17,871 results match your criteria Femur Injuries and Fractures


Single-stage bilateral distal femur replacement for traumatic distal femur fractures.

Arthroplast Today 2019 Mar 5;5(1):26-31. Epub 2018 Dec 5.

Department of Orthopaedic Surgery, John Peter Smith Hospital, Fort Worth, TX, USA.

Treatment of periprosthetic distal femur fractures and comminuted intraarticular distal femur fractures with previous arthritis remains a difficult challenge for orthopedic surgeons. Previous case series have shown that distal femur replacement (DFR) can effectively compensate for bone loss, relieve knee pain, and allow for early ambulation in both of these fracture patterns. Owing to the typical low-energy mechanism of these injuries, a bilateral injury treated with DFR is rarely encountered. Read More

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http://dx.doi.org/10.1016/j.artd.2018.10.009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6470367PMC

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

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

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

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

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

Early Immunologic Response in Multiply Injured Patients With Orthopaedic Injuries Is Associated With Organ Dysfunction.

J Orthop Trauma 2019 May;33(5):220-228

Indiana University Health Methodist Hospital, Indianapolis, IN.

Objectives: To quantify the acute immunologic biomarker response in multiply injured patients with axial and lower extremity fractures and to explore associations with adverse short-term outcomes including organ dysfunction and nosocomial infection (NI).

Design: Prospective cohort study.

Setting: Level 1 academic trauma center. Read More

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http://dx.doi.org/10.1097/BOT.0000000000001437DOI Listing
May 2019
2 Reads

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

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

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

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

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

Locked intramedullary nailing using the sign nailing device.

Authors:
I C Nwagbara

Niger J Clin Pract 2019 Apr;22(4):485-491

Orthopaedic Surgery Unit, Imo State University Teaching Hospital, Orlu, Imo State, Nigeria.

Objective: Locked intramedullary nailing is the treatment of choice not only in diaphyseal fractures of long bone but also in most metaphyseal and periarticular fractures. In this study, we set out to present our experience with the Surgical Implant Generation Network (SIGN)] technique of locked intramedullary nailing in long bones that do not require the use of image intensifier, fracture table, and power reamers.

Patients And Methods: This was a hospital-based prospective descriptive study involving 54 consecutive patients seen over a 2-year period. Read More

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http://dx.doi.org/10.4103/njcp.njcp_245_18DOI Listing

Screening Laboratory Testing in Asymptomatic Minor Pediatric Blunt Trauma Leads to Unnecessary Needle Sticks.

Pediatr Emerg Care 2019 Apr 9. Epub 2019 Apr 9.

Saint Louis School of Medicine, St. Louis.

Objective: Screening blood work after minor injuries is common in pediatric trauma. The risk of missed injuries versus diagnostic necessity in an asymptomatic patient remains an ongoing debate. We evaluated the clinical utility of screening blood work in carefully selected asymptomatic children after minor trauma. Read More

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http://dx.doi.org/10.1097/PEC.0000000000001810DOI Listing
April 2019
1 Read

Use of external fixation for juxta-articular fractures in children.

Injury 2019 Mar 29. Epub 2019 Mar 29.

Russian Ilizarov Scientific Centre for Restorative Traumatology and Orthopaedics, Kurgan, Russian Federation. Electronic address:

In this article, the use of external fixation in the management of juxta-articular fractures in paediatric patients is discussed. Basic principles of Ilizarov technique are described for distal radial, distal femoral, distal humeral and distal tibial fractures. Common indications for external fixation in pediatric fractures are comminuted, complicated, and/or open fractures, particularly at the distal humerus, distal radius, distal femur and distal tibia. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00201383193016
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http://dx.doi.org/10.1016/j.injury.2019.03.043DOI Listing
March 2019
3 Reads

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

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

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

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

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

Malpractice Litigation Following Traumatic Fracture.

J Bone Joint Surg Am 2019 Apr;101(7):e27

Department of Orthopaedic Surgery, Warren Alpert Medical School of Brown University, Providence, Rhode Island.

Background: Poor clinical outcomes and adverse events following orthopaedic trauma are common, which may lead to litigation. To our knowledge, factors associated with litigation following fracture care have not previously been evaluated.

