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Children (Basel) 2022 Jun 18;9(6). Epub 2022 Jun 18.

Department of Orthopedics, University of Colorado Anschutz Medical Campus, Aurora, CO 80045, USA.

Background: Pediatric long-bone physeal fractures can lead to growth deformities. Previous studies have reported that physeal fractures make up 18-30% of total fractures. This study aimed to characterize physeal fractures with respect to sex, age, anatomic location, and Salter-Harris (SH) classification from a current multicenter national database. Read More

Harefuah 2022 Jun;161(6):361-366

Rambam Medical Center.

Introduction: Cycling in Israel: Cycling in Israel is a common sport which is considered to be beneficial to health. However, questions arise about its impact on bone health, due to publications reporting a decrease in bone density in cyclists and the presence of fractures that characterize a relatively older population in relatively young cyclists. Exercise and bone health: It has been proven that a sporty lifestyle, exercise in general and cycling in particular, lowers the chance of fractures of the proximal femur. Read More

BMC Musculoskelet Disord 2022 Jun 22;23(1):601. Epub 2022 Jun 22.

Department of Operation Room, The Second Affiliated Hospital and Yuying Children's Hospital of WenZhou Medical University, WenZhou, 325000, ZheJiang, China.

Background: Displacement of the lesser trochanter (LT) is not uncommon after managing intertrochanteric femoral fractures and the influence of nonunion of the LT-fragment on clinical outcomes remains controversial. This study aimed to investigate the relationship between the displacement distance and union of the LT-fragment and evaluate the influence of LT-fragment nonunion on hip function and complications.

Methods: This retrospective study included patients with intertrochanteric fractures and displaced LT treated with intramedullary fixation at Wenzhou Hospital of Integrated Traditional Chinese and Western Medicine from June 2015 to July 2017. Read More

Eur Rev Med Pharmacol Sci 2022 Jun;26(11):3872-3877

Department of Orthopedics, Dafeng People's Hospital, Yancheng, Jiangsu, China.

Objective: To explore the clinical effect of bone cement-enhanced Asian proximal femoral anti-rotation intramedullary nail (APFN) internal fixation in the treatment of elderly osteoporotic intertrochanteric fractures of the femur and provide it as a more robust treatment to elderly patients with osteoporotic intertrochanteric femoral fractures.

Patients And Methods: Between January 2017 and January 2019, 42 patients with osteoporotic intertrochanteric fractures in our hospital were selected. All patients were randomly divided into the proximal femoral anti-rotation intramedullary nail (PFNA) group and APFN group. Read More

J Orthop Trauma 2022 Jul;36(7):355-360

Department of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, AL; and.

Objective: To assess ballistic femoral shaft fracture outcomes in comparison with closed and open femoral shaft fractures sustained by blunt mechanisms. We hypothesized that ballistic femoral shaft fractures would have similar outcomes to blunt open fractures.

Design: Retrospective cohort study. Read More

J Orthop Trauma 2022 Jul;36(7):349-354

Department of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, MO.

Objectives: To document the prevalence of, and the effect on outcomes, operatively treated bilateral femur fractures treated using contemporary treatments.

Design: A retrospective cohort using data from the National Trauma Data Bank.

Participants: In total, 119,213 patients in the National Trauma Data Bank between the years 2007 and 2015 who had operatively treated femoral shaft fractures. Read More

J Orthop Trauma 2022 Jul;36(7):321

Department of Orthopaedic Surgery, Louisiana State University Health Sciences Center, New Orleans, LA.

Objective: To examine the impact of instituting a dedicated orthopaedic trauma operating room (DOTOR) at a Level I trauma center on diaphyseal femur fracture management.

Design: Retrospective cohort study.

Setting: Regional, university-based Level I trauma center. Read More

Unfallchirurgie (Heidelb) 2022 Jun 20. Epub 2022 Jun 20.

Berufsgenossenschaftliche Unfallklinik Frankfurt am Main, Unfallchirurgie und orthopädische Chirurgie, Friedberger Landstr. 430, 60389, Frankfurt am Main, Deutschland.

Clinical Issue: Fractures of the distal femur represent rare but serious injuries with a high 1‑year mortality. An increasingly older patient population requires adapted treatment concepts.

