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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

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

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

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

Injury 2019 Jan 14. 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

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2019 Jan;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

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

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

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

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

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

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

Bone Joint J 2019 Jan;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

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

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

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

Maturitas 2019 Feb 27;120:61-67. Epub 2018 Nov 27.

Bone Metabolism Laboratory, Rheumatology Division, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, Brazil. Electronic address:

Background: Many vertebral fractures (VF) occur in individuals classified by DXA as being at low risk of fragility fractures. The aim of this study was to verify the association between VF and peripheral bone microarchitecture and strength parameters (SP) using, in addition to DXA, high-resolution peripheral quantitative computed tomography (HR-pQCT) and axial bone microarchitecture using the trabecular bone score (TBS).

Study Design: Cross-sectional study of 276 community-dwelling subjects aged ≥65 years from the SPAH study cohort. Read More

J Forensic Leg Med 2019 Feb 24;61:115-121. Epub 2018 Nov 24.

University of Brescia, Department of Medical and Surgical Specialities, Radiological Sciences and Public Health, Italy.

In paleopathology, biomechanics allows us to investigate traumas in ancient skeletal remains. The aim of our current research is to reconstruct pathomechanics, treatment and gait of an individual from a Late Medieval femur with evident bone callus. In particular, to reconstruct the dynamic of the trauma that caused the injury and the adopted therapeutic measures, taking into account medical knowledges of that time. Read More

Injury 2018 Dec 11. Epub 2018 Dec 11.

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

Khirurgiia (Mosk) 2018 (12):106-110

Department of Traumatology and Orthopedics Kursk State Medical University, Kursk, Russia.

Objective: To develop a program for the prediction and prevention of post-traumatic osteoarthritis of the knee joints.

Material And Methods: For the period 2012-2017. 155 patients were examined in the traumatology departments of the Municipal Hospital No. Read More

Arch Orthop Trauma Surg 2018 Dec 18. Epub 2018 Dec 18.

Department of Traumatology and Sports Injuries, Paracelsus Medical University Salzburg, Müllner Hauptstrasse 48, 5020, Salzburg, Austria.

Background: Dynamic hip screw (DHS) osteosynthesis represents one of the most frequently performed fixation methods in orthopedic practice. The purpose of this study was to determine the potential risk of vascular damage by DHS side-plate screws (PS) and plunging instruments for individual femoral vessels and screw positions.

Methods: In ten hemipelvic/leg specimens mounted with a large femur distractor, a DHS system with a four-hole side-plate was inserted. Read More

Medicine (Baltimore) 2018 Dec;97(49):e13502

Graduate Institute of Clinical Medicine.

Background: Fascia iliaca compartment block (FICB) provides an analgesic option for positioning before spinal anesthesia in patients suffering from a femur fracture. The evidence supporting FICB is still not well established. The aim of our study is to assess the efficacy and safety of FICB comparing with intravenous analgesic (IVA) on the quality for positioning before spinal anesthesia in participants with a femur fracture. Read More

J Pediatr Orthop 2019 Jan;39(1):e12-e17

Children's Healthcare of Atlanta.

Introduction: The insertion of 2 elastic stable intramedullary nails (ESINs) is a common treatment for pediatric femur fractures. However, the use of this technique in length-unstable or metadiaphyseal fractures has historically been associated with higher complication rates. To improve stability, the addition of a third ESIN has been assessed biomechanically and clinically, but the addition of a fourth nail has only been evaluated biomechanically. Read More

Indian J Orthop 2018 Nov-Dec;52(6):631-637

Orthopaedic Department, V. S. General Hospital, Ahmedabad, Gujarat, India.

Background: Floating knee is a condition resulting from high energy trauma usually associated with minor to life threatening injuries making it challanging to treat There are no studies available in literature describing cross leg sitting and squatting after surgical management of floating knee. This study analyzes prognostic factors, plan of management, functional outcomes (special attention to squatting and cross legged sitting), complications.

Materials And Methods: 52 patients with floating knee injuries treated over a period of 3 years were included in this study. Read More

J Am Acad Orthop Surg 2018 Dec 5. Epub 2018 Dec 5.

From the Department of Orthopaedic Surgery, The MetroHealth System, Case Western Reserve University, Cleveland, OH.

