18,841 results match your criteria Femur Injuries and Fractures


Intimate Partner Violence-Related Fractures in the United States: An 8 Year Review.

J Fam Violence 2019 Oct 3;34(7):601-609. Epub 2018 Oct 3.

University of Arkansas for Medical Sciences, College of Medicine.

Background: Fractures associated with intimate partner violence (IPV) are devastating injuries that can have lifelong implications. With exception to the facial region, there are very limited epidemiological reports describing the types and location of IPV-related fractures. The objective of this study is to review a national database and describe trends associated with IPV-related fractures. Read More

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http://dx.doi.org/10.1007/s10896-018-0007-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7318917PMC
October 2019

Femur, Tibia, and Fibula Fractures Secondary to Youth Soccer: A Descriptive Study and Review of the Literature.

Cureus 2020 May 18;12(5):e8185. Epub 2020 May 18.

Orthopaedic Surgery, Penn State Health Milton S. Hershey Medical Center, Hershey, USA.

Objectives Soccer is the most popular sport in the world and is one of the top sports with increased participation. Despite the vast and increasing numbers of soccer players, limited data are available on pediatric lower extremity injuries. In particular, the purpose of the study is to describe the epidemiology of femur, tibia, and fibula fractures secondary to youth soccer. Read More

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http://dx.doi.org/10.7759/cureus.8185DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7301417PMC

Hip Fracture Trends in America Between 2009 and 2016.

Geriatr Orthop Surg Rehabil 2020 28;11:2151459320929581. Epub 2020 May 28.

Rubin Institute for Advanced Orthopedics, Center for Joint Preservation and Replacement, Sinai Hospital of Baltimore, MD, USA.

Background: Hip fractures are a common condition associated with high morbidity and mortality. In this study, we assess (1) yearly incidences, (2) demographic factors, (3) postoperative outcomes, (4) primary diagnoses, and (5) primary procedures.

Materials And Methods: The National Inpatient Sample was queried for patients admitted with hip fractures from 2009 to 2016 (n = 2 761 850). Read More

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http://dx.doi.org/10.1177/2151459320929581DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7285936PMC

A preliminary experience with a new intramedullary nail for trochanteric fractures.

Acta Biomed 2020 05 30;91(4-S):122-127. Epub 2020 May 30.

Orthopedics and Traumatology Department, University of Catania, Italy.

Background And Aim Of The Work: The worldwide incidence of fractures of the proximal end of the femur is increasing as the average age of the population rises. The current surgical gold treatment standard is intramedullary nail fixation. The Authors present their experience with the D-Nail system for intertrochanteric femur fractures. Read More

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http://dx.doi.org/10.23750/abm.v91i4-S.9726DOI Listing

Trifocal Femoral Fracture Treated With an Intramedullary Nail Accompanied With Compression Bolts and Lag Screws: Case Presentation and Literature Review.

Cureus 2020 May 17;12(5):e8173. Epub 2020 May 17.

Orthopedics and Traumatology and Spine Surgery, General Hospital of Patras "Agios Andreas", Patras, GRC.

Ipsilateral combined fractures of the proximal femur, femoral shaft, and distal femur occur rarely with few published cases in the literature. These injures are classified as type 4 combined femoral fractures according to the classification of Lambiris et al. We present a rare case of a combined injury including an ipsilateral intertrochanteric fracture, a mid-shaft transverse femoral fracture, and a Y-shaped intra-articular fracture of distal femur in a 36-year-old man following a traffic accident. Read More

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http://dx.doi.org/10.7759/cureus.8173DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7296881PMC

Does Open Reduction in Intramedullary Nailing of Femur Shaft Fractures Adversely Affect the Outcome? A Retrospective Study.

Adv Orthop 2020 20;2020:7583204. Epub 2020 May 20.

Hamad Medical Corporation, Doha, Qatar.

Aim: This study aims to assess the results of open versus closed reduction in intramedullary nailing for femoral fractures and whether it delays union, predisposes to nonunion, or increases the rate of infection.

Materials And Methods: A retrospective review of all adult patients with isolated femoral shaft fractures treated by intramedullary nailing was done. The primary outcome is union rate, and the secondary outcomes are operation time and the infection rate. Read More

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http://dx.doi.org/10.1155/2020/7583204DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7273415PMC

Fat embolism syndrome with cerebral fat embolism through a patent foramen ovale: A case report.

Medicine (Baltimore) 2020 Jun;99(24):e20569

Department of Neurology, Baotou Central Hospital, Baotou, Inner, Mongolia Municipality, China.

