16,971 results match your criteria Femoral Neck Fracture

Protective Role of DHEAS in Age-related Changes in Bone Mass and Fracture Risk: A Mendelian Randomization Study.

J Clin Endocrinol Metab 2021 Jun 22. Epub 2021 Jun 22.

Department of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.

Purpose: Dehydroepiandrosterone sulfate (DHEAS) from the adrenal cortex substantially decreases with age, which may accelerate osteoporosis. However, the association of DHEAS with bone mineral density (BMD) and fracture is inconclusive. We conducted a Mendelian randomization (MR) analysis to investigate the role of DHEAS in age-related changes in BMD and fracture risk. Read More

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How to choose the suitable FNS specification in young patients with femoral neck fracture: A finite element analysis.

Injury 2021 May 29. Epub 2021 May 29.

The Second Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine, Guangzhou University of Chinese Medicine, Guangzhou 510006, China.

Background: Consensus regarding the optimal approach for the treatment of femoral neck fractures remains lacking. A new internal fixation femoral neck system (FNS) was developed and used in clinical practice. We aimed to investigate the biomechanical outcomes of different types of FNS in the treatment of unstable femoral neck fractures. Read More

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Cemented versus cementless bipolar hemiarthroplasty for femoral neck fractures in the elderly.

EFORT Open Rev 2021 May 4;6(5):380-386. Epub 2021 May 4.

Department of Orthopaedic Surgery, RWTH Aachen University, Aachen, Germany.

The management of femoral neck fractures remains controversial. Treatment options include a wide variety of internal fixation methods, unipolar or bipolar hemiarthroplasty or total hip replacement.We carried out a systematic review of the available literature to detect differences between cemented and cementless fixation of bipolar prostheses in treating femoral neck fractures in patients aged 60 years or older. Read More

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The Wnt pathway regulator expression levels and their relationship to bone metabolism in thoracolumbar osteoporotic vertebral compression fracture patients.

Am J Transl Res 2021 15;13(5):4812-4818. Epub 2021 May 15.

Department of Orthopedics, Zhujiang Hospital, Southern Medical University Guangzhou 510282, Guangdong Province, China.

Objective: To investigate of the Wnt pathway serum regulator expression levels and their relationship with bone metabolism (BM) in thoracolumbar osteoporotic vertebral compression fracture (OVCF) patients.

Methods: In this study, 40 healthy controls (group A), 33 osteoporotic patients (group B), and 47 thoracolumbar OVCF patients (group C) were recruited as the study cohort during the same period. The Wnt pathway serum regulator levels, bone density, BM-related inflammatory cytokines, bone formation markers, and bone resorption markers were compared among the three groups, and the correlation between the Wnt pathway serum regulators and BM was analyzed. Read More

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Stercoral colitis due to massive fecal impaction: a case report and literature review.

Radiol Case Rep 2021 Aug 8;16(8):1946-1950. Epub 2021 Jun 8.

Associate Professor of Radiology, Department of Radiology, Kabul University of Medical Sciences, Kabul, Afghanistan.

Stercoral colitis is a rare inflammatory condition involving the large bowel wall secondary to fecal impaction. Stercoral colitis has a clinical course ranging from non-complicated fecaloid impaction to colonic perforation. This case report aims to give a brief review of this condition and discuss its imaging findings. Read More

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Tip-neck distance ratio as a novel predictor for failure in cephalomedullary nailing of unstable trochanteric fractures (UTF).

Arch Orthop Trauma Surg 2021 Jun 19. Epub 2021 Jun 19.

Department of Orthopaedics, Ankara Bilkent City Hospital, Bilkent Bulvarı No: 1 Bilkent, Ankara, Turkey.

Objectives: Intertrochanteric femur fractures (ITFF) are frequently fixed with proximal femoral nailing (PFN), and a common cause of fixation failure is cut-out of the lag screws. In the literature, many factors have been defined to determine the failure risk, including the tip-apex distance (TAD), calcar-referenced tip-apex distance (CalTAD), the Cleveland zone and Parker's ratio. In this study, a novel technique is described which favors infero-posterior placement of the lag screw and predicts failure risk for PFN. Read More

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Relationships between Femoral Offset Change and Clinical Score following Bipolar Hip Arthroplasty in Femoral Neck Fractures.

Hip Pelvis 2021 Jun 4;33(2):78-86. Epub 2021 Jun 4.

Department of Orthopedic Surgery, College of Medicine, Dong-A University, Busan, Korea.

Purpose: This study aimed to investigate the relationship between femoral offset (FO) and clinical outcomes of patients with femoral neck fracture following bipolar hip arthroplasty (BHA).