Introduction: Extremity involvement is common among nonfatal gunshot injuries. Most of these injuries are low energy in nature and may be associated with fractures. Although displaced fractures of lower extremity long bones are often treated surgically, the purpose of this study was to review our experience in managing incomplete femur fractures caused by gunshot penetration and to develop treatment recommendations. Read More

Ulus Travma Acil Cerrahi Derg 2018 Nov;24(6):581-586

Department of Orthopaedics and Traumatology, Ümraniye Training and Research Hospital, İstanbul-Turkey.

Background: The purpose of this study was to determine the comparative effectiveness of the use of single fluoroscopy versus double fluoroscopy during intramedullary nailing in the oblique position for intertrochanteric femur fractures in terms of surgery and radiation time.

Methods: Fifty-two patients (20 men, 32 women; average age: 78.2 years; range: 69-88 years) were included in the study. Read More

Adv Orthop 2018 28;2018:1326701. Epub 2018 Oct 28.

Department of Orthopedic Surgery, University of Toledo Medical Center, Toledo, OH 43614-5807, USA.

Subtrochanteric femur fractures are an uncommon injury in orthopedics, but when they are encountered they may present difficulties in management. The purpose of this paper is to examine the recent literature on the epidemiology, classification, initial evaluation, and definitely treatment for these injuries. These will assist the physician to determine the optimal treatment strategy and avoid potential surgical complication. Read More

Bone Joint J 2018 Dec;100-B(12):1618-1625

Department of Orthopaedics, Peterborough and Stamford Hospital NHS Foundation Trust, Peterborough City Hospital, Peterborough, UK.

Aims: This study describes and compares the operative management and outcomes in a consecutive case series of patients with dislocated hemiarthroplasties of the hip, and compares outcomes with those of patients not sustaining a dislocation.

Patients And Methods: Of 3326 consecutive patients treated with hemiarthroplasty for fractured neck of femur, 46 (1.4%) sustained dislocations. Read More

Mymensingh Med J 2018 Oct;27(4):798-804

Dr Md Saiful Islam, Associate Professor, Orthopedic Surgery, Community Based Medical College Bangladesh, Mymensingh.

We conducted a study to evaluate the reliability of the medial hemi-soleus muscle flap for wound coverage of infected open fracture of distal third of tibia. Wound coverage of exposed lower third tibia and ankle region remains a difficult task. Muscle flaps are preferred for infected wounds especially where there are exposed bone, joint and/or tendons. Read More

J Ayub Med Coll Abbottabad 2018 Jul-Sep;30(3):463-467

SUNY Upstate Medical University, United States.

Salter-Harris type I fractures of the distal tibia are commonly seen in paediatrics and management of such fractures follows an algorithm established in the literature. Despite this, osteonecrosis of the distal tibia can subsequently develop. Osteonecrosis or avascular necrosis is cell death that occurs secondary to trauma, metabolic disturbances, sickle cell disease, or medication side effect. Read More

J Pediatr Orthop 2018 Nov 13. Epub 2018 Nov 13.

Department of Orthopedic Surgery, Washington University School of Medicine, Saint Louis Children's Hospital, St. Louis, MO.

Background: Opioids are a commonly utilized component of pain management following pediatric extremity fractures, yet an increasing number of adolescents and children are falling victim to their negative effects. The purpose of this study was to examine opioid use in the pediatric fracture population by determining and comparing the average hospital opioid dosage utilized in the operative pediatric elbow and femur fractures and determining and comparing the average dose prescribed following operative treatment of elbow and femur fractures.

Methods: All elbow and femur fractures treated operatively between January and December 2016 were identified. Read More

Int J Nanomedicine 2018 18;13:6625-6636. Epub 2018 Oct 18.

College of Physical Science and Technology, Sichuan University, Chengdu, People's Republic of China,

Objective: To evaluate the internal fixation effect of nano-calcium-deficient hydroxyapatite/poly-amino acid (n-CDHA/PAA) composite screws in the intraarticular fracture model.

Materials And Methods: A total of 35 New Zealand White rabbits were used in a bilateral femoral intercondylar fracture model and randomly divided into two groups. n-CDHA/PAA screws were used in the experimental group, and medical metal screws were used in the control group. Read More

J Clin Neurosci 2019 Jan 7;59:224-228. Epub 2018 Nov 7.

