip anterior short incision and open reduction and internal fixation for the treatment of children with Delbet Ⅱ femoral neck fracture. A retrospective analysis of 12 children with DelbetⅡ femoral neck fractures was performed with the anterior short incision approach at Department of Pediatric Orthopaedic, Children's Hospital, Nanjing Medical University from January 2014 to August 2016. There were 7 males and 5 females including 8 cases at left side and 4 cases at right side,aged (11. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3760/cma.j.issn.0529-5815.2019.02.011DOI Listing
February 2019
4 Reads

A left femoral artery to right femoral vein bypass graft for hemodialysis access: A case report.

Medicine (Baltimore) 2019 Feb;98(5):e14268

Department of Nephrology, Lishui Municipal Central Hospital, Lishui, Zhejiang Province, China.

Rationale: As survival prospects improve for long-term patients with hemodialysis, it is common for patients to exhaust all upper extremity access options before other avenues need exploration. The purpose of this case report was to describe our experience in creating a prosthetic graft between left femoral artery and right femoral vein in a patient with history of central venous occlusion and bilateral femoral neck fracture.

Patient Concerns: A female patient with hemodialysis exhausted all upper extremity access options along with bilateral femoral neck fracture. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/MD.0000000000014268DOI Listing
February 2019
1 Read
5.723 Impact Factor

Standardized hospital-based care programs improve geriatric hip fracture outcomes: an analysis of the ACS-NSQIP targeted hip fracture series.

J Orthop Trauma 2019 Jan 22. Epub 2019 Jan 22.

Department of Orthopaedic Surgery, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.

Objective: To determine relative complication rates and outcome measures in patients treated under a standardized hip fracture program (SHFP).

Methods: The American College of Surgeons National Surgical Quality Improvement Program was queried to identify patients who underwent operative fixation of femoral neck, intertrochanteric, and subtrochanteric hip fractures in 2016. Cohorts of patients who were and were not treated under a documented SHFP were identified. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/BOT.0000000000001443DOI Listing
January 2019
4 Reads

Practical Input on Bone Tumor Imaging: Pathological Fracture, Risk Features, and When to Contact Orthopaedics.

Semin Musculoskelet Radiol 2019 Feb 30;23(1):19-25. Epub 2019 Jan 30.

Department of Orthopedics, Kantonsspital Baden, Baden, Switzerland.

Awareness of risk factors associated with impending fracture and its radiologic appearance allows early diagnosis, supports prophylactic surgical treatment, and prevents the multiple complications of a pathologic fracture. Because the femur is the most common long bone affected by metastatic bone lesions, we address this clinically relevant site in this review. The key to early detection of risky bone lesions is familiarity with the possible clinical presentation, biomechanical effects of the anatomical site (femoral head and neck, intertrochanteric zone, proximal diaphysis), and the lesion types (lytic, blastic, or mixed). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0038-1675804DOI Listing
February 2019
3 Reads

Choice of three different intramedullary nails in the treatment of trochanteric fractures: Outcome, analysis and consideration in midterm.

Injury 2019 Jan 18. Epub 2019 Jan 18.

Department of Anatomical, Histological, Forensic Medicine and Orthopedic Science, Sapienza University of Rome, Italy.

The purpose of this study is to compare the results obtained using three different systems of osteosynthesis, developed for the surgical treatment of fractures of the trochanteric region of the femur, based on the principle intramedullary nailing: the Gamma nail, the Affixus nail and the ZNN nail. This is a retrospective study: 72 trochanteric fractures treated with the Gamma nail, 68 treated with the Affixus nail and 69 treated with the ZNN nail, between the years 2012 and 2014, with the prerequisite of a minimum follow-up of 18 months. The fractures were classified according to the AO system; the most commonly reported subtype was the A2 fracture. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.injury.2019.01.012DOI Listing
January 2019
2 Reads

Use of a Dual mobility cup to prevent hip early arthroplasty dislocation in patients at high falls risk.

Injury 2019 Jan 18. Epub 2019 Jan 18.

Orthopaedic Surgery Department, SS Annunziata Savigliano Hospital, Azienda Sanitaria Locale CN1, Via, Ospedali 14, Savigliano, Cuneo, Italy.