Materials And Methods: Records for a total of 520 patients who underwent BHA for a femoral neck fracture between December 1, 2003, and September 30, 2018, were reviewed retrospectively. Patients with unclear medical records, a congenital deformity and preoperative trauma history of the hip, high-energy multiple trauma, or a history of neurodegenerative disease or cerebrovascular disease were excluded. Read More

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Outcomes of Wedge Wing in the Lag Screw for Unstable Intertrochanteric Fractures in Elderly Patients.

Hip Pelvis 2021 Jun 4;33(2):71-77. Epub 2021 Jun 4.

Department of Orthopedic Surgery, School of Medicine, Wonkwang University Hospital, Iksan, Korea.

Purpose: To evaluate clinical-functional and radiologic outcomes of elderly patients with an unstable intertrochanteric femur fracture treated with a wedge wing in the lag screw.

Materials And Methods: Forty-eight patients treated with the Dyna Locking Trochanteric nail (DLT nail) to resolve an unstable intertrochanteric femur fracture were reviewed retrospectively. Based on AO/OTA classification, Fracture 31-A2 (34 cases) and 31-A3 (14 cases) were included in the analysis. Read More

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Three dimensional CT analysis of the change in rotational alignment in double level osteotomy after double level osteotomy performed for varus osteoarthritic knees.

Asia Pac J Sports Med Arthrosc Rehabil Technol 2021 Jul 24;25:16-21. Epub 2021 May 24.

Department of Orthopaedic Surgery, Hyogo College of Medicine, 1-1 Mukogawa-cho, Nishinomiya, Hyogo, 663-8501, Japan.

Purpose: To analyze the change in rotational alignment caused by double level osteotomy (DLO) based on comparative three-dimensional image analysis of pre- and postoperative CT images.

Methods: Pre- and postoperative CT examination of the lower extremities were performed with informed consent for 39 consecutive knees undergoing DLO for varus knee deformity. The DLO procedure consisted of closed wedge distal femoral osteotomy (CWDFO) and open wedge high tibial osteotomy (OWHTO). Read More

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Long-term results after over 17 years - Intramedullary gliding nail as treatment for traumatic femoral neck fractures.

J Orthop 2021 Jul-Aug;26:1-7. Epub 2021 May 27.

ATORG - Aschaffenburg Trauma and Orthopaedic Research Group, Center for Orthopaedics, Trauma Surgery and Sports Medicine, Hospital Aschaffenburg-Alzenau, Am Hasenkopf 1, D-63739, Aschaffenburg, Germany.

Background: For the treatment of femoral neck fracture there are many different implants present on the market. Postoperative complications still exist.

Patients And Methods: The aim of this retrospective study was to evaluate the Gliding Nail in patients with medial femoral neck fractures and their long-term complications. Read More

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The Incidence of Fractures Among the Adult Population of Germany-an Analysis From 2009 through 2019.

Dtsch Arztebl Int 2021 Oct 8(Forthcoming). Epub 2021 Oct 8.

Background: Detailed analyses of epidemiological data on fractures are an important resource for persons and institutions providing health care services, as they yield information on the effects of current treatment strategies and on the need for preventive measures. The epidemiology of fractures in Germany, however, is unknown. The goal of this study is to determine the nationwide fracture burden from 2009 through 2019, as a function of anatomical site, age, and sex. Read More

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October 2021

Staged Total Hip Arthroplasty: A Novel Technique in Managing Native and Periprosthetic Acetabular Insufficiency.

Arthroplast Today 2021 Jun 31;9:78-82. Epub 2021 May 31.

Division of Orthopaedic Surgery, Southern Illinois University School of Medicine, Springfield, IL, USA.

Background: There is no consensus on how to best address acetabular insufficiency. Several described techniques have a high rate of loosening and most rely on fixation to intact innominate bones. They also require extensive exposure and expensive implants. Read More

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Surgical treatment of benign osteolytic lesions in the femoral head and neck: a systematic review.

BMC Musculoskelet Disord 2021 Jun 16;22(1):549. Epub 2021 Jun 16.

Musculoskeletal Tumor Center, Peking University People's Hospital, Beijing, 100044, China.

Background And Objectives: Treatment of benign osteolytic lesions in the femoral head and neck can be extremely challenging, particularly in children with open physis or for aggressive tumors with pathological fracture. There remains the difficult management decision as to whether to perform complete excision of the involved area or only curettage. Moreover, there is no agreed consensus on the optimal approach to lesion access when performing curettage, which included the transcervical, open and direct approach. Read More

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Time trends in hospital discharges in patients aged 85 years and older in Spain: data from the Spanish National Discharge Database (2000-2015).

BMC Geriatr 2021 Jun 16;21(1):371. Epub 2021 Jun 16.