Methods: A retrospective review of fracture-related malpractice lawsuits from 1988 to 2015 was completed utilizing VerdictSearch (ALM Media Properties), a medicolegal database. Read More

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http://dx.doi.org/10.2106/JBJS.18.00853DOI Listing
April 2019
5 Reads

Biomechanical testing of hip protectors following the Canadian Standards Association express document.

Osteoporos Int 2019 Apr 2. Epub 2019 Apr 2.

School of Engineering, Cardiff University, Queens Buildings, 14-17 The Parade, Cardiff, Wales, CF24 3AA, UK.

A variety of hip protectors are available, but it is not clear which is the most effective and there is no standard test to evaluate their performance. This is the first study that uses a standard mechanical test on hip protectors. Some protectors perform well but others are almost ineffective, providing little to no protection to the wearer during a fall. Read More

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http://dx.doi.org/10.1007/s00198-019-04914-xDOI Listing
April 2019
4 Reads

Seizures Causing Simultaneous Bilateral Neck of Femur Fractures.

Case Rep Orthop 2019 27;2019:4570578. Epub 2019 Feb 27.

HOD Orthopaedics Northdale Hospital, Pietermaritzburg, South Africa.

Neck of femur fractures are a ubiquitous injury seen by orthopaedic surgeons. In the elderly, these fractures usually occur after a low energy fall, and are invariably unilateral injuries. Bilateral neck of femur fractures have been reported in patients with metabolic bone disease, after electroconvulsive therapy, and in association with stress fractures. Read More

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http://dx.doi.org/10.1155/2019/4570578DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6415288PMC
February 2019
4 Reads

Imaging of Pelvic and Femoral Fixation Hardware: Normal Findings and Hardware Failure.

Semin Musculoskelet Radiol 2019 Apr 29;23(2):e1-e19. Epub 2019 Mar 29.

Department of Orthopaedics, Banner Health and the University of Arizona-Tucson, Tucson, Arizona.

Good outcomes following treatment of pelvic ring injuries, acetabular fractures, and femur fractures rely on restoration of native pelvic or limb alignment, anatomical reduction and rigid stability of articular fractures, and early postoperative mobilization. Multiple surgical approaches, reduction aids, and orthopaedic implants are available to stabilize these fractures. Despite best practices, complications including hardware failure, nonunions, malunions, and infections occur. Read More

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http://dx.doi.org/10.1055/s-0039-1681048DOI Listing
April 2019
1 Read

Periprosthetic Tibial Fracture with Nonunion and Ascending Prosthetic Joint Infection: A Case Report of an Individual Treatment Strategy.

J Orthop Case Rep 2018 Nov-Dec;8(6):3-8

Department of Traumatology, Orthopaedics and Hand Surgery, Klinikum Südstadt Rostock, Südring 81, 18059 Rostock, Germany.

Introduction: Periprosthetic fractures are severe injuries that demand the surgeon's full expertise and special diagnostic and therapeutic strategies. A major complication is the occurrence of an infectious nonunion, including an ascending infection from the fracture site to the arthroplasty.

Case Report: This case report presents on a patient with a well-functioning revision total knee arthroplasty (TKA) who suffered a periprosthetic tibia fracture. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.1232DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6424315PMC
March 2019
1 Read

Challenges in the management of floating knee injuries: Results of treatment and outcomes of 224 consecutive cases in 10 years.

Injury 2019 Mar 19. Epub 2019 Mar 19.

Department of Orthopedics and Traumatology, Vito Fazzi Hospital, Lecce, Italy. Electronic address:

Introduction: Floating knee is a flail knee joint resulting from fractures of the shafts or adjacent metaphyses of the femur and the ipsilateral tibia. It is usually associated with several complications and mortality. This study was designed to present our experience with the treatment of this injury. Read More

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http://dx.doi.org/10.1016/j.injury.2019.03.016DOI Listing
March 2019
1 Read

Missed foot fractures in multiple trauma patients.

BMC Musculoskelet Disord 2019 Mar 25;20(1):121. Epub 2019 Mar 25.

Committee on Emergency Medicine, Intensive Care and Trauma Management, (Sektion NIS) of the German Trauma Society (DGU), Cologne, Germany.