Standard Treatment Procedure: Surgical treatment using angular stable plating and retrograde nailing is the standard procedure. Read More

Comput Intell Neurosci 2022 24;2022:3557994. Epub 2022 May 24.

Department of Anesthesia Surgery, Changsha Fourth Hospital, Changsha 410006, Hunan, China.

This study was aimed to explore the anesthesia, analgesia, and nursing intervention scheme for elderly patients undergoing the operation of intertrochanteric fracture of femur under the guidance of ultrasound optimized by blind deblurring algorithm. Fifty elderly patients undergoing intertrochanteric femoral surgery were randomly enrolled into control group (tracheal intubation intravenous anesthesia + routine nursing) and experimental group (ultrasound-guided nerve block anesthesia + comprehensive nursing based on blind deblurring algorithm), with 25 patients in each group. The effects of anesthesia and recovery were evaluated in the two groups. Read More

Cureus 2022 May 17;14(5):e25063. Epub 2022 May 17.

Orthopaedic Surgery, St. Luke's University Health Network, Bethlehem, USA.

Background: While biomechanical and clinical studies detailing the equivalence and, sometimes, the superiority of cerclage wiring fixation compared to plate fixation in select fractures (Vancouver B1 and C) exist, no studies exist detailing outcomes after cerclage wiring fixation in all Vancouver B fracture types. This study explores whether there is a difference in clinical outcomes between Vancouver B fractures fixed with cerclage wiring and those without.

Methods: This retrospective multicenter study reviewed 295 patients from 2007 to 2018 with periprosthetic femur fractures. Read More

Acta Orthop Traumatol Turc 2022 May;56(3):228-231

Department of Orthopaedic Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Science, Okayama, Japan.

Osteochondral fractures of the medial femoral condyle accompanied by medial wall fracture are rare. Surgeons often have difficulty in selecting the most appropriate treatment, especially the plating technique for internal fixation since the available femoral locking plates are made to fit the femoral lateral condyle and there is no anatomical plate for the medial condyle. We, herein, report a case of a 44-year- old female patient who suffered from an osteochondral fracture of the medial femoral condyle accompanied by medial wall fracture treated by a low-profile mesh plate contoured to fit around the fracture site. Read More

Acta Orthop Traumatol Turc 2022 May;56(3):194-198

Department of Orthopaedics, Ufuk University, School of Medicine, Ankara, Turkey.

Objective: This study aimed to assess the treatment trends and the factors influencing the treatment methods of Orthopaedic Surgeons in closed, isolated, middle-third diaphyseal long bone fractures without any neurovascular injury in children.

Methods: This was a cross-sectional electronic survey of Turkish Orthopaedic Surgeons who were active members of the Turkish Society of Children's Orthopaedics (TSCO) and still managing the children's fractures in their daily clinical practice. An initial e-mail including the electronic survey followed by three reminder e-mails was sent to 110 members, and then reminder telephone calls were made. Read More

Acta Orthop Traumatol Turc 2022 05;56(3):173-177

Department of Orthopaedics and Traumatology, Yeditepe University, School of Medicine, İstanbul, Turkey.

Acta Orthop Traumatol Turc 2022 May;56(3):166-172

Department of Orthopedics and Traumatology, Bezmialem Vakıf University, School of Medicine, İstanbul, Turkey.

Objective: This study aimed to investigate biomechanically the effects of onlay fibula grafts on Vancouver Type B1 Periprosthetic Femoral Fractures (PPFs).

Methods: Vancouver Type B1 PFF models were created in 25 fourth-generation synthetic femurs and fixed with locking plates using bicortical, unicortical screws, and cables. While no graft was used in group 1, onlay fibula grafts were placed anteriorly in group 2 and medially in group 3. Read More

JBJS Case Connect 2022 04 8;12(2). Epub 2022 Jun 8.

Department of Orthopaedics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto Japan.

Case: A 77-year-old woman with bilateral symptomatic atypical femoral fractures (AFFs) and severe anterolateral bowing due to long-term bisphosphonate administration was treated using stainless elastic intramedullary nails. Weight-bearing pain disappeared immediately after surgery. Radiographs obtained 1 year postoperatively showed fracture healing. Read More

Injury 2022 May 26. Epub 2022 May 26.

