51,005 results match your criteria Fracture Femur


[Thoracic Endovascular Aortic Repair for Traumatic Aortic Injury with Internal Iliac Approach;Report of a Case].

Kyobu Geka 2019 Feb;72(2):124-127

Department of Cardiothoracic Surgery, Takaoka Hospital, Takaoka, Japan.

A 40-year-old female was injured in a car accident while driving. Computed tomography confirmed a dissection localized to the distal aortic arch and hematoma around the area. Severe liver damage with surrounding extravasation was also confirmed. Read More

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February 2019

Ideal length of thread forms for screws used in screw fixation of nondisplaced femoral neck fractures.

Injury 2019 Jan 31. Epub 2019 Jan 31.

Harvard Medical School, Boston, MA, USA; Department of Orthopedic Surgery, Brigham and Women's Hospital, Boston, MA, USA. Electronic address:

Background: It is common practice when placing cannulated screws within the femoral head when treating femoral neck fractures to avoid the thread-forms from crossing the fracture line. Despite the widespread use of cannulated screws in internal fixation of femoral neck fractures, there is no study to our knowledge that describes the ideal length of thread-forms.

Purpose: The purpose of this study is to determine the thread length that will maximize purchase within the femoral head while minimizing risk of crossing the fracture line. Read More

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http://dx.doi.org/10.1016/j.injury.2019.01.036DOI Listing
January 2019

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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http://dx.doi.org/10.1016/j.injury.2019.01.043DOI Listing
February 2019

Bushen Yijing Fang Reduces Fall Risk in Late Postmenopausal Women with Osteopenia: A Randomized Double-blind and Placebo-controlled Trial.

Sci Rep 2019 Feb 14;9(1):2089. Epub 2019 Feb 14.

Institute for Advancing Translational Medicine in Bone & Joint Diseases, School of Chinese Medicine, Hong Kong Baptist University, Hong Kong SAR, China.

Falls in late postmenopausal women with osteopenia usually cause fractures with severe consequences. This 36-month randomized, double-blind and placebo-controlled trial with a 10-year observational follow-up study aimed to investigate the long-term effect of herbal formula Bushen Yijing Fang (BSYJF) on fall risk in the late postmenopausal women with osteopenia. 140 late postmenopausal women (Femoral neck T-score, -2. Read More

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http://dx.doi.org/10.1038/s41598-018-38335-3DOI Listing
February 2019

Periprosthetic femoral fractures after total hip arthroplasty: An algorithm of treatment.

Injury 2019 Feb 2. Epub 2019 Feb 2.

Department of Orthopaedics and Traumatologic Surgery, AOU Policlinico-Vittorio Emanuele, University of Catania, Catania, Italy.

Background: Periprosthetic femoral fractures (PFFs) following total hip arthroplasty are becoming more prevalent and management of these fractures is often demanding. The surgeon has to assess in detail implant loosening, bone loss and type of fracture. The aim of the study is to identify the suitability of a treatment algorithm, based on the Vancouver classification that takes into account the activity and comorbidity of each patient. Read More

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http://dx.doi.org/10.1016/j.injury.2019.01.044DOI Listing
February 2019

Continuous-flow cryocompression therapy penetrates to bone level in hip fracture patients in a numerical simulation.

J Orthop Surg Res 2019 Feb 14;14(1):49. Epub 2019 Feb 14.

Department of Orthopedics, Spaarne Gasthuis, Spaarnepoort 1, 2134 TM, Hoofddorp, The Netherlands.

Background: The aim of this study was to define deep tissue temperature during cryotherapy in postoperative hip fracture patients, by using measured skin temperature as input parameter for a simple numerical model. Second, an association was investigated between pain and tissue temperature distribution, to assess cryotherapy-induced analgesia of soft tissue-derived pain.

Methods: Data from 35 participants in an ongoing trial was used. Read More

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http://dx.doi.org/10.1186/s13018-019-1081-5DOI Listing
February 2019

Does isolated greater trochanter implication affect hip abducent strength and functions in intertrochanteric fracture?

BMC Musculoskelet Disord 2019 Feb 14;20(1):79. Epub 2019 Feb 14.

Department of Orthopaedics, Peking University People's Hospital, Peking, 100044, China.