Background: Missed or underestimated injuries are one of the central problems in trauma care. Foot injuries can easily be missed because they lay beyond the regularly screened field of a trauma computer tomography scan (CT scan). During primary and secondary survey a careful examination of the extremities often becomes of secondary interest in the severely injured patient. Read More

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http://dx.doi.org/10.1186/s12891-019-2501-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6434880PMC
March 2019
1 Read

External fixation for primary and definitive management of open long bone fractures: the Syrian war experience.

Int Orthop 2019 Mar 23. Epub 2019 Mar 23.

Department of Orthopaedic Surgery, Royal National Orthopaedic Hospital -NHS Trust, London, UK.

Aims: To report on the experience of one field hospital in using external fixation as a primary and definitive treatment for open long bone fractures during the Syrian war.

Methods: A total of 955 patients with open long bone fractures (femur, tibia, humerus) who were operated and followed up at a field hospital in Aleppo, Syria, from 2011 to 2016, were retrospectively reviewed. Different types of uniplanar and some multiplanar external fixators were used solely as a primary and definitive tool until bone union was achieved. Read More

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http://dx.doi.org/10.1007/s00264-019-04314-0DOI Listing
March 2019
1 Read

Forensic morphological signs characterizing stability of the femur, tibia and fibula during effect of external destructive load.

Authors:
Ivan G Savka

Wiad Lek 2019 ;72(2):198-200

Higher State Educational Establishment «Bukovinian State Medical University», Chernivtsi, Ukraine.

Objective: Introduction: Fractures of the lower limb bones very often become the subject of forensic expertise when experts have to determine the mechanisms of fracture formation, make retrospective restoration of conditions of their occurrence, solve the issues concerning the possibility of their formation under certain conditions. The aim of study is directed to investigation of morphological signs facilitating solidity of the osseous tissue of the lower limb long tubular bones, and therefore, promoting biochemical processes of their destruction in case of external traumatic impact.

Patients And Methods: Materials and methods: Expert investigations included 128 injuries of the long tubular bones of the lower limb: femoral bone - 40 cases, tibia - 46, fibula - 42. Read More

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January 2019
1 Read

The Frequency of Occult Intertrochanteric Fractures among Individuals with Isolated Greater Trochanteric Fractures.

Hip Pelvis 2019 Mar 5;31(1):23-32. Epub 2019 Mar 5.

Department of Orthopedic Surgery, The Catholic University of Korea, Bucheon St. Mary's Hospital, Bucheon, Korea.

Purpose: Isolated greater trochanteric (GT) fractures are often identified using plain radiography of patients with post-traumatic hip pain. In many cases, the fracture extends to form an occult intertrochanteric fracture. We conducted a study to determine the frequency of occult intertrochanteric fractures in patients diagnosed with isolated GT fractures using plain radiographs. Read More

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http://dx.doi.org/10.5371/hp.2019.31.1.23DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6414406PMC
March 2019
2 Reads

Incidence and risk of surgical site infection after adult femoral neck fractures treated by surgery: A retrospective case-control study.

Medicine (Baltimore) 2019 Mar;98(11):e14882

Department of Orthopaedic Surgery, The Third Hospital of Hebei Medical University.

Surgical site infections (SSI) are devastating complications after surgery for femoral neck fractures. There are a lot of literature have shown a strong association between diabetic patients and SSI. This study aimed to identify diabetes as an independent risk factor of SSI, focusing on femoral neck fractures, and to investigate the other potential risk factors for SSI. Read More

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http://dx.doi.org/10.1097/MD.0000000000014882DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6426521PMC
March 2019
3 Reads

Factors Associated With Nonaccidental Trauma Evaluation Among Patients Below 36 Months Old Presenting With Femur Fractures at a Level-1 Pediatric Trauma Center.

J Pediatr Orthop 2019 Apr;39(4):175-180

Division of Orthopaedic Surgery and Sports Medicine, Children's National Health System, Washington, DC.

Background: In 2009, the American Academy of Orthopedic Surgeons published clinical practice guidelines (CPGs) on the treatment of pediatric diaphyseal femur fractures, which recommended a nonaccidental trauma (NAT) evaluation for all patients below 36 months of age. A recent study of these guidelines found <50% clinical compliance with this treatment recommendation. We aimed to identify areas for improvement in compliance with this guideline. Read More

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http://dx.doi.org/10.1097/BPO.0000000000000911DOI Listing
April 2019
2 Reads

Hoffa fracture of the femoral condyle: Injury mechanism, classification, diagnosis, and treatment.