Department of Neurology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, China. Electronic address:

Stroke is one of the most devastating complications after bone fracture. However, due to the rarity of the complication, the risk factor for post fracture stroke remains unknown. We retrospectively reviewed 2914 fractured adults referred to the first affiliated hospital of Xi'an Jiaotong University, a regional referral center of China, from January 2008 to May 2013. Read More

Medicine (Baltimore) 2018 Oct;97(43):e12876

Orthopaedic Center of People's Liberation Army, the Affiliated Southeast Hospital of Xiamen University, Zhangzhou.

Rationale: Garden type I femoral neck fractures are incomplete stable fractures with impaction in valgus fractures that the question of whether there exists Garden type I femoral neck fracture is currently uncertain. There is still disagreement on the existence of the Garden type I fractures.

Patient Concerns: Herein we report 2 cases with the Garden type I femoral neck fractures. Read More

Aging Clin Exp Res 2018 Dec 7;30(12):1429-1435. Epub 2018 Nov 7.

Division of Physical and Rehabilitation Medicine, Department of Surgical Sciences, University of Turin, Corso Bramante 88, 10128, Turin, Italy.

Background And Aims: Subjects with osteosarcopenia, the concurrent presence of sarcopenia and osteoporosis, have prognostic disadvantages and can benefit from treatments targeted at both the conditions. Our aim was to elucidate whether the available definitions of low appendicular lean mass (aLM) capture or not the men with associated low bone mineral density (BMD) following a hip fracture.

Methods: 80 men admitted to our rehabilitation hospital underwent a dual-energy X-ray absorptiometry scan 19. Read More

Bull Emerg Trauma 2018 Oct;6(4):318-324

Department of Emergency Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.

Objective: To evaluate the prognostic value of arterial blood gas (ABG) indices, especially base excess (BE), regarding the severity of traumatic injury.

Methods: A total number of 96 trauma patients with fractures of femur and pelvis were included in this study. Demographic characteristics and clinical information of samples were recorded. Read More

Obstet Gynecol Clin North Am 2018 Dec 25;45(4):695-708. Epub 2018 Oct 25.

Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine at UCLA, 911 Broxton Avenue, 1st floor, Los Angeles, CA 90024, USA.

The menopause transition is a critical period for bone health, with rapid losses in bone mass and strength occurring in a 3-year window bracketing the date of the final menstrual period. Declines in bone mass are accompanied by deleterious changes in bone macrostructure and microarchitecture, which may be captured by changes in composite strength indices and indices of trabecular thickness and connectivity. The onset of the rapid bone loss phase is preceded by changes in sex steroid hormones and increases in markers of bone resorption, measurements of which may be clinically useful in predicting the onset of the rapid loss phase and in identifying the women who will lose the most bone strength over the menopause transition. Read More

Orthop Surg 2018 Nov 5;10(4):337-342. Epub 2018 Nov 5.

Department of Orthopaedics, Ramaiah Medical College & Hospitals, Bengaluru, India.

The purpose of this study was to demonstrate the reduced chances of iatrogenic femoral neck fracture while removing the Richard's screw using the dynamic hip screw-femur head conjoint removal technique. This retrospective cohort study analyzed 16 hips operated on with total hip arthroplasty from March 2010 to February 2015. All cases were previously treated with dynamic hip screws (DHS) for proximal femur fractures. Read More

J Emerg Med 2018 Dec 30;55(6):758-763. Epub 2018 Oct 30.

Division of Emergency Medicine, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, Illinois.

Background: Fractures are common in children, and it can be difficult to distinguish unintentional injuries from child abuse.

Objective: We describe circumstances of injury, prevalence of suspicion for physical abuse, and use of imaging to identify additional occult fractures in young children with femur fractures.

Methods: We reviewed the medical records for children younger than 48 months old with femur fractures treated at a pediatric referral hospital (2011-2013). Read More

Pan Afr Med J 2018 12;30:112. Epub 2018 Jun 12.

Dr Lutfi Kirdar Kartal Training and Research Hospital, Department of Orthopaedics and Traumatology, Istanbul, Turkey.