Rationale: Fat embolism syndrome with cerebral fat embolism, rarely observed at our neurology department, is often associated with long bone fractures. Its diagnosis is based on medical history and supportive imaging data and is usually not difficult. However, its pathogenesis remains poorly understood. Read More

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http://dx.doi.org/10.1097/MD.0000000000020569DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7302682PMC

Percutaneous Intervention With Balloon-Expandable Covered Stent for the Treatment of Traumatic Aortic Pseudoaneurysm in a Paediatric Patient.

Cureus 2020 Jun 5;12(6):e8453. Epub 2020 Jun 5.

Radiology, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Jeddah, SAU.

In this report, we describe the case of a 13-year-old male who presented to our hospital after sustaining injuries from a motor vehicle accident (MVA). A full-body CT scan revealed multiple injuries, including subgaleal hematoma, hemorrhagic brain contusion, moderate-size aortic pseudoaneurysm with associated mediastinal hematoma, and multiple stable visceral organ lacerations. Additionally, there were numerous fractures, including in the right femur associated with large hematoma. Read More

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http://dx.doi.org/10.7759/cureus.8453DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7274260PMC

Prevalence of ligamentous knee injuries in pedestrian versus motor vehicle accidents.

BMC Musculoskelet Disord 2020 Jun 10;21(1):369. Epub 2020 Jun 10.

Department of Orthopedic Surgery, University of Oklahoma Health Sciences Center, 800 Stanton L Young Blvd, Oklahoma City, OK, 73104, USA.

Background: The purpose of this study was to determine the prevalence and characteristics of ligamentous knee injuries and to compare patient demographics, associated injuries and hospital stay to pedestrians who did not sustain a ligamentous knee injury.

Methods: A retrospective review of all adult patients presenting as pedestrians struck by a motor vehicle to a level 1 trauma center over a three-year period was performed. Demographics, length of stay, orthopedic and non-orthopedic traumatic injuries were recorded. Read More

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http://dx.doi.org/10.1186/s12891-020-03397-wDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7285463PMC

Hoffa's Fracture with Associated Injuries Around the Knee Joint: An Approach to a Rare Injury.

Cureus 2020 Apr 28;12(4):e7865. Epub 2020 Apr 28.

Orthopedics, Maharishi Markandeshwar (deemed to be University), Ambala, IND.

Fractures of the distal femur typically occur in the axial and sagittal planes. A Hoffa fracture is a coronal plane fracture of the femoral condyle, which accounts for 8.7% to 13% of distal femoral fractures. Read More

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http://dx.doi.org/10.7759/cureus.7865DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7255537PMC

Complication Rates after Lateral Plate Fixation of Periprosthetic Distal Femur Fractures: A Multicenter Study.

Injury 2020 May 22. Epub 2020 May 22.

Department of Orthopaedic Surgery, Stanford University, Stanford, CA.

Objective: Periprosthetic fractures of the distal femur can be challenging injuries to treat; nonunion rates of up to 22% have been reported. The purpose of this study was to determine the rate of complications and nonunion in a multicenter series, and to identify patient or surgical factors that were associated with nonunion.

Design: Retrospective comparative study SETTING: Three Level 1 trauma centers PATIENTS: Fifty-five patients with a periprosthetic distal femur fracture proximal to a total knee arthroplasty. Read More

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http://dx.doi.org/10.1016/j.injury.2020.05.009DOI Listing

Treatment of displaced intracapsular fractures of the femoral neck with total hip arthroplasty or hemiarthroplasty.

Bone Joint J 2020 Jun;102-B(6):693-698

Norfolk and Norwich University Hospital, Norwich, UK.

Aims: Despite few good-quality studies on the subject, total hip arthroplasty (THA) is increasingly being performed for displaced intracapsular fractures of the neck of femur. We compared outcomes of all patients with displacement of these fractures treated surgically over a ten-year period in one institution.

Methods: A total of 2,721 patients with intracapsular fractures of the femoral neck treated with either a cemented hemiarthroplasty or a THA at a single centre were retrospectively reviewed. Read More

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http://dx.doi.org/10.1302/0301-620X.102B6.BJJ-2019-1459.R1DOI Listing

Treatment of Periarticular Fractures of the Knee Using the Less Invasive Stabilization System: A Retrospective Clinical Trial.

Cureus 2020 Apr 22;12(4):e7773. Epub 2020 Apr 22.

Orthopaedics and Traumatology, Bursa Acıbadem Hospital, Bursa, TUR.