Medicine (Baltimore) 2019 Feb;98(8):e14633

Department of Orthopedic Surgery, The Third Hospital of Hebei Medical University, Orthopedic Research Institution of Hebei Province, Key Laboratory of Biomechanics of Hebei Province.

Background: Hoffa fractures are coronal-plane fractures of the femoral condyle, which are rarer than sagittal-plane condylar fractures. This study aimed to systematically review the clinical knowledge base of Hoffa fractures to facilitate the diagnosis and management of such injuries.

Methods: We searched Medline, Embase, Cochrane Library, Google Scholar, China National Knowledge Infrastructure, and China Biology Medicine disc, using the terms "Hoffa fracture" and "coronal fracture of femoral condyle. Read More

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http://dx.doi.org/10.1097/MD.0000000000014633DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6408088PMC
February 2019
2 Reads

[The prognostic value of the hip screw position in intertrochanteric fractures].

Orv Hetil 2019 Mar;160(9):338-342

Traumatológiai Klinika, Szegedi Tudományegyetem, Általános Orvostudományi Kar Szeged, Semmelweis u. 6., 6725.

Introduction: In our study, we analyzed one of the Hungarian population's most frequent injuries, the hip fracture, focusing mainly on the lateral femoral neck and the pertrochanteric fractures. According to the classification of the Swiss Association for Ostheosynthesis (AO), we focused on 31-A1 and 31-A2 fractures, the incidence of which increases by ageing.

Method: Between 2010 and 2016, we analyzed the data of 1179 patients. Read More

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http://dx.doi.org/10.1556/650.2019.31328DOI Listing
March 2019
1 Read

Towards a Non-Invasive Technique for Healing Assessment of Internally Fixated Femur.

Sensors (Basel) 2019 Feb 19;19(4). Epub 2019 Feb 19.

The Alfred Hospital, 55 Commercial Road, Melbourne, VIC 3004, Australia.

The lack of a quantitative method to adequately assess fractured bone healing that has undergone fixation limits prognostic capabilities on patients' optimal return to work. This paper addresses the use of vibrational analysis to monitor the state of healing of a plate-screw fixated femur and supplement the current clinical radiographic assessment. This experimental study involves an osteotomised composite femur specimen enclosed by modelling clay to simulate the damping effect of overlying soft tissues. Read More

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http://dx.doi.org/10.3390/s19040857DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6413011PMC
February 2019
1 Read

Bone callus formation is highly disrupted by dietary restriction in growing rats sustaining a femoral fracture1.

Acta Cir Bras 2019 Feb 14;34(1):e20190010000002. Epub 2019 Feb 14.

Full Professor, Department of Biomechanics, Medicine and Rehabilitation of the Locomotor System, School of Medicine, USP, Ribeirao Preto-SP, Brazil. Design, intellectual and scientific content of the study; manuscript preparation, critical revision, final approval.

Purpose: To evaluate the effects of food restriction on fracture healing in growing rats.

Methods: Sixty-eight male Wistar rats were assigned to two groups: (1) Control and (2) Dietary restriction. After weaning the dietary restricted animals were fed ad libitum for 42 days with 50% of the standard chow ingested by the control group. Read More

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http://dx.doi.org/10.1590/s0102-865020190010000002DOI Listing
February 2019
1 Read

Differences in magnetic resonance findings between symptomatic and asymptomatic pre-collapse osteonecrosis of the femoral head.

Eur J Radiol 2019 Mar 4;112:1-6. Epub 2019 Jan 4.

Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu University, 3-1-1, Maidashi, Higashi-ku, Fukuoka 812-8582, Japan. Electronic address:

Purpose: The purpose of this study was to assess the differences in magnetic resonance (MR) findings between the symptomatic and asymptomatic pre-collapse stage of osteonecrosis of the femoral head (ONFH).