Introduction: Hip fracture is a common serious injury that occurs mainly in elderly. Dual-mobility hip arthroplasty or bipolar emiarthroplasty for its treatment remains a controversial decision. Co-morbidities and risk of fall represent additional aspects to be considered. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.injury.2019.01.022DOI Listing
January 2019
2 Reads

Abaloparatide: A new pharmacological option for osteoporosis.

Am J Health Syst Pharm 2019 Jan;76(3):130-135

Department of Pharmacy Practice, Presbyterian College School of Pharmacy, Clinton, SC.

Purpose: The efficacy and safety of abaloparatide, a parathyroid hormone-related protein analog for the treatment of osteoporosis in postmenopausal women at high fracture risk, is reviewed.

Summary: A MEDLINE search was conducted for full text English-language articles, using the terms abaloparatide, parathyroid hormone, and osteoporosis. Published articles pertinent to the short- and long-term efficacy and safety of abaloparatide among postmenopausal women with osteoporosis were reviewed and summarized. Read More

View Article

Download full-text PDF

Source
https://academic.oup.com/ajhp/article/76/3/130/5290437
Publisher Site
http://dx.doi.org/10.1093/ajhp/zxy022DOI Listing
January 2019
4 Reads

Influence of Smoking on Bone Mineral Density in Elderly Men.

Int J Prev Med 2018 24;9:111. Epub 2018 Dec 24.

Department of Internal Medicine, Rohani Hospital, Babol University of Medical Sciences, Babol, Iran.

Background: Smoking has deleterious effects on bone mass and is associated with the subsequent development of osteoporosis, particularly in elderly participants. The purpose of this study was to determine the influence of smoking in the elderly male smokers.

Methods: All male participants aged 60 years and older of the Amirkola cohort who performed bone densitometry entered the study. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/ijpvm.IJPVM_234_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6326023PMC
December 2018
1 Read

Traumatic hip fracture-dislocation: A middle-term follow up study and a proposal of new classification system of hip joint associated injury.

Injury 2019 Jan 17. Epub 2019 Jan 17.

Section of Orthopaedics and Trauma Surgery, Ospedali Riuniti, Ancona, Italy. Electronic address:

Traumatic hip fracture dislocation is a rare injury associated with high-energy trauma. Most of these injuries should be surgically treated. Hip dislocation is an orthopaedic emergency and reduction must be performed within 6-8 hours of trauma. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.injury.2019.01.011DOI Listing
January 2019

Locking Plate Fixation with Multiple Telescoping Sliding Screws for Femoral Neck Fractures.

Ortop Traumatol Rehabil 2018 Dec;20(6):493-498

Department of Orthopedics, Faculty of Medicine, Comenius University and The National Institute of Children's Diseases, Bratislava, Slovakia.

Background: Non-displaced femoral neck fractures are mostly treated with internal fixation, while in dis-placed fractures this surgical option is under debate and the benefits are still not clear. The purpose of this study was to identify the factors that affect the treatment of non-displaced and displaced hip fractures using a head-preserving plate.

Material And Methods: From August 2011 to May 2015, we reviewed eighty-two adult patients who had sustained undisplaced and displaced intracapsular femoral neck fracture treated with a locking plate system with telescoping sliding screws. Read More

View Article

Download full-text PDF

Source
December 2018
2 Reads

Change in Bone Density and Reduction in Fracture Risk: A Meta-Regression of Published Trials.

J Bone Miner Res 2019 Jan 23. Epub 2019 Jan 23.

Department of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA, USA.

Meta-analyses conducted >15 years ago reported that improvements in bone mineral density (BMD) were associated with reduction in vertebral and nonvertebral fractures in osteoporosis trials. Numerous studies have been conducted since then, incorporating new therapies with different mechanisms of action and enrolling many more subjects. To extend these prior analyses, we conducted a meta-regression of 38 placebo-controlled trials of 19 therapeutic agents to determine the association between improvements in BMD and reductions in fracture risk. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/jbmr.3641DOI Listing
January 2019
1 Read

The expression of chondrogenesis-related and arthritis-related genes in human ONFH cartilage with different Ficat stages.

PeerJ 2019 16;7:e6306. Epub 2019 Jan 16.