Division of Orthopaedic Surgery, Department of Surgical Sciences, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town 7505, South Africa.

Background: Segmental femur fractures often pose management challenges regarding the optimal fixation choice and sequence of surgical events.

Methods: Retrospective review of clinical records and radiographic data of adult patients with segmental femur fractures treated by a conceptual radiographic cover-up test to determine the ideal fixation method between January 2019 and December 2020.

Results: Forty patients with 84 individual fractures underwent fracture fixation. Read More

Biomed Eng Online 2022 Jun 10;21(1):34. Epub 2022 Jun 10.

Department of Orthopaedic, General Hospital of Ningxia Medical University, Yinchuan, 750004, Ningxia, China.

Background: There are a variety of internal fixation methods for unstable femoral neck fractures (FNFs), but the best method is still unclear. Femoral neck system (FNS) is a dynamic angular stabilization system with cross screws, and is a new internal fixation implant designed for minimally invasive fixation of FNFs. In this study, we conducted a biomechanical comparison of FNS, InterTan nail and three cannulated screws for the treatment of Pauwels III FNFs and investigate the biomechanical properties of FNS. Read More

J Popul Ther Clin Pharmacol 2022 1;29(1):e71-e81. Epub 2022 Mar 1.

Federal State Institution «General Bureau of Medical and Social Expertise of Moscow" of the Ministry of Labour of the Russian federation, Moscow, Russia.

The study found that the 2013-2019 period saw a decrease in the incidence of primary disability caused by hip joint injuries among the adult population of Moscow. The level of primary disability averaged 0.09 ± 0. Read More

Clin Orthop Surg 2022 Jun 13;14(2):178-183. Epub 2022 May 13.

Department of Orthopaedic Surgery, Daegu Fatima Hospital, Daegu, Korea.

Background: Plate fixation for atypical femoral fractures has shown high failure rates compared to intramedullary nail fixation. The aim of this study was to evaluate the radiological results of patients treated with a plate and screws for atypical fractures of the femoral diaphysis.

Methods: This study was conducted retrospectively on 16 patients who had undergone internal fixation using plates for treatment of atypical femoral complete fractures from 2007 to 2015. Read More

Cureus 2022 May 5;14(5):e24747. Epub 2022 May 5.

Department of Orthopedic Surgery, State University of New York (SUNY) Upstate Medical University, Syracuse, USA.

A 63-year-old man with a comminuted spiral femoral shaft fracture was treated with closed reduction and internal fixation with a cephalomedullary nail. Two weeks postoperatively, one of the two static distal interlocking bolts began backing out and was removed. The nail ultimately migrated distally and perforated the knee joint at four months postoperatively. Read More

ACS Appl Bio Mater 2022 Jun 8;5(6):3013-3022. Epub 2022 Jun 8.

Department of Orthopedics and Traumatology, Kartal Dr. Lütfü Kırdar Training and Research Hospital, 34865 İstanbul, Turkey.

Femoral neck fractures (FNFs) are among the most common types of hip fractures. Particularly in young patients, these fractures require adequate fixation. These fractures, which are prevalent in elderly patients, are usually treated with implant applications. Read More

Indian J Orthop 2022 Jun 9;56(6):1101-1107. Epub 2022 Apr 9.

Department of Orthopaedics, Hamdard Institute of Medical Sciences and Research, New Delhi, India.

Intertrochanteric hip fractures are common orthopaedic injuries and the incidence is growing with increasing life expectancy. Several randomized controlled studies have shown the advantages of intramedullary devices over hip screw fixation in unstable intertrochanteric fractures. However, the proven advantage of the intramedullary device in stable intertrochanteric fractures, OTA (Orthopaedic Trauma Association) classification 31-A1 and some 31-A2 fractures are in less blood loss compared with standard hip screw fixation. Read More

J Pediatr Orthop 2022 Jul 10;42(6):e661-e666. Epub 2022 Mar 10.

Children's Orthopedic Center, Children's Hospital Los Angeles, Los Angeles, CA.

Background: The proximal femur is a common location for pathologic fractures in children, yet there is little published information regarding this injury. The purpose of this study was to investigate the outcomes of pediatric pathologic proximal femur fractures due to benign bone tumors.