Background: A fracture in the isolated greater trochanter is an infrequent type of femoral intertrochanteric fracture. The gluteus medius and gluteus minimus are abducent muscle groups with attachments located on the greater trochanter. Thus, a fracture of the greater trochanter could cause avulsion injury of these attachment points and eventually affect the abducent function of the hip joint and cause chronic pain. Read More

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http://dx.doi.org/10.1186/s12891-019-2457-8DOI Listing
February 2019

A scoring assessment tool for the risk of vertebral fractures in patients with type 2 diabetes mellitus.

Bone 2019 Feb 11. Epub 2019 Feb 11.

Department of Internal Medicine 1, Shimane University Faculty of Medicine, Shimane 693-8501, Japan. Electronic address:

Background: Development of assessment tool for fracture risk is an urgent task, because bone mineral density (BMD) is less useful for evaluating fracture risk in type 2 diabetes mellitus (T2DM).

Subjects And Methods: In total, 808 T2DM patients were enrolled in this cross-sectional study. To develop a scoring assessment tool using clinical risks for vertebral fracture (VF), we evaluated which variables were associated with VF by logistic regression analysis, and categorized these variables based on cut-off values obtained by using receiver operating characteristic (ROC) curves. Read More

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http://dx.doi.org/10.1016/j.bone.2019.02.003DOI Listing
February 2019

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
February 2019

Editor's Spotlight/Take 5: Prophylactic Fixation Can Be Cost-effective in Preventing a Contralateral Bisphosphonate-associated Femur Fracture.

Authors:
Seth S Leopold

Clin Orthop Relat Res 2019 Mar;477(3):477-479

S. S. Leopold, Editor-In-Chief, Clinical Orthopaedics and Related Research®, Philadelphia, PA, USA.

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http://dx.doi.org/10.1097/CORR.0000000000000655DOI Listing

The Incidence of Pin Tract Infections and Septic Arthritis in Percutaneous Distal Femur Pinning.

J Pediatr Orthop 2019 Feb 11. Epub 2019 Feb 11.

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

Background: Retrograde percutaneous pinning often involves intra-articular pin placement. Classic teaching has cautioned about the risk of septic arthritis with intra-articular pins, although an incidence has not been reported for this complication. The purpose of this study was to determine the incidence of pin tract infections and septic arthritis following retrograde percutaneous pinning of the distal femur. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001346DOI Listing
February 2019
2 Reads

Biomechanical Test Following Removal of a Dynamic Hip Screw: In Vitro Analysis.

Cureus 2018 Dec 4;10(12):e3680. Epub 2018 Dec 4.

Orthopedics and Traumatology, Hospital Regional Do Gama, Brasilia, BRA.

The objective of this study was to evaluate, by means of a static flexural test, the biomechanical parameters necessary for the occurrence of a proximal femoral fracture in a synthetic bone model after the removal of a dynamic hip screw (DHS) and comparing the results obtained with a reinforcement technique using polymethylmethacrylate (PMMA). Twenty synthetic bones made of the same material and from the same manufacturer were used: ten units as the control group (CG), five units as the test group without reinforcement (TG), and five units as the test group with reinforcement (TGR). The biomechanical analysis was performed simulating a fall over the trochanter using a servo-hydraulic machine. Read More

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http://dx.doi.org/10.7759/cureus.3680DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6367115PMC
December 2018

A Case Series and Discussion on Surgical Treatment Strategy for Atypical Proximal Femoral Fractures Associated with Bisphosphonate Use.

Cureus 2018 Dec 2;10(12):e3670. Epub 2018 Dec 2.

Orthopaedic Surgery, North Bristol National Health Service Trust, Bristol, GBR.

The aim of this study was to determine the incidence of atypical femoral fractures in our local population, study their current outcomes and present a novel surgical strategy based on these data. Patients who received surgical fixation of an atypical pattern proximal femoral fracture over a four-year period were identified and followed up in the clinic until union, revision surgery or death. The local incidence of atypical femoral fractures is 1. Read More

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http://dx.doi.org/10.7759/cureus.3670DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6364955PMC
December 2018

Biomechanical Comparison of Four Methods of Fixation of a Polymeric Cranial Cruciate Ligament in the Canine Femur and Tibia.