Department of Orthopedics, The Second Hospital of Jilin University, Changchun, Jilin, China.

Background: It has been well known that the degeneration of hip articular cartilage with osteonecrosis of the femoral head (ONFH) increases the instability of hip and accelerates the development process of ONFH. A better understanding of the expression of chondrogenesis-related and arthritis-related genes of cartilage along with the progression of ONFH seems to be essential for further insight into the molecular mechanisms of ONFH pathogenesis.

Methods: We analyzed the differentially expressed gene profile (GSE74089) of human hip articular cartilage with ONFH. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7717/peerj.6306DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6339479PMC
January 2019
2 Reads

Cementless total hip arthroplasty following failed internal fixation for femoral neck and intertrochanteric fractures: A comparative study with 3-13 years' follow-up of 96 consecutive patients.

Injury 2019 Jan 14. Epub 2019 Jan 14.

Department of Orthopaedic Surgery, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Yangsan, Republic of Korea. Electronic address:

Background: The aim of this study was to investigate the postoperative outcomes of cementless Total hip arthroplasty (THA) following failed internal fixation for femoral neck and intertrochanteric fractures.

Method: Ninety-six cementless THAs for failed internal fixation after femoral neck fracture (59, group I) and intertrochanteric fracture (37, group II) with a minimum follow-up of 3 years were analyzed. Clinical and radiologic evaluations were performed on all patients. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.injury.2019.01.018DOI Listing
January 2019
1 Read

Transtrochanteric approach can provide better postoperative care and lower complication rate in the treatment of hip fractures.

Clin Interv Aging 2019 14;14:137-143. Epub 2019 Jan 14.

Department of Orthopedics and Traumatology, Ankara Yildirim Beyazit University, Ankara 06800, Turkey,

Purpose: Dislocation is an important complication that increases the mortality, morbidity, and postoperative care following bipolar hemiarthroplasty. It is thought that the transtrochanteric approach that enables access to the femoral neck directly from the fracture line at the coronal plane of the greater trochanter without opening the posterior and anterior capsules could reduce the risk of dislocation. Additionally, it is argued that preservation of the external rotators could also be advantageous for patient rehabilitation and muscle strength. Read More

View Article

Download full-text PDF

Source
https://www.dovepress.com/transtrochanteric-approach-can-pro
Publisher Site
http://dx.doi.org/10.2147/CIA.S194880DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6336027PMC
January 2019
4 Reads

[WAITING TIME FOR SURGICAL FIXATION OF FEMORAL NECK FRACTURES: DOES A DIAGNOSIS-RELATED GROUP PAYMENT METHOD MATTER?]

Harefuah 2019 Jan;158(1):16-20

Division of Orthopedics, Hillel Yaffe Medical Center, Hadera, Israel.

Background: Early surgical fixation of femoral neck factures in elderly patients has been suggested to decrease morbidity and mortality and to improve treatment outcome. This study evaluates the effect of the implementation of a diagnosis-related group payment method in our hospital on waiting time for surgery and the short-term outcomes of elderly patients following surgical fixation of hip fractures.

Methods: Demographic and clinical characteristics of 75 consecutive patients, who underwent surgery for hip fracture in our hospital, before the implementation of a diagnosis-related group payment method, were compared with those of 75 consecutive patients, who were operated on after the implementation of the payment system. Read More

View Article

Download full-text PDF

Source
January 2019
2 Reads

The role of ADAMTS genes in the end stage of hip osteoarthritis.

Acta Orthop Traumatol Turc 2019 Jan 14. Epub 2019 Jan 14.

Department of Medical Biology, Gazi University Faculty of Medicine, Ankara, Turkey.

Purpose: The aim of this study is to investigate which ADAMTS genes play a major role in the development of primary hip osteoarthritis, by comparing the tissue and blood samples in patients with hip osteoarthritis and a control group.

Material And Methods: Human articular cartilage was obtained from femoral heads of 15 patients with end stage osteoarthritis undergoing total hip replacement. As the control group, the cartilages was obtained from femoral heads of 15 patients, who did not have osteoarthritis or degenerative changes in hip joint, undergoing hip replacement following the fracture of the femoral neck. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S1017995X183016
Publisher Site
http://dx.doi.org/10.1016/j.aott.2018.12.007DOI Listing
January 2019
6 Reads

Screw Fixation Versus Hemiarthroplasty for Nondisplaced Femoral Neck Fractures in Elderly Patients: A Multicenter Randomized Controlled Trial.