Department of Internal Medicine, General University Hospital of Alicante-ISABIAL, Alicante, Spain.

Background: The aging population is an increasing concern in Western hospital systems. The aim of this study was to describe the main characteristics and hospitalization patterns in inpatients aged 85 years or more in Spain from 2000 to 2015.

Methods: Retrospective observational study analyzing data from the minimum basic data set, an administrative registry recording each hospital discharge in Spain since 1997. Read More

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Burden of osteoporosis in Vietnam: An analysis of population risk.

PLoS One 2021 16;16(6):e0252592. Epub 2021 Jun 16.

Bone and Muscle Research Group, Ton Duc Thang University, Ho Chi Minh, Vietnam.

Purpose: To estimate the proportion of men and women aged 50 years and older who would be classified as "high risk" for fracture and eligible for anti-fracture treatment.

Methods: The study involved 1421 women and 652 men aged 50 years and older, who were recruited from the general population in Ho Chi Minh City, Vietnam. Fracture history was ascertained from each individual. Read More

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Spontaneous subcapital femoral neck fracture complicating osteonecrosis of femoral head.

Acta Orthop Belg 2021 Mar;87(1):25-34

Spontaneous subcapital fracture (SSF) of femoral neck in pre-existent osteonecrosis of femoral head (ONFH) is a rare presentation. Only a few cases have been reported so far and majority of them have been reported to have unilateral hip involvement. We retrospectively reviewed clinical-radiological data of 10 patients (12 hips) with SSF complicating ONFH. Read More

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Differential diagnosis of acute traumatic hip pain in the elderly.

Acta Orthop Belg 2021 Mar;87(1):1-7

Elderly patients who present with an inability to weight bear following a fall, with normal radiographs, should be appropriately investigated to rule out an occult hip fracture (OHF). We aim to identify both the range and incidence of the differential diagnosis of acute traumatic hip pain in a large series of patients investigated for OHF. A retrospective analysis of consecutive patients investigated for an OHF with magnetic resonance imaging (MRI) was performed. Read More

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Tension-Sided Femoral Neck Stress Fracture in an Adolescent with Vitamin D Deficiency and Osteomalacia: A Case Report.

JBJS Case Connect 2021 06 15;11(2). Epub 2021 Jun 15.

Department of Pediatric Orthopaedics, Phoenix Children's Hospital, Phoenix, Arizona.

Case: An adolescent girl presented with groin pain without any history of trauma. Imaging showed a tension-sided stress fracture of the femoral neck. Vitamin D deficiency (VDD), and raised alkaline phosphatase and parathyroid hormone levels were found. Read More

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Flexible Intramedullary Nailing of Pediatric Femoral Fractures.

JBJS Essent Surg Tech 2021 Jan-Mar;11(1). Epub 2021 Mar 2.

Washington University in St. Louis, St. Louis, Missouri.

Background: Flexible intramedullary nailing is performed for femoral fractures in pediatric patients who may be too large for spica cast immobilization but who have substantial growth remaining and who are not a candidate for rigid intramedullary nailing. Flexible nailing allows the surgeon to obtain correct alignment of the femur fracture so as to allow for healing without a lower extremity deformity.

Description: The patient is positioned on a radiolucent table, flexible nails are chosen according to the diameter of the medullary canal, medial and lateral incisions are made along the distal aspect of the thigh, and access to the canal is obtained with use of a drill-bit of the appropriate size. Read More

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Management of lower extremity orthopaedic injuries in epileptic patients: A systematic review.

J Orthop 2021 May-Jun;25:278-282. Epub 2021 May 7.

Department of Orthopaedic Surgery and Rehabilitation Medicine, State University of New York (SUNY) Downstate Medical Center, Brooklyn, NY, USA.

Lower-extremity injuries may occur during seizures. There is a lack of standardized guidelines when diagnosing and planning perioperative care. Databases were systematically screened using predefined search terms. Read More

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A rare case of low voltage electrical injury leading to bilateral femur fractures and vertebral body fractures: A case report and review of the literature.

Int J Surg Case Rep 2021 Jun 9;84:106066. Epub 2021 Jun 9.

Department of Surgery, Division of Trauma and Surgical Critical Care, Kendall Regional Medical Center, Miami, FL, USA; University of South Florida, Tampa, FL, USA.

Introduction And Importance: Low voltage electrical injuries (less than 1000 V) can produce enough tetany to cause fractures, usually of the upper extremities. Simultaneous bilateral fractures of the femoral neck are an extremely rare occurrence. It is even more uncommon for a young healthy male to suffer significant fractures from a low voltage injury. Read More

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Muscular Cysticercosis: An Incidental Finding in the Developed World.

JBJS Case Connect 2021 06 10;11(2). Epub 2021 Jun 10.