Vet Comp Orthop Traumatol 2019 Feb 13. Epub 2019 Feb 13.

Department of Orthopaedics, College of Medicine, The Ohio State University, Columbus, Ohio, United States.

Objective:  The aim of this study was to compare the biomechanical properties of four different methods of artificial cranial cruciate ligament fixation in canine cadaveric tibias and femurs.

Methods:  Femurs and tibias from skeletally mature large breed canine cadavers were assigned into four fixation groups: group 1, 4.5-mm interference screw (IS); group 2, 4. Read More

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http://dx.doi.org/10.1055/s-0038-1676460DOI Listing
February 2019

48 h for femur fracture treatment: are we choosing the wrong quality index?

J Orthop Traumatol 2019 Feb 13;20(1):11. Epub 2019 Feb 13.

School of Medicine, University of Turin, Viale 25 aprile 137 int 6, 10133, Turin, Italy.

Background: In the last 10 years, the rate of femur fractures treated within 48 h from trauma has been introduced as a performance index for hospital management in Italy. Literature showed a significant indirect correlation between early treatment and mortality/comorbidity. The aims of early treatment are pain management and reduction of time to ambulation. Read More

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http://dx.doi.org/10.1186/s10195-019-0518-2DOI Listing
February 2019

Rationale, study design, and descriptive data of the Lucky Bone™ Fracture Liaison Service.

Arch Osteoporos 2019 Feb 12;14(1):19. Epub 2019 Feb 12.

CIUSSS Nord de l'Ile de Montréal, Hôpital du Sacré-Coeur de Montréal, 5400 bl. Gouin ouest, Montreal, QC, H4J 1C5, Canada.

The study design of a multidisciplinary Fracture Liaison Service (2-year follow-up) aiming to optimize fragility fracture management in an outpatient setting is presented. Patient characteristics, investigation, and treatment initiation data at baseline were recorded. Results corroborate the care gap in osteoporosis management, reinforcing the need for secondary fracture prevention programs. Read More

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http://dx.doi.org/10.1007/s11657-019-0571-8DOI Listing
February 2019

Modulation of bone turnover by Cissus quadrangularis after ovariectomy in rats.

J Bone Miner Metab 2019 Feb 12. Epub 2019 Feb 12.

Department of Health and Biomedical Sciences, University of Texas Rio Grande Valley, 1201, W University Dr., Edinburg, TX, 78539, USA.

In women, age-related bone loss is associated with increased risk of bone fracture. Existing therapies are associated with severe side effects; thus, there is a need to find alternative medicines with less or optimal side effects. Cissus quadrangularis (CQ), an Ayurvedic medicine used to enhance fracture healing, was tested for its bone protective properties and studied to discern the mechanism by which it is beneficial to bone. Read More

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http://dx.doi.org/10.1007/s00774-018-0983-3DOI Listing
February 2019

Subcutaneous Radiographic Measurement: A Marker to Evaluate Surgical Site Infection Risk in Elderly Hip Fracture Patients.

J Bone Jt Infect 2019 24;4(1):27-32. Epub 2019 Jan 24.

Department of Traumatology and Orthopedic Surgery, Hospital Universitari Mútua Terrassa, Barcelona, Spain.

Obesity is a documented comorbidity that is prevalent in the elderly population and a known predictor for surgical site infection (SSI). Body mass index is a convenient method to classify obesity, but it fails to account for fat distribution. The objective of our study was to evaluate the association between surgical site infection and a subcutaneous radiographic measurement (SRM) in elderly hip fracture patients. Read More

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http://dx.doi.org/10.7150/jbji.30158DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6367197PMC
January 2019

Hip fracture care in Manitoba, Canada and New York State, United States: an analysis of administrative data.

CMAJ Open 2019 Jan-Mar;7(1):E55-E62. Epub 2019 Feb 11.

North American Observatory on Health Systems and Policies (Cram), Institute for Health Policy, Management and Evaluation, University of Toronto; Departments of Medicine (Cram) and Surgery (Gandhi), University of Toronto; Division of General Internal Medicine and Geriatrics (Cram), Sinai Health System and University Health Network, Toronto, Ont.; Departments of Community Health Sciences (Lix, Bohm, Yan, Roos), Surgery (Bohm) and Medicine (Leslie), University of Manitoba, Winnipeg, Man.; Biostatistics Research Unit (Matelski) and Arthritis Program (Gandhi), University Health Network, Toronto, Ont.; Department of Health Care Policy (Landon), Harvard Medical School; Division of General Medicine and Primary Care (Landon), Beth Israel Deaconess Medical Center, Boston, Mass.