Materials And Methods: This study reviewed 123 consecutive hips in 91 patients in the pre-collapse stage of ONFH based on plain radiographic findings. These 123 hips were divided into symptomatic and asymptomatic groups according to the pain domain score in the Harris hip score system. Read More

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http://dx.doi.org/10.1016/j.ejrad.2019.01.002DOI Listing
March 2019
1 Read

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

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https://linkinghub.elsevier.com/retrieve/pii/S00201383193004
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http://dx.doi.org/10.1016/j.injury.2019.01.043DOI Listing
February 2019
13 Reads

Incidence of surgical-site infection following open reduction and internal fixation of a distal femur fracture: An observational case-control study.

Medicine (Baltimore) 2019 Feb;98(7):e14547

Department of Orthopaedic Surgery.

Surgical-site infection (SSI) is a common complication in orthopedic surgery; however, SSI after surgically managed distal femur fractures was not well studied. The aim of this study was to investigate the incidence of SSI and identify some modifiable and nonmodifiable risk factors.The patients' electronic medical records (EMRs) were reviewed to identify those who sustained a distal femur fracture and treated by open reduction and internal fixation (ORIF) between March 2014 and February 2018. Read More

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http://dx.doi.org/10.1097/MD.0000000000014547DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6408021PMC
February 2019
3 Reads

Functional outcomes and quality of life in adult ipsilateral femur and tibia fractures.

J Orthop Translat 2019 Jan 5;16:53-61. Epub 2018 Sep 5.

Department of Orthopedics and Traumatology, Malatya Training and Research Hospital, Malatya, Turkey.

Objective: The aim of our study is to evaluate the functional outcomes and quality of life in adult ipsilateral femur and tibia fractures.

Methods: 26 patients (21 male, 5 female; mean age 30 years, range: 18 to 66) treated for adult ipsilateral femur and tibia fractures were evaluated retrospectively. For femur fractures, intramedullary nails were used in 15 patients (12 antegrade, 3 retrograde), plate in 11 patients (10 locked-plate, and 1 blade-plate with a 95 degree angle). Read More

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http://dx.doi.org/10.1016/j.jot.2018.08.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6350037PMC
January 2019
9 Reads

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

Proc Inst Mech Eng H 2019 Mar 3;233(3):354-361. 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

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http://dx.doi.org/10.1177/0954411919827041DOI Listing
March 2019
4 Reads

Damage control orthopaedics: State of the art.

World J Orthop 2019 Jan 18;10(1):1-13. Epub 2019 Jan 18.

Department of Orthopaedic Surgery and Traumatology, Hospital Costa del Sol, University of Malaga, Marbella 29603, Malaga, Spain.

Damage control orthopaedics (DCO) originally consisted of the provisional immobilisation of long bone - mainly femur - fractures in order to achieve the advantages of early treatment and to minimise the risk of complications, such as major pain, fat embolism, clotting, pathological inflammatory response, severe haemorrhage triggering the lethal triad, and the traumatic effects of major surgery on a patient who is already traumatised (the "second hit" effect). In recent years, new locations have been added to the DCO concept, such as injuries to the pelvis, spine and upper limbs. Nonetheless, this concept has not yet been validated in well-designed prospective studies, and much controversy remains. Read More

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https://www.wjgnet.com/2218-5836/full/v10/i1/1.htm
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http://dx.doi.org/10.5312/wjo.v10.i1.1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6354106PMC
January 2019
14 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

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

Is staged management with immediate conversion of external fixation to retrograde intramedullary nailing for combat-related Gustilo Type III supracondylar femur fractures safe and reliable method?

Injury 2019 Mar 14;50(3):764-769. Epub 2019 Jan 14.

Orthopaedia and Traumatology Department, Gulhane Training and Research Hospital, Ankara, Turkey. Electronic address:

Introduction: Femur fractures due to bomb explosions and gunshots in battlefield require osseous stabilization as quickly as possible to expedite emergent conditions. İmmediate external fixation is the initial procedure as usual with planned early conversion to definitive treatment. The purpose of the current study is to determine the results of the early retrograde intramedullary nailing in combat-related injuries. Read More

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http://dx.doi.org/10.1016/j.injury.2019.01.019DOI Listing
March 2019
3 Reads

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

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

Trabecular Bone Score (TBS) in Clinical Practice - Rewiev.