J Bone Joint Surg Am 2019 Jan;101(2):136-144

Department of Orthopaedic Surgery (F.C.D., S.B., and S.E.U.) and Health Services Research Unit (J.S.B.), Akershus University Hospital, Lørenskog, Norway.

Background: Elderly patients with a displaced femoral neck fracture treated with hip arthroplasty may have better function than those treated with internal fixation. We hypothesized that hemiarthroplasty would be superior to screw fixation with regard to hip function, mobility, pain, quality of life, and the risk of a reoperation in elderly patients with a nondisplaced femoral neck fracture.

Methods: In a multicenter randomized controlled trial (RCT), Norwegian patients ≥70 years of age with a nondisplaced (valgus impacted or truly nondisplaced) femoral neck fracture were allocated to screw fixation or hemiarthroplasty. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2106/JBJS.18.00316DOI Listing
January 2019
13 Reads

Trends in Utilization of Total Hip Arthroplasty for Femoral Neck Fractures in the United States.

Am J Orthop (Belle Mead NJ) 2018 Dec;47(12)

Department of Orthopaedics and Rehabilitation, University of Miami, 1400 NW 12th Ave, Miami, FL 33136, USA. Email:

The ideal mode of fixation for patients with femoral neck fractures is not well defined in the current literature. This study describes the recent trends in surgical management of femoral neck fractures with an analysis on perioperative outcomes. The National Hospital Discharge Survey was used to identify femoral neck fractures in the United States between 1990 and 2007 (n = 1,155,960) treated with open reduction and internal fixation (ORIF), total hip arthroplasty (THA), or hemiarthroplasty (HA). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.12788/ajo.2018.0103DOI Listing
December 2018
5 Reads

Transient osteoporosis of pregnancy in a case of postpartum bilateral femoral neck fracture.

Int J Reprod Biomed (Yazd) 2018 Oct;16(10):657

Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.

View Article

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6314643PMC
October 2018
1 Read

Circulating miR-103a-3p and miR-660-5p are associated with bone parameters in patients with controlled acromegaly.

Endocr Connect 2019 Jan;8(1):39-49

Endocrinology/Medicine Department, Hospital Sant Pau, Centro de Investigación Biomédica en Red de Enfermedades Raras (CIBERER, Unidad 747), IIB-Sant Pau, ISCIII and Universitat Autònoma de Barcelona (UAB), Barcelona, Spain.

Background Biochemical control of GH/IGF-I excess in acromegaly (ACRO) is associated with persistent impairment of trabecular microstructure leading to increased risk of vertebral fractures. Circulating miRNAs modulate the activity of osteoblasts and osteoclasts, and may be potential biomarkers of osteoporosis. Aims Identify differentially expressed miRNAs in the serum of patients with controlled ACRO vs controls and correlate miRNA levels with both biochemical and structural bone parameters. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1530/EC-18-0482DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6330718PMC
January 2019
2 Reads

The reliability of a Garden, AO and simple II stage classifications for intracapsular hip fractures.

Orthop Traumatol Surg Res 2019 Feb 10;105(1):29-33. Epub 2019 Jan 10.

Clinic of Rheumatology, Traumatology Orthopaedic and Reconstructive Surgery, Centre of Orthopedics and Traumatology, Medical Faculty, Vilnius University, Republican Vilnius University Hospital, Šiltnamių g. 29, LT-04130 Vilnius, Lithuania.

Introduction: Successful treatment starts by accurate classification of pathology, but there is no conclusive, reliable and universally accepted method for classification of intracapsular femoral neck fractures. As a perfect classification should have high intra- and interobserver agreement, this study aims to access reliability of three classification systems: Garden, AO and simple II stage classification.

Materials And Methods: Four orthopaedic trauma surgeons (two of them professors) and two senior orthopaedic trauma residents were invited to evaluated 136 blinded anterior-posterior and lateral X-rays of patients with femoral neck fractures. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.otsr.2018.11.007DOI Listing
February 2019
1 Read