Background: Nearly 30 years ago, a series of studies showed increased hip fracture mortality in Manitoba compared to the United States, but these data have not been updated. Our objective was to compare the organization of hip fracture care and short-term outcomes in Manitoba and New York State using contemporary data.

Methods: This was a retrospective cohort study of administrative data for all adults aged 50 years or more admitted to hospital with hip fracture between Jan. Read More

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http://dx.doi.org/10.9778/cmajo.20180126DOI Listing
February 2019

Mid-term results with a neck-preserving femoral stem for total hip arthroplasty.

Hip Int 2018 Nov;28(2_suppl):28-34

1 Joint Replacement Division, Department of Orthopedic Surgery and Trauma, ASST Niguarda Hospital, Milan, Italy.

Introduction:: This prospective study aims to evaluate the mid-term clinical and radiological performance of a new short, neck-preserving femoral stem in total hip arthroplasty (THA).

Patients And Methods:: 178 consecutive patients (190 hips) underwent THA from November 2008 to July 2016. Mean follow-up is 62. Read More

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http://dx.doi.org/10.1177/1120700018813216DOI Listing
November 2018

Surgical prevention of femoral neck fractures in elderly osteoporotic patients: a randomised controlled study on the prevention nail system device.

Hip Int 2018 Nov;28(2_suppl):78-83

1 I.R.C.C.S. - Istituto Ortopedico Rizzoli, Bologna, Italy.

Introduction:: Hip fractures represent an enormous challenge for our health care system. The aim of this randomised controlled trial was to assess both efficacy and safety of a novel device called Prevention Nail System (PNS) and developed for the surgical prevention of a contralateral femoral neck fracture (FNF) in elderly osteoporotic patients.

Methods:: Primary outcome was to evaluate, in patients suffering from osteoporotic FNF, the effectiveness of PNS in reducing the incidence of a contralateral hip fracture. Read More

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http://dx.doi.org/10.1177/1120700018813207DOI Listing
November 2018

ABO system is not associated with proximal femoral fracture pattern in Southern Italy.

Hip Int 2018 Nov;28(2_suppl):84-88

4 Department of Musculoskeletal Disorders, Faculty of Medicine and Surgery, University of Salerno, Baronissi, Italy.

Introduction:: The mechanism that leads to a given fracture pattern is not understood. Heredity could act in this field through the ABO system. We investigated the relationship between ABO blood system and hip fracture pattern in a population from Southern Italy. Read More

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http://dx.doi.org/10.1177/1120700018813219DOI Listing
November 2018

Hip fractures in children and adolescents.

Br Med Bull 2019 Feb 7. Epub 2019 Feb 7.

Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, 00100 Rome, Italy.

Background: Femoral neck fractures account for <1% of the fractures in children, and are produced by high energy trauma. The most commonly accepted treatment for such fractures is gentle manual anatomical reduction and internal fixation, yielding a healing rate between 80% and 90%.

Sources Of Data: Electronic search through major web databases (Medline, Cochrane and Google Scholar). Read More

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http://dx.doi.org/10.1093/bmb/ldz004DOI Listing
February 2019
1 Read

Fracture patterns in patients with multiple fractures: the probability of multiple fractures and the most frequently associated regions.

Eur J Trauma Emerg Surg 2019 Feb 12. Epub 2019 Feb 12.

St. Vincent Hospital-Metabolic Bone Diseases Unit, The VINFORCE Study Group, Vienna, Austria.

Introduction: Multiple fractures are of high clinical relevance, as a significant increase in mortality rate has been described. The purpose of this study was to evaluate differences in age and gender distribution in multiple fractures dependent on severity of trauma. Furthermore, affected anatomic regions and frequently associated fracture regions were investigated. Read More

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http://dx.doi.org/10.1007/s00068-019-01087-4DOI Listing
February 2019

Outcome of surgical treatment of inter prosthetic fractures: A case series.