Introduction Periarticular fractures of the knee in adults are generally treated with internal fixation. The Less Invasive Stabilization System (LISS) plate, developed by Arbeitsgemeinschaft Osteosynthesefragen (AO)/Association for the Study of Internal Fixation (ASIF) in the late 1990s, allows reduction and biological fixation through smaller incisions without violating periosteal blood supply. It offers several advantages for the treatment of complex periarticular fractures of the knee. Read More

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http://dx.doi.org/10.7759/cureus.7773DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7243630PMC

Informed consent for surgery on neck of femur fractures: A multi-loop clinical audit.

Ann Med Surg (Lond) 2020 Jun 8;54:26-31. Epub 2020 Apr 8.

Trauma and Orthopaedics Department, Kettering General Hospital, Rothwell Road, Kettering, NN16 8UZ, UK.

Background: The Montgomery case in 2015 resulted in a pivotal change in practice, leading to a patient-centric approach for informed consent. Neck of femur (NOF) fractures are associated with a high rates perioperative morbidity and mortality. Using guidelines highlighted by the British Orthopaedic Association we performed a multi-loop audit within our department to assess the adequacy of informed consent for NOF fractures. Read More

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http://dx.doi.org/10.1016/j.amsu.2020.03.008DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7242500PMC

Soluble terminal complement activation fragment sC5b-9: a new serum biomarker for traumatic brain injury?

Eur J Trauma Emerg Surg 2020 May 25. Epub 2020 May 25.

Department of Orthopaedics, Denver Health Medical Center and University of Colorado School of Medicine, Denver, CO, 80204, USA.

Purpose: Terminal complement pathway activation after traumatic brain injury (TBI) leads to formation of the membrane attack complex (MAC/C5b-9) which induces neuronal cell death and host-mediated secondary brain injury. Serum levels of soluble MAC (sC5b-9) have not been previously determined in patients with isolated TBI.

Methods: A prospective observational cohort study was performed during a 5-year time-period on adult patients with isolated TBI admitted to an academic level I trauma center in the United States. Read More

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http://dx.doi.org/10.1007/s00068-020-01407-zDOI Listing

Lower limb paediatric trauma with bone and soft tissue loss: Ortho-plastic management and outcome in a major trauma centre.

Injury 2020 Jul 7;51(7):1576-1583. Epub 2020 May 7.

Limb Reconstruction Unit, Leeds General Infirmary, Leeds, UK.

Aim: We examined the management and outcome of patients suffering complex paediatric lower limb injuries with bone and soft tissue loss.

Method: Patients were identified from our prospective trauma database (2013-2018). Inclusion criteria were age (<18 years) and open lower-limb trauma. Read More

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http://dx.doi.org/10.1016/j.injury.2020.03.059DOI Listing

Comparison of surgical dislocation and impacting bone graft and surgical dislocation and rotational osteotomy for the treatment of ARCO III femoral head necrosis.

Medicine (Baltimore) 2020 May;99(20):e20215

Department of Orthopaedics, The Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China.

Hip preserving procedures are still a challenge in late-stage osteonecrosis of femoral head (ONFH) patients. We aimed to compare the clinical outcomes of surgical dislocation and impaction bone graft and surgical dislocation and rotational osteotomy for treatment of ONFH in Association Research Circulation Osseous (ARCO) stage III patients.We retrospectively reviewed 30 ARCO stage III patients (33 hips) who had surgical dislocation and impaction bone graft or surgical dislocation and rotational osteotomy in our center from June 2012 to December 2017. Read More

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http://dx.doi.org/10.1097/MD.0000000000020215DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7253930PMC
May 2020
5.723 Impact Factor

Removal of bent intramedullary nail: Two case reports.

Medicine (Baltimore) 2020 May;99(20):e19935

Department of Orthopaedic Surgery, Soonchunhyang University Hospital Seoul.

Introduction: The removal of bent intramedullary (IM) nail can become a challenge. Therefore, various methods have been reported for the extraction of nails after femoral refracture. We want to share our successful treatment. Read More

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http://dx.doi.org/10.1097/MD.0000000000019935DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7253536PMC

Proximal femur fractures in COVID-19 emergency: the experience of two Orthopedics and Traumatology Departments in the first eight weeks of the Italian epidemic.

Acta Biomed 2020 May 11;91(2):89-96. Epub 2020 May 11.

Orthopedic Clinic, Department of Medicine and Surgery, University Hospital of Parma, Parma, Italy.