Serviço de Ortopedia e Traumatologia, Centro Hospitalar Universitário de São João, Porto, Portugal.

Case: We present a case of muscular cysticercosis incidentally diagnosed in a patient admitted for a femoral neck fracture and submitted to total hip arthroplasty.

Conclusion: Human cysticercosis is a parasitic infection representing a major health concern in developing countries. The clinical features are variable and depend on the anatomic location, cyst burden, cysticerci stage, and host inflammatory response. Read More

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Comparison of complication profiles for femoral neck, intertrochanteric, and subtrochanteric geriatric hip fractures.

Arch Orthop Trauma Surg 2021 Jun 10. Epub 2021 Jun 10.

Department of Orthopaedic Surgery, David Geffen School of Medicine At UCLA, 10833 Le Conte Avenue, 76-143 CHS, Los Angeles, CA, 90095-6902, USA.

Introduction: Most geriatric hip fractures occur in the femoral neck (FN) and intertrochanteric (IT) regions of the femur, while a minority occur in the subtrochanteric (ST) region. Relative outcomes based on the anatomical subtype of fracture are not well studied. This study characterizes postoperative complications and outcomes of hip fractures distinguished by anatomic region. Read More

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No Consequence for Lateral View X-Ray in Displaced Proximal Femoral Fractures in the Elderly.

Front Surg 2021 24;8:652528. Epub 2021 May 24.

Trauma Department, Hannover Medical School, Hannover, Germany.

Due to demographic changes, proximal femoral fractures (PFF) in the elderly rise constantly. The standard diagnostic tool is still the X-ray of the pelvis/hip in two planes. Our hypothesis was that the lateral-view X-ray has little influence on classification, planning of the operative procedure, and choice of implant in geriatric patients. Read More

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Established Trauma Triage Score Predicts Risk of Falling After Femoral Neck Fracture Arthroplasty Surgery.

J Healthc Qual 2021 Jun 8. Epub 2021 Jun 8.

Introduction: The purpose of this study is to determine whether the Score for Trauma Triage in the Geriatric and Middle-Aged (STTGMA) patients is able to predict fall, fracture, periprosthetic fracture, or dislocation risk after femoral neck fracture arthroplasty surgery.

Methods: Four hundred one patients who underwent hip arthroplasty surgery after a femoral neck fracture at one urban academic medical center were stratified into groups based on their risk scores assigned at femoral neck fracture presentation. The cohort was reviewed for the occurrence of postdischarge falls, secondary fractures, and prosthetic dislocations that resulted in a presentation to the emergency department (ED) after discharge from their hip fracture surgery. Read More

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Clinical outcome of femoral neck system versus cannulated compression screws for fixation of femoral neck fracture in younger patients.

J Orthop Surg Res 2021 Jun 9;16(1):370. Epub 2021 Jun 9.

Department of Orthopaedics, Xuanwu Hospital Capital Medical University, Changchun Street 45, Xicheng District, Beijing, China.

Background: The clinical outcome of a new fixation device (femoral neck system, FNS) for femoral neck fractures remains unclear. The main purpose of this study was to evaluate two different internal fixation methods for the treatment of femoral neck fractures in patients aged under 60 years.

Methods: We retrospectively studied patients who underwent internal fixation surgery in our hospital for femoral neck fractures between January 2017 and January 2020. Read More

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Birth weight is positively associated with adult osteoporosis risk: observational and Mendelian randomization studies.

J Bone Miner Res 2021 Jun 9. Epub 2021 Jun 9.

Center for Genetic Epidemiology and Genomics, School of Public Health, Medical College of Soochow University, Suzhou, China.

The relationship between birth weight and osteoporosis was inconsistent in previous observational studies. Therefore, we performed a systematic evaluation to determine the inconsistent relationship and further make causal inference based on the UK Biobank datasets (~500,000 individuals) and individual/summary-level genetic datasets. Observational analyses found consistent negative associations either between birth weight and estimated bone mineral density (eBMD) or between genetic risk score (GRS) of birth weight and eBMD in total subjects, and sex-stratified subgroups. Read More

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Mapping of Vertical Femoral Neck Fractures in Young Patients Using Advanced 2 and 3-Dimensional Computed Tomography.

J Orthop Trauma 2021 Jun 5. Epub 2021 Jun 5.

Objective: To better describe the pathoanatomy of young patients' femoral neck fractures with the goal of improving surgeons' decisions for treatment including reduction and fixation.

Design: This is a retrospective study of patient records, plain radiographs, and the modern computed tomography scans to study the pathoanatomy of Pauwels II and III femoral neck fractures (coronal angle >30 degrees) in young adults.

Setting: One American College of Surgeons Level 1 trauma center. Read More

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