Ortop Traumatol Rehabil 2018 Oct;20(5):347-359

Zakład Chorób Kości i Stawów, Instytut Fizjoterapii, Uniwersytet Jagielloński - Collegium Medicum, Kraków, Polska / Department of Bone and Joint Diseases, Faculty of Health Sciences, Jagiellonian University Medical College, Krakow.

Bone mineral density (BMD) assessment is the basic method for assessing fracture risk and diagnosing osteoporosis according to the World Health Organization (WHO). Osteoporosis is diagnosed when the T-score at the proximal femur or spine is T≤-2.5; however, 70% of fractures occur in patients who do not fulfil this criterion. Read More

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http://dx.doi.org/10.5604/01.3001.0012.7281DOI Listing
October 2018
2 Reads

[Evolving concept in treatment of intertrochanteric fractures and development of internal fixation devices].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2019 01;33(1):1-7

Department of Orthopaedics, Chinese PLA General Hospital, Beijing, 100853,

Objective: To summarize the evolving concept in treatment of intertrochanteric fractures and the development of internal fixation devices.

Methods: Related literature concerning the implant devices to treat intertrochanteric fractures was reviewed and analyzed in terms of the biomechanical characteristics, clinical application, and complications.

Results: The treatment of intertrochanteric fractures has undergone an evolving concept from conservative treatment to surgical treatment. Read More

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http://dx.doi.org/10.7507/1002-1892.201809076DOI Listing
January 2019
1 Read

Biomechanical Comparison of Three Different Intramedullary Nails for Fixation of Unstable Basicervical Intertrochanteric Fractures of the Proximal Femur: Experimental Studies.

Biomed Res Int 2018 11;2018:7618079. Epub 2018 Dec 11.

Department of Orthopaedic Surgery, Hallym University Sacred Heart Hospital, Hallym University School of Medicine, Anyang, Republic of Korea.

Objectives: This biomechanical study was conducted to compare fixation stability of the proximal fragments and their mechanical characteristics in proximal femur models of unstable basicervical IT fractures fixed by cephalomedullary nailing using 3 different types of the femoral head fixation.

Methods: A total of 36 composite femurs corresponding to osteoporotic human bone were used. These specimens were fixed with Gamma 3 (hip screw type; group 1) in 12, Gamma 3 U-blade (screw-blade hybrid type; group 2) in 12, and proximal femoral nail antirotation-II (helical blade type; group 3) in 12, respectively, and an unstable basicervical IT fracture was created by an engraving machine. Read More

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https://www.hindawi.com/journals/bmri/2018/7618079/
Publisher Site
http://dx.doi.org/10.1155/2018/7618079DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6311316PMC
April 2019
12 Reads

Multicentre study of physical abuse and limb fractures in young children in the East Anglia Region, UK.

Arch Dis Child 2019 Jan 12. Epub 2019 Jan 12.

Department of Orthopaedics, West Suffolk Hospital, Suffolk, UK.

Objective: To determine if the detection of physical abuse in young children with fractures is of uniform high standard in the East Anglia Region of the UK, and whether we can identify areas for improvement in our detection of high-risk groups.

Design: Multicentre retrospective 4-year study.

Setting: 7 hospitals across the East Anglia Region of Britain (East Anglia Paediatric Physical Abuse and Fractures study). Read More

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http://adc.bmj.com/lookup/doi/10.1136/archdischild-2018-3150
Publisher Site
http://dx.doi.org/10.1136/archdischild-2018-315035DOI Listing
January 2019
10 Reads

Optimum Configuration of Cannulated Compression Screws for the Fixation of Unstable Femoral Neck Fractures: Finite Element Analysis Evaluation.

Biomed Res Int 2018 9;2018:1271762. Epub 2018 Dec 9.

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

Objectives: In the present study, we evaluated the mechanical outcome of different configurations of cannulated compression screws for the fixation of Pauwels type III femoral neck fracture and the stress distribution around the holes corresponding to fixation protocol after screws removal.

Methods: The Pauwels type III of femoral neck fracture was created in 3-matic software and the models of cannulated compression screws were constructed using UG-NX software. Five fixation systems were assembled to the fracture models. Read More

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https://www.hindawi.com/journals/bmri/2018/1271762/
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http://dx.doi.org/10.1155/2018/1271762DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6304632PMC
April 2019
15 Reads

Outcomes for Elderly Patients With Atypical Femoral Fractures Compared to Typical Femoral Fractures for Length of Stay, Discharge Destination, and 30-Day Mortality Rate.