Introduction: CoVID-19 (Coronavirus disease) is a worldwide infection which is causing millions of deaths. A significant number of elderly patients require hospitalization and develop serious and sometimes life-threatening complications. The aim of this study is to evaluate the preliminary impact (8 weeks) of CoVID-19, focusing on proximal femur fractures, analyzing data and results compared to the same period of 2019. Read More

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http://dx.doi.org/10.23750/abm.v91i2.9636DOI Listing

[Diagnostic imaging and classification of proximal femoral and tibia fractures in adults].

Radiologe 2020 Jun;60(6):523-531

Klinik und Poliklinik für Unfallchirurgie und Orthopädie, Uniklinikum Hamburg Eppendorf, Martinistraße 52, 20246, Hamburg, Deutschland.

Background: A confident diagnosis and classification of proximal femoral and tibia fractures are crucial to determine further therapeutic procedures.

Materials And Methods: In this article the current standards regarding diagnostic imaging of proximal femoral and tibia fractures are presented and the different classification systems are discussed.

Conclusions: Plain radiography in two planes remains the initial investigation of choice for suspected osseous injury. Read More

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http://dx.doi.org/10.1007/s00117-020-00691-5DOI Listing

Preliminary Presentation of Metastatic Non-Small Cell Carcinoma of the Lung as Atraumatic Avulsion Fracture of the Lesser Trochanter.

Case Rep Oncol 2020 Jan-Apr;13(1):436-441. Epub 2020 Apr 21.

Orthopaedic Department, Queen Elizabeth Hospital, Gateshead, United Kingdom.

Traumatic avulsion fractures of the lesser trochanter are usually seen along with fractures of the proximal femur and with young adolescents involved in high-intensity sporting injuries. Atraumatic isolated lesser trochanter avulsion in adults are most commonly associated with malignancy. We describe a case of a female in her sixties who was previously fit and healthy with no systemic illness and no history of trauma presenting with groin pain. Read More

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http://dx.doi.org/10.1159/000506451DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7204840PMC

[Minimally Invasive Cancellous Bone Graft Harvesting in Trauma Indication - Clinical Part of the Study].

Acta Chir Orthop Traumatol Cech 2020 ;87(2):108-113

Oddělení úrazové chirurgie Nemocnice České Budějovice, a.s.

PURPOSE OF THE STUDY The clinical prospective study presents the results of minimally invasive harvesting of cancellous bone tissue in trauma indications. We focused on evaluating the clinical outcomes of this technique, particularly on the amount of cancellous bone harvested, the effectiveness of its use and complications. The pain in the bone graft harvest site is evaluated and compared with the pain after a standard harvest from the iliac crest. Read More

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Complex Multiplanar Fracture of the Distal Femur with an Undescribed Pattern: A Case Report and Review of the Literature.

Cureus 2020 Apr 4;12(4):e7533. Epub 2020 Apr 4.

Orthopaedics, Post Graduate Institute of Medical Education and Research, Chandigarh, IND.

Distal femur fractures in younger age groups are associated with high-impact injury leading to severe comminution and soft tissue injuries. Most of the intra-articular distal femur fractures occur as a result of axial loading accompanied by a variable amount of flexion. An 18-year-old male patient who had met with a road traffic accident was brought to the trauma center. Read More

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http://dx.doi.org/10.7759/cureus.7533DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7198098PMC

Results of "Trochanteric Femoral Nailing (TFN)" in comminuted unstable trochanteric fractures.

Acta Orthop Belg 2019 Dec;85(4):525-534

Unstable trochanteric fractures and fractures with reverse obliquity pose difficulty in fixation. In recent years, intramedullary nails, for the treatment of comminuted and unstable intertrochanteric hip fractures, are becoming more popular relative to conventional, sliding hip screws. The purpose of our study was to evaluate the result of Trochanteric femoral nailing in comminuted, unstable Trochanteric femur fracture in terms of anatomical restoration and functional outcome. Read More

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December 2019

How much does saving femoral head cost after acetabular fracture? Comparison between ORIF and THA.

Acta Orthop Belg 2019 Dec;85(4):502-509

We performed a prospective study on patients with acetabular fractures treated either with internal fixation either with arthroplasty comparing clinical outcomes, quality of life, economic resources and cost efficacy in the first five years after surgery. Demographic data, diagnosis, index treatment, costs and subsequent surgeries were recorded. Patients were requested to fulfill Merle d'Aubigné and EQ-5D-5L questionnaires. Read More

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December 2019

ACR Appropriateness Criteria® Acute Trauma to the Knee.

J Am Coll Radiol 2020 May;17(5S):S12-S25

Specialty Chair, Mayo Clinic, Phoenix, Arizona.