Orthop Traumatol Surg Res 2019 Feb 7. Epub 2019 Feb 7.

Plymouth Hospitals NHS Trust, Derriford Road, Crownhill, Plymouth, Devon PL6 8DH, United Kingdom.

Introduction: Interprosthetic fractures occur between a total knee replacement and a femoral stem of either a hemiarthroplasty or total hip replacement. The number of interprosthetic fractures will increase as the number of joint replacements rises. There is currently a paucity of literature looking at the outcomes of interprosthetic fractures. Read More

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http://dx.doi.org/10.1016/j.otsr.2018.08.022DOI Listing
February 2019
1 Read

Diastolic dysfunction and acute kidney injury in elderly patients with femoral neck fracture.

Kidney Res Clin Pract 2019 Feb 11. Epub 2019 Feb 11.

Department of Internal Medicine, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea.

Background: Femoral neck fracture is common in the elderly population. Acute kidney injury (AKI) is an important risk factor for mortality in patients who have had such fracture. We evaluated the incidence of AKI in patients who had femoral neck fracture and identified risk factors for AKI and mortality. Read More

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http://dx.doi.org/10.23876/j.krcp.18.0083DOI Listing
February 2019
1 Read

High prevalence of vertebral fractures and low trabecular bone score in patients with fragility fractures: A cross-sectional sub-study of NoFRACT.

Bone 2019 Feb 8;122:14-21. Epub 2019 Feb 8.

Department of Clinical Medicine, University of Oslo, Oslo, Norway; Department of Endocrinology, Morbid Obesity and Preventive Medicine, Oslo University Hospital, Oslo, Norway.

Purpose: Norway has among the highest incidence rates of fractures in the world. Vertebral fracture assessment (VFA) and trabecular bone score (TBS) provide information about fracture risk, but their importance have not been studied in Norwegian patients with fragility fractures. The objectives of this study were to examine the clinical characteristics of a cohort of women and men with fragility fractures, their prevalence of vertebral fractures using VFA and prevalence of low TBS, and explore the differences between the sexes and patients with and without vertebral fractures. Read More

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http://dx.doi.org/10.1016/j.bone.2019.02.008DOI Listing
February 2019
1 Read

Hemiarthroplasty of the Hip in a 52-Year-old Patient with Osteogenesis Imperfecta-Related Femoral Neck Fracture: A Case Report.

J Orthop Case Rep 2018 Sep-Oct;8(5):86-88

Department of Orthopedics and Trauma, CHUV Centre Hospitalier Universitaire Vaudois, Rue du Bugnon 46, 1011 Lausanne, Switzerland.

Introduction: Osteogenesis imperfecta (OI)-related femoral neck fractures are rare. This is rarely described in the literature. This article presents a way to surgically treat such a fracture. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.1226DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6367281PMC
February 2019
1 Read

Non-traumatic Unilateral Femur Neck Fracture in a Human Immunodeficiency Virus-Positive Septuagenarian Indian Male: A Unique Case Report.

J Orthop Case Rep 2018 Sep-Oct;8(5):75-77

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

Introduction: Antiretroviral drugs are known to cause osteoporosis making the bones susceptible to fracture. Osteoporotic fractures are majorly seen in the vertebral bodies. Pathological fractures need to be fixed without much delay to start mobilization of the patients. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.1220DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6367293PMC
February 2019
1 Read

Diagnosis and management of periprosthetic femoral fractures after hip arthroplasty.

Injury 2019 Feb 2. Epub 2019 Feb 2.

Orthopedic and Traumatology Unit, Ospedale San Bortolo, Vicenza, Italy. Electronic address:

Introduction: Periprosthetic femoral fracture represent a severe complication, at present the third cause of revision surgery, with an estimated incidence from 0,1 to 2,1%. The number of these fracture can be expect to increase in line with the aging of population and amount of THA implants also in younger high demanding patients.

Materials And Methods: The aim of this study is analyze the diagnostic and therapeutic decision making processes performed in 64 patients with periprosthetic fractures treated surgically from January 2012 and October 2016 in our center. Read More

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http://dx.doi.org/10.1016/j.injury.2019.01.053DOI Listing
February 2019
1 Read

The design of the cemented stem influences the risk of Vancouver type B fractures, but not of type C: an analysis of 82,837 Lubinus SPII and Exeter Polished stems.