Geriatr Orthop Surg Rehabil 2018 26;9:2151459318820222. Epub 2018 Dec 26.

Department of Trauma and Orthopaedics, King's College Hospital NHS Foundation Trust, Princess Royal University Hospital, London, United Kingdom.

Introduction: Despite increasing recognition of atypical femoral fractures (AFFs), there's conflicting evidence about incidence, aetiology, and short-term outcomes of these injuries. This study reports the incidence of AFFs at our center and compares the early postoperative outcomes against typical femoral fractures (TFFs).

Methods: A retrospective observational cohort study of patients presenting to our trauma unit between November 2015 and July 2016 was undertaken. Read More

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http://dx.doi.org/10.1177/2151459318820222DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6311535PMC
December 2018
3 Reads

[Femoral shaft fractures].

Unfallchirurg 2019 Jan;122(1):59-75

Klinik für Unfallchirurgie, Medizinische Hochschule Hannover (MHH), Hannover, Deutschland.

Femoral shaft fractures after completion of growth predominantly affect young people with healthy bones. The causes are mostly high-velocity traffic accidents, crushing or running over mechanisms and falls from a great height. Gunshot wounds are relatively rare in Germany but have a certain importance internationally and in military medicine. Read More

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http://dx.doi.org/10.1007/s00113-018-0591-7DOI Listing
January 2019
3 Reads

Analysis of femoral fracture post motor vehicle accidents.

Saudi Med J 2019 Jan;40(1):41-44

Department of Surgery, Orthopedic Division, King Abdulaziz Medical City, National Guard Health Affairs, Riyadh, Kingdom of Saudi Arabia. E-mail.

Objectives: To identify the prevalence of different types of femoral fractures post-motor vehicle accident (MVA) based on fracture location: proximal, middle and distal.

Methods: A cross-sectional study of all femoral fracture post-MVA x-ray charts carried out at the National Guard Hospital, Riyadh, Kingdom of Saudi Arabia between November 2007 to December 2013.

Results: Among the 471 patients reviewed, most fractures were in male (87%) compared with female (13%) victims, with breaks more in the right femur (56%) than the left femur (44%). Read More

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http://dx.doi.org/10.15537/smj.2019.1.21547DOI Listing
January 2019
2 Reads

[Bony knee injuries in childhood and adolescence].

Unfallchirurg 2019 Jan;122(1):6-16

Unfallchirurgische Abteilung, Landeskrankenhaus Horn, Spitalgasse 10, 3580, Horn, Österreich.

While fractures around the knee are known to be rare, physicians have encountered a rise in the frequency due to the increased participation of children and adolescents in high-impact sports at a younger age. Even if the treatment of fractures in some cases resembles that in adults, the diagnostics and treatment in childhood and adolescence require a hígh level of experience in order avoid possible sequelae and to enable early recognition. Thorough diagnostics using clinical and imaging investigations as well as a precise weighing up of the treatment are essential to minimize differences in leg length and axial malpositioning of the leg. Read More

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http://dx.doi.org/10.1007/s00113-018-0590-8DOI Listing
January 2019
2 Reads

[Isolated fracture of the lesser trochanter-What age-related differences are important?]

Unfallchirurg 2019 Jan 3. Epub 2019 Jan 3.

Klinik für Unfallchirurgie und Orthopädie 1, Westpfalz-Klinikum GmbH, Hellmut-Hartert-Str. 1, 67655, Kaiserslautern, Deutschland.

Isolated fractures of the lesser trochanter are very rare injuries. This case report describes the age-related differences based on two cases. A 13-year-old girl suffered an avulsion fracture of the lesser trochanter while sprinting. Read More

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http://dx.doi.org/10.1007/s00113-018-0594-4DOI Listing
January 2019
2 Reads

Practice variation in total hip arthroplasty versus hemiarthroplasty for treatment of fractured neck of femur in Australia.

Bone Joint J 2019 Jan;101-B(1):92-95

Australian Orthopaedic Association National Joint Replacement Registry, Adelaide, Australia.