Acute trauma to the knee is a common presentation seen in the emergency department. After a routine clinical examination, imaging is frequently performed to facilitate the diagnosis and almost always starts with radiographs. If clinically indicated, advanced cross-sectional imaging may then be performed for further evaluation. Read More

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http://dx.doi.org/10.1016/j.jacr.2020.01.041DOI Listing

Use of computed tomography and magnetic resonance imaging for occult neck of femur fractures: A single-centre study.

Emerg Med Australas 2020 May 1. Epub 2020 May 1.

Radiology Department, Austin Health, Melbourne, Victoria, Australia.

Objective: Neck of femur (NOF) fractures are common and serious injuries in the elderly. When a NOF fracture is suspected but is not clearly visible on radiographs, guidelines recommend magnetic resonance imaging (MRI), or computed tomography (CT) if MRI is not available/contraindicated. The aim of our study was to review the use of CT and subsequent MRI for suspected NOF fractures in patients with negative or equivocal radiographs. Read More

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http://dx.doi.org/10.1111/1742-6723.13524DOI Listing

Management of lower limb fractures in patients with spinal cord injuries.

ANZ J Surg 2020 May 1. Epub 2020 May 1.

Department of Orthopaedics and Trauma, Royal North Shore Hospital, Sydney, New South Wales, Australia.

Background: Low-energy fractures of the lower limb in patients post spinal cord injury (SCI) present significant management challenges. This is the first Australian study to review the experience from a tertiary referral SCI centre and aims to identify trends and suggest therapeutic options.

Methods: Retrospective review over a 5-year period in patients with SCI treated for a lower limb fragility fracture. Read More

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http://dx.doi.org/10.1111/ans.15924DOI Listing

Femoral arteriovenous fistula associated with surgery of proximal femoral fracture: a systematic review of the literature and case presentation.

Ann Transl Med 2020 Mar;8(6):291

Department of Thoracic and Cardiovascular Surgery, School of Medicine, Konkuk University, Konkuk University Chungju Hospital, Chungju-si, Chungbuk, Republic of Korea.

Background: Proximal femoral fracture (PFF), such as intertrochanteric femoral fracture or femur neck fracture, and its management are crucial issues to surgeons. PFF has been dramatically is becoming exponentially prevalent, and it is at high risk of complication and mortality because it is frequently associated with serious trauma and advanced age, especially in patients treated with anticoagulants or antiplatelet agents. Surgical management is essential for the treatment of PFF. Read More

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http://dx.doi.org/10.21037/atm.2020.03.08DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7186609PMC

[Treatment of femoral periprosthetic fracture of Vancouver type B1 and C with bridge combined internal fixation system].

Zhongguo Gu Shang 2020 Apr;33(4):371-5

Department of Orthopaedics, Changzhou 2nd People's Hospital Affilited to Nanjin Medcial University, Changzhou 213003, Jiangsu, China.

Objective: To evaluate the clinical effect of bridge combined internal fixation system in the treatment of periprosthesis fracture of femur after hip replacement.

Methods: From October 2016 to June 2018, 5 patients of periprosthesis fractures of femur classified type B1 and type C in Vancouver were treated by open reduction and bridging combined with internal fixation, including 2 males and 3 females, with ages of 68, 70, 74, 75, 79 years;type B1 fractures in 4 and type C fractures in 1. Causes of injury:1 case of traffic injury, 4 cases of fall. Read More

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http://dx.doi.org/10.12200/j.issn.1003-0034.2020.04.016DOI Listing

[Bridging system for severe comminuted femoral fracture].

Zhongguo Gu Shang 2020 Apr;33(4):332-6

Department of Orthopaedics, Huzhou Gospel Hospital, the 72nd Army Hospital of the PLA, Huzhou 313000, Zhejiang, China.

Objective: To explore the clinical effect of bridging system in the treatment of severe comminuted femoral fracture.

Methods: From March 2016 to October 2018, 50 patients with severe comminuted femoral fracture including 35 males and 15 females, aged 48 to 72(54.6±8. Read More

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http://dx.doi.org/10.12200/j.issn.1003-0034.2020.04.009DOI Listing

[Treatment of intertrochanteric fracture of femur with closed reduction of proximal femoral anti rotation intramedullary nail in supine position].

Zhongguo Gu Shang 2020 Apr;33(4):327-31

Orthopaedic Department, Liuan People's Hospital, Liuan Hospital Affiliated to Anhui Medical University, Liuan 237005, Anhui, China.