Acta Orthop 2019 Feb 11:1-13. Epub 2019 Feb 11.

a The Swedish Hip Arthroplasty Register , Gothenburg.

Background and purpose - In total hip replacements, stem design may affect the occurrence of periprosthetic femoral fracture. We studied risk factors for fractures around and distal to the 2 most used cemented femoral stems in Sweden. Patients and methods - This is a register study including all standard primary Lubinus SPII and Exeter Polished stems operated in Sweden between 2001 and 2009. Read More

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http://dx.doi.org/10.1080/17453674.2019.1574387DOI Listing
February 2019
1 Read

[Safety and efficacy of total hip arthroplasty following failed internal fixation of intertrochanteric fractures].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2019 Feb;33(2):160-165

Department of Orthopedics, West China Hospital, Sichuan University, Chengdu Sichuan, 610041, P.R.China.

Objective: To evaluate the safety and efficacy of total hip arthroplasty (THA) following failed internal fixation of intertrochanteric fractures.

Methods: Between January 2007 and January 2016, THAs were performed in 32 patients (33 hips) for failed internal fixation of intertrochanteric fractures. There were 15 males and 17 females, with mean age of 74. Read More

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http://dx.doi.org/10.7507/1002-1892.201807089DOI Listing
February 2019
1 Read

Mechanical behavior of metastatic femurs through patient-specific computational models accounting for bone-metastasis interaction.

J Mech Behav Biomed Mater 2019 Jan 30;93:9-22. Epub 2019 Jan 30.

Department of Orthopaedics and Trauma Surgery, Campus Bio-Medico University of Rome, Italy.

This paper proposes a computational model based on a finite-element formulation for describing the mechanical behavior of femurs affected by metastatic lesions. A novel geometric/constitutive description is introduced by modelling healthy bone and metastases via a linearly poroelastic constitutive approach. A Gaussian-shaped graded transition of material properties between healthy and metastatic tissues is prescribed, in order to account for the bone-metastasis interaction. Read More

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http://dx.doi.org/10.1016/j.jmbbm.2019.01.014DOI Listing
January 2019
1 Read

Standardization of torsional CT measurements of the lower limbs with threshold values for corrective osteotomy.

Arch Orthop Trauma Surg 2019 Feb 8. Epub 2019 Feb 8.

Department of Trauma Surgery, University Hospitals Leuven, 3000, Leuven, Belgium.

Introduction: Re-establishing anatomic rotational alignment of shaft fractures of the lower extremities remains challenging. Clinical evaluation in combination with radiological measurements is important in pre- and post-surgical assessment. Based on computed tomography (CT), a range of reference values for femoral torsion (FT) and tibial torsion (TT) have historically been reported, which require standardization to optimize the significant intra- and inter-observer variability. Read More

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http://dx.doi.org/10.1007/s00402-019-03139-1DOI Listing
February 2019
1 Read

Calciotropic Hormones and the Prevalence of Vertebral Fractures in Chinese Postmenopausal Women with Vitamin D Insufficiency: Peking Vertebral Fracture Study.

Calcif Tissue Int 2019 Feb 8. Epub 2019 Feb 8.

Department of Endocrinology, Key Laboratory of Endocrinology, Ministry of Health, Peking Union Medical College Hospital, National Commission of Health, Chinese Academy of Medical Science, No. 1 Shuaifuyuan, Wangfujing Street, Dongcheng District, Beijing, 100730, China.

This case-control study aimed to examine the effect of high serum parathyroid hormone (PTH) level, especially the effect of secondary hyperparathyroidism (SHPT) related to hypovitaminosis D, on bone metabolism and bone phenotypes. We included a total of 830 Chinese postmenopausal women aged ≥ 50 years with serum 25-hydroxyvitamin D (25(OH)D) level < 30 ng/ml, among whom 415 women had prevalent vertebral fractures (VFs) and others were age-matched controls. We measured serum levels of 25(OH)D, PTH and bone turnover markers (BTMs), which included C-terminal telopeptide of type I collagen (β-CTX), N-aminoterminal prepeptide of type I procollagen (P1NP) and osteocalcin (OC). Read More

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http://dx.doi.org/10.1007/s00223-019-00531-2DOI Listing
February 2019
1 Read

The relationship between femoral neck fracture in adult and avascular necrosis and nonunion: A retrospective study.