Aims: Displaced femoral neck fractures (FNF) may be treated with partial (hemiarthroplasty, HA) or total hip arthroplasty (THA), with recent recommendations advising that THA be used in community-ambulant patients. This study aims to determine the association between the proportion of FNF treated with THA and year of surgery, day of the week, surgeon practice, and private versus public hospitals, adjusting for known confounders.

Patients And Methods: Data from 67 620 patients in the Australian Orthopaedic Association National Joint Replacement Registry (AOANJRR) from 1999 to 2016 inclusive were used to generate unadjusted and adjusted analyses of the associations between patient, time, surgeon and institution factors, and the proportion of FNF treated with THA. Read More

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https://online.boneandjoint.org.uk/doi/10.1302/0301-620X.101
Publisher Site
http://dx.doi.org/10.1302/0301-620X.101B1.BJJ-2018-0666.R1DOI Listing
January 2019
13 Reads

Higher 30-day mortality associated with the use of intramedullary nails compared with sliding hip screws for the treatment of trochanteric hip fractures: a prospective national registry study.

Bone Joint J 2019 01;101-B(1):83-91

Avon Orthopaedic Centre, Southmead Hospital, Bristol, UK.

Aims: The aim of this study was to investigate the association between the type of operation used to treat a trochanteric fracture of the hip and 30-day mortality.

Patients And Methods: Data on 82 990 patients from the National Hip Fracture Database were analyzed using generalized linear models with incremental case-mix adjustment for patient, non-surgical and surgical characteristics, and socioeconomic factors.

Results: The use of short and long intramedullary nails was associated with an increase in 30-day mortality (adjusted odds ratio (OR) 1. Read More

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http://dx.doi.org/10.1302/0301-620X.101B1.BJJ-2018-0601.R2DOI Listing
January 2019
7 Reads

Patterns of injury amongst cruise ship passengers requiring hospitalisation.

Int Marit Health 2018;69(4):243-247

Florida International University-Herbert Wertheim School of Medicine, Miami, Florida, USA.

Background: The number of commercial cruise ship passengers continues to rise and is projected to reach 27.2 million passengers worldwide in 2018. Accidental injury aboard these ships can result in serious morbidity and mortality. Read More

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https://journals.viamedica.pl/international_maritime_health/
Publisher Site
http://dx.doi.org/10.5603/IMH.2018.0039DOI Listing
April 2019
25 Reads

Simultaneous Bilateral Distal Femur and Tibia Periprosthetic Fractures after Total Knee Arthroplasty: A Rare Case Report.

J Orthop Case Rep 2018 May-Jun;8(3):74-76

Department of Orthopaedics, Star Hospitals, Hyderabad, Telangana, India.

Introduction: Incidence of periprosthetic fractures is increasing with the rising number of total knee arthroplasties performed every year. The management of such fractures is challenging due to multiple factors. We reported a rare case with simultaneous bilateral distal femur and tibia periprosthetic fractures managed with open reduction and internal fixation (ORIF) and healed uneventfully. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.1118DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6298706PMC
December 2018
2 Reads

Health-related quality of life in Romanian postmenopausal women with osteoporosis and fragility fractures.

Clin Interv Aging 2018 3;13:2465-2472. Epub 2018 Dec 3.

Department of Pharmacology, Toxicology and Clinical Pharmacology, Iuliu Haţieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.

Objectives: Osteoporosis is a common skeletal disorder characterized by decreased bone mass and increased susceptibility to fractures, which are associated with pain and decrease in physical function, social function, and well-being, which are all aspects of quality of life (QoL). The purpose of this study was to evaluate the burden of osteoporosis and fragility fractures in Romanian postmenopausal women from Cluj County using the 36-Item Short Form Health Survey (SF-36) and Quality of life questionnaire of the European Foundation for Osteoporosis (QUALEFFO-41) questionnaires.

Materials And Methods: An analytical cross-sectional study on 364 postmenopausal women was carried out between June 2016 and August 2017 in the Clinical Rehabilitation Hospital in Cluj-Napoca, Cluj County, Romania. Read More

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http://dx.doi.org/10.2147/CIA.S190440DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6284528PMC
February 2019
4 Reads