Objective: To investigate the effect and feasibility of closed reduction and internal fixation with PFNA in the treatment of intertrochanteric fracture of femur in the supine position without traction bed.

Methods: From June 2014 to March 2018, 45 patients with intertrochanteric fracture of femur who were treated and followed up were analyzed retrospectively. There were 21 males and 24 females, with an average age of 67. Read More

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http://dx.doi.org/10.12200/j.issn.1003-0034.2020.04.008DOI Listing

[Medium-term efficacy of bio-lengthened stem arthroplasty in the treatment of unstable intertrochanteric femoral fractures in elderly patients].

Zhongguo Gu Shang 2020 Apr;33(4):322-6

Department of Orthopaedics, the First People's Hospital of Huzhou, Huzhou 313000, Zhejiang, China.

Objective: To explore the clinical effect of bio lengthened stem arthroplasty replacement in the treatment of unstable intertrochanteric fractures in the elderly.

Methods: From January 2015 to January 2018, 64 elderly patients with unstable intertrochanteric fractures were analyzed retrospectively. According to the surgical treatment, patients were divided into arthroplasty replacement group (bio-lengthened stem arthroplasty replacement) and internal fixation group (PFNA). Read More

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http://dx.doi.org/10.12200/j.issn.1003-0034.2020.04.007DOI Listing

[Proximal femoral nail anti rotation under local anesthesia for femoral intertrochanteric fractures in high-risk patients].

Zhongguo Gu Shang 2020 Apr;33(4):317-21

Department of Orthopaedics, the Second Affiliated Hospital of Xuzhou Medical University, General Hospital of Xuzhou Mining Group, Xuzhou 221006, Jiangsu, China.

Objective: To compare the clinical efficacy under local anesthesia and general anesthesia proximal femoral nail anti-rotation(PFNA) fixation for intertrochanteric fracture of femur in high risk patients.

Methods: From February 2018 to February 2019, 32 patients underwent PFNA operation due to intertrochanteric fracture of femur, including 16 patients undergoing PFNA operation under local anesthesia, 9 males and 7 females, aged 54 to 98 (82.43±9. Read More

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http://dx.doi.org/10.12200/j.issn.1003-0034.2020.04.006DOI Listing

[A new type of adjustable weight bearing rehabilitation brace for lower limbs in postoperative rehabilitation of proximal femoral nail anti-rotation].

Zhongguo Gu Shang 2020 Apr;33(4):306-11

Department of Orthopaedics, the 909th Hospital of PLA, Affiliated Southeast Hospital of Xiamen University, Orthopaedic Center of People's Liberation Army, Zhangzhou 363000, Fujian, China.

Objective: To study and analyze the clinical effect of the self-developed new adjustable weight-bearing rehabilitation brace in the rehabilitation of the femoral intertrochanteric fracture after the operation of PFNA.

Methods: From July 2015 to June 2017, 62 patients with typeⅡ (Evans-Jensen classification) intertrochanteric fracture of femur were treated with PFNA internal fixation. There were 11 males and 19 females in the routine rehabilitation group, with an average age of (70. Read More

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http://dx.doi.org/10.12200/j.issn.1003-0034.2020.04.004DOI Listing

[Virtual reduction and personalized additional fixation by Mimics software in treatment of unstable external wall type intertrochanteric fracture with proximal femoral nail antirotation].

Zhongguo Gu Shang 2020 Apr;33(4):301-5

The Second Department of Orthopaedics, Jiangning Affiliated Hospital of Nanjing Medical University, Nanjing 211100, Jiangsu, China.

Objective: To explore the effect of Mimics assisted virtual reduction and personalized additional fixation with proximal femoral nail anti rotation in the treatment of unstable intertrochanteric fracture of lateral wall.

Methods: From January 2015 to June 2018, 11 cases of intertrochanteric fracture with unstable lateral wall injury were analyzed retrospectively, including 3 males and 8 females, aged 64 to 81 years old. There were 3 cases of A3. Read More

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http://dx.doi.org/10.12200/j.issn.1003-0034.2020.04.003DOI Listing

[Analysis of the related factors of fever of unknown causes before operation of intertrochanteric fracture in the elderly].

Zhongguo Gu Shang 2020 Apr;33(4):298-301

Department of Orthopaedics, the Second Affiliated Hospital of Zhejiang University of Traditional Chinese Medicine, Hangzhou 310005, Zhejiang, China.

Objective: To explore the related factors of fever of unknown causes before operation of intertrochanteric fracture of femur in the elderly.