Ann Med Surg (Lond) 2019 Mar 26;39:5-9. Epub 2019 Jan 26.

Security Forces Hospital, Department of Orthopedic Surgery, Riyadh, Saudi Arabia.

Background: One of the most serious sequelae of femoral neck fractures (FNFs) is avascular necrosis (AVN), and this complication translates to significant morbidity and mortality. This study was conducted to determine the relationship between the etiologies and management of FNFs at our institution and the development of AVN or nonunion.

Materials And Methods: This study was a retrospective medical chart review of all adult patients admitted and managed for FNF. Read More

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http://dx.doi.org/10.1016/j.amsu.2019.01.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6357682PMC
March 2019
1 Read

Incidence and Predictors of Lateral Hinge Fractures Following Medial Opening-Wedge High Tibial Osteotomy Using Locking Plate System: Better Performance of Computed Tomography Scans.

J Arthroplasty 2019 Jan 17. Epub 2019 Jan 17.

Department of Orthopedic Surgery, Veterans Health Service Medical Center, Seoul, South Korea.

Background: This study compared the rates of plain radiographs and computed tomography (CT) for detecting lateral hinge fractures and to evaluate factors affecting lateral hinge fractures in patients following medial opening-wedge high tibial osteotomy (MOWHTO).

Methods: This prospective study included 59 patients (65 knees) undergoing MOWHTO for primary medial compartment osteoarthritis with a 2-year follow-up between 2013 and 2016. Clinical and radiographic evaluations were performed using Knee Society Score and Western Ontario and McMaster Universities Arthritis Index, and we calculated the hip-knee-ankle angle, weight-bearing line ratio, lateral distal femoral angle, medial proximal tibial angle, posterior tibial slope, osteotomy gap height, and osteotomy gap filling rate. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S08835403193005
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http://dx.doi.org/10.1016/j.arth.2019.01.026DOI Listing
January 2019
6 Reads

Assessment of Bone Mineral Density of Patients with Spinocerebellar Ataxia Type 3.

J Mov Disord 2019 Jan 30;12(1):43-46. Epub 2019 Jan 30.

Nuclear Medicine Division, Department of Radiology, University of Campinas (UNICAMP), Campinas, São Paulo.

Objective: Machado-Joseph disease (MJD) is a spinocerebellar ataxia, and osteoporosis is a multifactor disease that may affect patients with neurologic conditions. The frequency of osteoporosis among MJD patients, however, has not been studied. The purpose of this study is to evaluate bone mineral density (BMD) and identify correlations between clinical factors and frequency of vertebral fractures in patients with MJD. Read More

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http://dx.doi.org/10.14802/jmd.18041DOI Listing
January 2019
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Treatment of Peritrochanteric Femur Fractures with Proximal Femur Locked Plating.

J Orthop Trauma 2019 Jan 30. Epub 2019 Jan 30.

Wake Forest Baptist Medical Center.

Objectives: To report on our results using a proximal femoral locking plate for the treatment of peritrochanteric femur fractures DESIGN:: Retrospective SETTING:: Level I Academic Medical Center PATIENTS:: Sixty-eight patients with sixty- eight fractures INTERVENTION:: Demographics, fracture morphology, preoperative imaging, rationale against nailing, and outcomes were collected.

Main Outcome Measurements: Outcomes were grouped into no complication, minor complication, or major complication. Minor complications included healed fractures with implant failure or change in alignment from immediate post-operative radiographs which did not require intervention, or elective implant removal. Read More

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http://dx.doi.org/10.1097/BOT.0000000000001442DOI Listing
January 2019
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Risk factors for nonunion after intramedullary nailing of subtrochanteric femoral fractures.

Arch Orthop Trauma Surg 2019 Feb 7. Epub 2019 Feb 7.

Department of Trauma Surgery, Medical University of Innsbruck, Anichstraße 35, 6020, Innsbruck, Austria.