Introduction: Femur neck fracture comprises a significant part of intracapsular femur fracture in the intracapsular area of proximal femur and it is mostly seen in elder people. However, these kinds of fractures may be seen in young adults. The present study aims to search factors that affect femoral neck fractures in young adults after surgery carried out by internal determination method. Read More

Med J Malaysia 2018 Oct;73(5):342-343

Hospital Tanah Merah, Department of Orthopedic, Kelantan, Malaysia.

Distal femoral physeal fractures in adolescents are often due to high velocity injuries. We present an unusual case of a non-contact distal femoral physeal fracture that occurred during a football match. A torsional force had been directed at the fracture site occurring at the growth plate causing a transverse fracture rather than a spiral fracture. Read More

Medicine (Baltimore) 2018 Oct;97(42):e12726

Orthopedics Center, The Second Hospital of Jilin University.

Introduction: Periprosthetic femoral fractures (PFF) around tumor prosthesis of knee are stubborn problems for surgeons, huge bone defect and inappropriate biomechanics of the revision implant design can be disaster for reconstruction. With the development of three-dimensional (3D) printing technology, surgeons participate more in precise preoperative design and simulation for treatment of such fractures. In this study we explored an accurate and feasible way to restore normal anatomy and function of the knee joint with 3D printing technology. Read More

Med Sci Monit 2018 Oct 18;24:7438-7443. Epub 2018 Oct 18.

Department of Orthopedic Surgery, Xijing Hospital, The Air Force Medical University, Xi'an, Shaanxi, China (mainland).

BACKGROUND The incidence of hip fracture is steadily increasing. We aimed to establish a creative approach to precisely estimate the risk of hip fracture by exploring the relationship between hip fracture and bone mineral density (BMD)/femur geometry. MATERIAL AND METHODS Sixteen samples of cadaveric female proximal femora were randomly selected. Read More

J Surg Oncol 2018 Nov 17;118(6):883-890. Epub 2018 Oct 17.

Department of Orthopaedic Surgery, Leiden University Medical Centre, Leiden, The Netherlands.

Pathologic fractures of the distal femur caused by bone metastases are not as common as those in the proximal femur but provide great difficulty to adequately treat. This systematic review shows that insufficient literature exists to draw clinically relevant conclusions for essential questions, such as "what factors indicate an endoprosthetic reconstruction for distal femur pathologic fractures?" Due to paucity of literature in the systematic review, a current concepts review (including treatment flowchart), based on instructional reviews and experience, was also performed. Read More

J S Afr Vet Assoc 2018 Oct 17;89(0):e1-e6. Epub 2018 Oct 17.

Department of Companion Animal Clinical Studies, University of Pretoria.

A 4-month-old female blue wildebeest (Connochaetes taurinus) was presented for bilateral pelvic limb fracture repair. Clinical examination under anaesthesia revealed a water-hammer pulse and a haematocrit of 0.13. Read More

J Long Term Eff Med Implants 2018 ;28(2):119-123

Speciality Registrar Trauma and Orthopaedics, Whiston Hospital, Liverpool, UK.

Interprosthetic femur fractures between total hip and total knee replacements are challenging injuries with rising incidence. Stability of the either implants, quality, and quantity of remaining bone as well as patients' comorbidities play an important role in operative management. Open reduction and internal fixation, advanced revision arthroplasty techniques, and megaprostheses are available options. Read More

Injury 2018 Dec 4;49(12):2193-2197. Epub 2018 Oct 4.

Emory University School of Medicine, Department of Orthopaedics, United States. Electronic address:

Objectives: To describe differences in follow-up compliance and emergency department (ED) visits between ballistic and non-ballistic operative lower extremity fracture patients.

Design: Retrospective study.

Setting: Urban level 1 trauma center. Read More

Maturitas 2018 Nov 27;117:1-5. Epub 2018 Aug 27.

Department of Trauma and Orthopaedics, Leeds General Infirmary, Great George Street, Leeds, LS1 3EX, UK; Leeds Institutes of Rheumatology and Musculoskeletal Medicine, University of Leeds, Chapel Allerton Hospital, Chapeltown Rd, Leeds, LS7 4SA, UK.

Total joint arthroplasties are increasing worldwide in both frequency and prevalence. When successful, they offer great improvements in quality of life. However, fractures around implants are often difficult to manage and require prolonged inpatient stays in tertiary hospitals. Read More