Methods: From August 2015 to August 2018, 156 cases of intertrochanteric fracture of femur were treated by intramedullary nail fixation. According to the preoperative measurement, whether there was fever was divided into fever group and non fever group. Read More

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http://dx.doi.org/10.12200/j.issn.1003-0034.2020.04.002DOI Listing

When and where do patients with bone metastases actually break their femurs?

Bone Joint J 2020 May;102-B(5):638-645

PerSimiO, Personalized Simulation in Orthopedics, Inc, Beer-Sheva, Israel.

Aims: Accurate estimations of the risk of fracture due to metastatic bone disease in the femur is essential in order to avoid both under-treatment and over-treatment of patients with an impending pathological fracture. The purpose of the current retrospective in vivo study was to use CT-based finite element analyses (CTFEA) to identify a clear quantitative differentiating factor between patients who are at imminent risk of fracturing their femur and those who are not, and to identify the exact location of maximal weakness where the fracture is most likely to occur.

Methods: Data were collected on 82 patients with femoral metastatic bone disease, 41 of whom did not undergo prophylactic fixation. Read More

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http://dx.doi.org/10.1302/0301-620X.102B5.BJJ-2019-1328.R2DOI Listing

Comparative biomechanical testing of customized three-dimensional printing acetabular-wing plates for complex acetabular fractures.

Adv Clin Exp Med 2020 Apr;29(4):459-468

The Third Affiliated Hospital, Southern Medical University, Guangzhou, China.

Background: Three-dimensional (3D) printing of an acetabular wing-plate is a new minimally invasive surgical technique for complex acetabular fractures.

Objectives: To investigate the biomechanical stability of 3D printing acetabular wing-plates. The results were compared with 2 conventional fixation systems. Read More

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http://dx.doi.org/10.17219/acem/116749DOI Listing
April 2020
0.333 Impact Factor

Medial approach for the treatment of femur fractures in association with vascular injury.

Authors:
Bilgehan Tosun

Injury 2020 Jun 20;51(6):1367-1372. Epub 2020 Apr 20.

Kocaeli University, School of Medicine, Department of Orthopaedics and Traumatology, Uctepeler Mevkii Umuttepe Kampusu, 41380 Izmit, Turkey. Electronic address:

Introduction: To highlight an alternative method of treatment for femoral fractures associated with vascular injury, allowing both fracture fixation and vascular repair from the same surgical approach.

Design: Retrospective case series.

Methods: Twelve patients with arterial injury as a consequence of femoral fracture were treated by internal fixation. Read More

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http://dx.doi.org/10.1016/j.injury.2020.03.044DOI Listing

Evaluation of pediatric distal femoral physeal fractures and the factors impacting poor outcome requiring further corrective surgery.

J Pediatr Orthop B 2020 Apr 20. Epub 2020 Apr 20.

Pediatric Division, Department of Orthopaedic Surgery, Emory University School of Medicine, Atlanta, Georgia, USA.

Fractures of the distal femur carry a significant risk of physeal arrest and resulting growth complications which often require additional surgeries to correct the deformity. This study examines the risk of needing corrective procedures as a child approaches skeletal maturity. A retrospective analysis of patients treated at a single institution for distal femoral physeal fractures from 2000 to 2015 was performed. Read More

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http://dx.doi.org/10.1097/BPB.0000000000000733DOI Listing

[Analysis of risk factors for necrosis of femoral head after internal fixation surgery in young and mid-aged patients with femoral neck fracture].

Beijing Da Xue Xue Bao Yi Xue Ban 2020 Apr;52(2):290-297

Department of Orthopedics, Peking University Third Hospital, Beijing 100191, China.

Objective: To retrospectively analyze the risk factors of avascular necrosis of femoral head (ANFH) after internal fixation in young and mid-aged adults.

Methods: From January 2007 to December 2017, femoral neck fracture patients (18-60 years old) treated by reduction and internal fixation were retrospectively studied in Peking University Third Hospital. We recorded their gender, age, body mass index (BMI), American Society of Anesthesiology (ASA) grade, reason of injury, fracture side, interval between injury and surgery, location of fracture line, Garden classification, Pauwels classification, reduction method (open or closed), internal fixation and reduction quality. Read More

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Risk factors of perioperative blood transfusion in elderly patients with femoral intertrochanteric fracture.