Introduction: Nonunion is a common complication after intramedullary nailing of subtrochanteric femoral fractures. A more detailed knowledge, particularly of avoidable risk factors for subtrochanteric fracture nonunion, is thus desired to develop strategies for reducing nonunion rates. The aim of the present study therefore was to analyse a wide range of parameters as potential risk factors for nonunion after intramedullary nailing of subtrochanteric fractures. Read More

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http://dx.doi.org/10.1007/s00402-019-03131-9DOI Listing
February 2019

Haematology panel biomarkers for humeral, femoral, and tibial diaphyseal fractures.

Int Orthop 2019 Feb 6. Epub 2019 Feb 6.

Department of Pharmacology, 'Victor Babes' University of Medicine and Pharmacy, Timisoara, Romania.

Purpose: The neutrophil to lymphocyte ratio (NLR) is a simple predictor used in oncology and cardiology. We aimed to analyze the NLR profile of patients with diaphyseal fractures of the humerus, femur, and tibia.

Methods: We performed a cross-sectional, consecutive-case population-based study including 148 patients (41. Read More

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http://dx.doi.org/10.1007/s00264-019-04305-1DOI Listing
February 2019

Current strategy for hollow viscus injury with active bleeding: A case report.

SAGE Open Med Case Rep 2019 12;7:2050313X18824816. Epub 2019 Jan 12.

Department of Emergency and Critical Care Medicine, Tokai University School of Medicine, Kanagawa, Japan.

Despite rapid advancements in medical technologies, the use of interventional radiology in a patient with hemodynamic instability or hollow viscus injury remains controversial. Here, we discuss important aspects regarding the use of interventional radiology for such patients. A 74-year-old Japanese male climber was injured following a 10 m fall. Read More

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http://dx.doi.org/10.1177/2050313X18824816DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6350135PMC
January 2019
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Proof of Concept on Functionality Improvement of Mesenchymal Stem-Cells, in Postmenopausal Osteoporotic Women Treated with Teriparatide (PTH1-34), After Suffering Atypical Fractures.

Calcif Tissue Int 2019 Feb 6. Epub 2019 Feb 6.

Unidad de Gestión Clínica de Endocrinología y Nutrición, CIBER de Fragilidad y Envejecimiento Saludable (CIBERFES), Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Hospital Universitario Reina Sofía, RETICEF, 14004, Córdoba, Spain.

Osteoporosis long-term treatment with nitrogen-containing bisphosphonates, has been associated with uncommon adverse effects, as atypical femoral fractures (AFF). Thus, treatment with teriparatide (TPTD; fragment of human parathyroid hormone; PTH) has been proposed for such patients. Besides its anabolizing effect on bone, TPTD may affect stem-cell mobilization and expansion. Read More

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http://dx.doi.org/10.1007/s00223-019-00533-0DOI Listing
February 2019
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[The influence of certain factors on the specific features of the injuries inflicted to the children involved in the motor vehicle traffic accidents].

Sud Med Ekspert 2019 ;62(1):4-7

M.I. Raiskiy Department of Forensic Medicine, V.I. Razumovsky Saratov State Medical University, Saratov, Russia, 410012.

The objective of the present study was to elucidate the influence of the age of the child, its location in the passenger compartment of the vehicle, and the application of the safety seat belts on the frequency of the injuries inflicted to the children involved in the motor vehicle traffic accidents. The analysis of the relevant clinical materials has demonstrated the non-uniform influence of the factors being evaluated on the specific features of the injuries to the different parts of the children's body. The age of the child was found to have the most pronounced effect on the character of the injuries. Read More

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http://dx.doi.org/10.17116/sudmed2019620114DOI Listing
January 2019
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Medial Open-wedge Osteotomy with Double-plate Fixation for Varus Malunion of the Distal Femur.

Orthop Surg 2019 Feb 5. Epub 2019 Feb 5.

Department of Orthopaedic Surgery, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China.

Objective: To present our clinical experience of treating varus malunion of the distal femur through a medial open-wedge osteotomy with double-plate fixation.

Methods: A prospective cohort study was performed. From January 2005 to February 2015, 15 consecutive patients with varus malunion following distal femur fractures were surgically treated at a single level I trauma center. Read More

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http://dx.doi.org/10.1111/os.12421DOI Listing
February 2019

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
3 Reads