Methods: A retrospective review of patients treated for pathologic proximal femur fractures from 2004 to 2018 was conducted. Read More

Injury 2022 Jul 21;53(7):2454-2461. Epub 2022 May 21.

Department of Orthopedics, Ramathibodi Hospital, 270, Rama VI Road, Ratchathewi, Bangkok, 10400, Thailand.

Background: Periprosthetic femoral fracture (PFF) is well-known complication in cementless hip arthroplasty (HA), especially in the elderly with osteoporosis. To prevent intraoperative PFFs during HA, prophylactic cerclage wiring on the calcar area during femoral broaching and implant insertion is recommended. However, biomechanical data on the benefits of cerclage wiring in osteoporotic bone during impaction are limited and controversial. Read More

J Orthop Surg Res 2022 Jun 3;17(1):292. Epub 2022 Jun 3.

Department of Clinical Sciences Lund, The Faculty of Medicine, Orthopedics, Lund University, Lund, Sweden.

Background: The treatments for trochanteric fractures try to regain early mobility and limit morbidity and risk of reoperations. The most currently used dynamic hip screw (DHS) and the proximal femoral nail (PFN) are both with pros and cons. We aimed to assess the comparative effectiveness of these interventions for trochanteric fractures by evaluating the surgical performance and postoperative outcomes. Read More

J Orthop Surg Res 2022 Jun 3;17(1):293. Epub 2022 Jun 3.

IRCCS Istituto Ortopedico Rizzoli, Ortopedia-Traumatologia e Chirurgia Protesica e dei Reimpianti d'Anca e Ginocchio, Bologna, Italy.

Background: Ceramic bearings are used in total hip arthroplasty due to their excellent wear behaviour and biocompatibility. The major concern related to their use is material brittleness, which significantly impacts on the risk of fracture of ceramic components. Fracture toughness improvement has contributed to the decrease in fracture rate, at least of the prosthetic head. Read More

Comput Math Methods Med 2022 24;2022:5070518. Epub 2022 May 24.

Department of Anesthesia Surgery Department, Changsha Fourth Hospital, Changsha, 410006 Hunan, China.

This research was aimed at analyzing the effect of humanized nursing intervention combined with computed tomography (CT) imaging in the surgical anesthesia of femur intertrochanteric fractures (FIF) in the elderly. An image reconstruction algorithm was proposed based on nonlocal mean (NLM) algorithm, which was named as ONLM, and its performance was analyzed. A total of 114 elderly patients with FIF were equally and randomly divided into a humanized nursing group (57 cases) and a routine nursing group (57 cases). Read More

Ulus Travma Acil Cerrahi Derg 2022 Jun;28(6):849-856

Department of Orthopaedics and Traumatology, Gaziosmanpaşa University Faculty of Medicine Hospital, Tokat-Turkey.

Background: C-reactive protein-to-lymphocyte ratio (CLR), C-reactive protein/albumin (CRP/ALB), and CRP are prognostic factors for outcome and survival in oncology and digestive surgery. CLR has not been studied for the prediction of mortality in hip fracture. The aim of this study is to investigate whether there is an association between pre-operative CLR, CRP/ALB, and CRP levels in patients with hip fracture and patient survival. Read More

J Ethnopharmacol 2022 Sep 29;295:115399. Epub 2022 May 29.

Shandong University of Traditional Chinese Medicine, Jinan, China. Electronic address:

Ethnopharmacological Relevance: Du-Zhong-Wan (DZW) is a traditional Chinese medicine (TCM) composed of Eucommia ulmoides Oliv. and Dipsacus asper Wall. ex C. Read More

Injury 2022 Jul 19;53(7):2389-2394. Epub 2022 May 19.

Department of Orthopaedic and Trauma Surgery, Fundacion Santa Fe de Bogotá, Universidad de los Andes.

Significant work has been done in recent years on treatment strategies for distal femur fractures. Inclusive reviews on periprosthetic fractures of distal femur have been carried out recently, but there is a lack of such reviews on the subject of native distal femur fractures in the recent literature. In this narrative review, we are set out to address the latest updates on geriatric non-periprosthetic distal femur fractures, and perform a rapid review over different treatment options, arriving at a summarized proposed treatment algorithm. Read More