Medicine (Baltimore) 2020 Apr;99(15):e19726

This study aimed to discuss the risk factors of perioperative blood transfusion after the application of proximal femoral nail antirotation (PFNA) in the treatment of elderly patients with femoral intertrochanteric fracture (FIF). Moreover, this study also aimed to analyze the causes of perioperative blood transfusion and provide guidance for clinical treatment.Records of elderly patients with FIF who were treated with PFNA in our hospital from September 2014 to May 2017 were reviewed. Read More

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http://dx.doi.org/10.1097/MD.0000000000019726DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7220097PMC

Comparison between teriparatide and bisphosphonates for improving bone mineral density in postmenopausal osteoporosis patients: A meta-analysis.

Medicine (Baltimore) 2020 Apr;99(15):e18964

Department of Orthopaedics, Suzhou Kowloon Hospital of Shanghai Jiangtong University School of Medicine.

Background: We performed a systematic review and meta-analysis of the efficacy and safety of teriparatide and bisphosphonates in managing postmenopausal osteoporosis.

Methods: PubMed, EMBASE, Web of Science, and China National Knowledge Infrastructure were searched for relevant randomized controlled trials that were published before April 2018 and compared teriparatide and bisphosphonates in treating postmenopausal osteoporosis. Stata 12. Read More

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http://dx.doi.org/10.1097/MD.0000000000018964DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7220409PMC

Bone remodeling features in elderly and senile patients with the proximal femur fractures after hip replacement.

Wiad Lek 2020 ;73(2):259-265

Kharkiv Medical Academy Of Postgraduate Education, Kharkiv, Ukraine.

Objective: The aim of this study is to identify the dependence of the result of surgical treatment of patients of elderly and senile age with fractures of the proximal femur on the characteristics of the response cytokine-mediated regulatory response to trauma and surgery.

Patients And Methods: Materials and methods: In 74 patients after hip arthroplasty, serum levels of bone metabolism markers were determined using enzyme-linked immunosorbent assay. Patients were divided into 2 groups depending on the results of treatment. Read More

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Optimal configuration for stability and magnetic resonance imaging quality in temporary external fixation of tibial plateau fractures.

Orthop Traumatol Surg Res 2020 Mar 31. Epub 2020 Mar 31.

Department of Orthopaedic Surgery, Louisiana State University Health Science Center, Shreveport, LA, United States. Electronic address:

Introduction: Temporary external fixation has been widely utilized in the stabilization of plateau fractures while waiting for an optimization of the soft tissue conditions before subsequent permanent internal fixation. Simultaneously, MRI is beneficial in the assessment of concomitant damage to ligaments and menisci so that these injuries could be promptly identified, and surgical planning executed at the time of definitive fixation of the bony injury. Increasing numbers of side-bars and pins have been previously suggested to increase frame rigidity, but at the same time, several studies have indicated the presence of MRI artifacts which may obscure key anatomical structures, even when MRI-compatible fixation devices are used. Read More

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http://dx.doi.org/10.1016/j.otsr.2019.12.025DOI Listing

[Femoral neck fracture in young adults: the goal is conservative treatment].

Authors:
Claire Bastard

Rev Prat 2019 Dec;69(10):1129-1130

Service de chirurgie orthopédique et traumatologique, hôpital Henri-Mondor, Créteil, France.

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December 2019

Pathogen identification in 84 Patients with post-traumatic osteomyelitis after limb fractures.

Ann Palliat Med 2020 03 17;9(2):451-458. Epub 2020 Mar 17.

Department of Orthopedics, Affiliated Hospital of Zunyi Medical University, Zunyi 563000, China; Joint Orthopaedic Research Center of Zunyi Medical University & University of Rochester Medical Center, Zunyi 563000, China.

Background: Chronic osteomyelitis is a serious complication of orthopedic trauma. Residual bacteria after incomplete debridement and/or bacterial colonization, bacterial biofilm formation, and generation of antibiotic-resistant bacterial strains in the microtubule system of compact bones due to irrational use of antibiotics often make the condition more prolonged, recurrent, and refractory. The passive immunotherapy targeting the protein components of bacteria has become an area of intense research interest, for which identifying the bacterial isolates in different areas at different time points remains a key step. Read More

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http://dx.doi.org/10.21037/apm.2020.03.29DOI Listing

Intravenous Iron May Improve Outcomes in Elderly Patients With Operative Hip Fractures.

Geriatr Orthop Surg Rehabil 2020 24;11:2151459320911844. Epub 2020 Mar 24.

Department of Orthopaedic Surgery, Cleveland Clinic Akron General, OH, USA.

Introduction: Hip fractures are common injuries with high morbidity and mortality rates. These patients often become anemic and require allogenic blood transfusion. Transfusions are costly with potential complications. Read More

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http://dx.doi.org/10.1177/2151459320911844DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7097875PMC