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femoral fractures

Ippei Kanazawa, Ken-Ichiro Tanaka, Ayumu Takeo, Masakazu Notsu, Hitomi Miyake, Toshitsugu Sugimoto
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...
February 11, 2019: Bone
Libor Necas, Maros Hrubina, Marian Melisik, Zoltan Cibula, Michal Chmurny, Matej Daniel, Boris Steno
INTRODUCTION: The aim of this study has been to present outcomes after cementless arthroplasty for developmental dysplasia Crowe type IV of the hip, with transverse subtrochanteric shortening osteotomy and using the S-ROM stem. METHODS: We evaluated radiographs, functional scores and complications in a consecutive series of 23 patients (28 hips) with high dislocation of the hip. The average age of patients at surgery was 49.9 (range 22-68) years. The operations were performed between 2007 and 2013...
February 13, 2019: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
Anderson Freitas, Jhefferson B Breta, Joubert Júnior, Antônio C Shimano, Walter R Daher, Munir Bessa, Weverton P De Alcantara, Lucas Sacramento Ramos, Ergon L Dantas, Ruben J Aquino
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)...
December 4, 2018: Curēus
Brett Rocos, Thomas Fleming, Karen Harding, Mehool Acharya, Andrew Riddick, Mike Kelly
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 1.1 per 1000 per annum amongst patients receiving bisphosphonates...
December 2, 2018: Curēus
Alessandro Aprato, Alessandro Casiraghi, Giovanni Pesenti, Marco Bechis, Alessandro Samuelly, Claudio Galante, Dario Capitani, Alessandro Massè
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. The purpose of this study is to evaluate whether early treatment has reduced time to ambulation in femur fracture. MATERIALS AND METHODS: All patients admitted to two level I trauma centers with proximal femoral fracture between 1/1/2017 and 31/12/2017 were included in this study...
February 13, 2019: Journal of Orthopaedics and Traumatology: Official Journal of the Italian Society of Orthopaedics and Traumatology
Andréa Senay, Sylvie Perreault, Josée Delisle, Suzanne N Morin, Jean-Pierre Raynauld, Andreea Banica, Yves Troyanov, Pierre Beaumont, Alain Jodoin, G Yves Laflamme, Stéphane Leduc, Jean-Marc Mac-Thiong, Hai Nguyen, Pierre Ranger, Dominique M Rouleau, Julio C Fernandes
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. PURPOSE: This paper describes the study design, implementation, and baseline characteristics of a multidisciplinary Fracture Liaison Service (FLS) in Quebec (Canada)...
February 12, 2019: Archives of Osteoporosis
Juan M Guerra, Martha A Hanes, Cordelia Rasa, Nagarajan Loganathan, Wendy Innis-Whitehouse, Ednia Gutierrez, Saraswathy Nair, Jameela Banu
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. Female Sprague Dawley rats were either sham operated or ovariectomized and were fed CQ for 3 months...
February 12, 2019: Journal of Bone and Mineral Metabolism
Martí Bernaus, Francesc Anglès, Berta Escudero, Margarita Veloso, Alfredo Matamala, Lluís Font-Vizcarra
Objectives: 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. Materials and Methods: A retrospective case-control study was conducted to compare SRMs at the hip in patients diagnosed with surgical site infection after hip fracture surgery with patients that were not diagnosed with surgical site infection...
2019: Journal of Bone and Joint Infection
Peter Cram, Lisa M Lix, Eric Bohm, Lin Yan, Leslie Roos, John Matelski, Rajiv Gandhi, Bruce Landon, William D Leslie
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...
January 2019: CMAJ Open
Giampaolo Rinaldi, Dario Capitani, Fabio Maspero, Valentina Scita
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 62.4 months. Women make up 41% of the cohort at a mean age of 50 ± 4 years, with primary hip osteoarthritis as the main complaint. All patients underwent radiological evaluation using the modified Gruen method, and clinical assessment via the Harris Hip Score (HHS), preoperatively and at 1, 6, 12, 24, 60, 80 and 106 months post-op...
November 2018: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
Giuseppe Solarino, Andrea Piazzolla, Lorenzo Moretti, Giovanni Vicenti, Biagio Moretti
BACKGROUND: Ceramic-on-ceramic (CoC) is currently a viable bearing combination in primary total hip arthroplasty (THA) and, due to its mechanical properties, it can be used in young patients requiring a long-lasting implant. The aim of this study is to report the results of a series of CoC THAs at a minimum 20 years follow-up. METHODS: A retrospective study was conducted on the 1st 100 consecutive alumina-on-alumina arthroplasties performed by a single surgeon on 51 females and 40 males with an average age of 60...
November 2018: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
Sandro Giannini, Eugenio Chiarello, Antonio Mazzotti, Guiseppe Tedesco, Cesare Faldini
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...
November 2018: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
Giuseppe Toro, Federica Lepore, Stefano D Cicala, Pietro Concilio, Giampiero Calabrò, Antonio Toro, Nicola Maffulli
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. METHODS: Hip fractures were identified through a registry evaluation of the activity of a level I Hospital, and subsequently classified in 'intracapsular' or 'extracapsular' according to their anatomical location...
November 2018: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
Nipun Sodhi, Anton Khlopas, Zachary Berliner, Kristina Dushaj, Jon E Minter, Brandon Naylor, Robert Marchand, Matthew S Hepinstall, Michael A Mont
INTRODUCTION: A variety of highly porous materials have been used to obtain biological acetabular fixation after total hip arthroplasty (THA). Due to their improved surface-coated properties, new highly porous titanium metal implants have shown potential to promote prosthesis osseointegration. Therefore, the purpose of this multicenter study was to evaluate: 1) overall acetabular cup survivorship; 2) postoperative complications; and 3) radiographic signs of loosening and radiolucencies in patients who received a new highly porous titanium metal cup...
February 11, 2019: Surgical Technology International
Rocco Papalia, Guglielmo Torre, Nicola Maffulli, Vincenzo Denaro
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). All types of article were eligible for inclusion, except for reviews, systematic reviews, meta-analyses and case reports...
February 7, 2019: British Medical Bulletin
Xaver Feichtinger, Roland Kocijan, Rainer Mittermayr, Andreas Baierl, Jakob Schanda, Robert Wakolbinger, Heinrich Resch, Christian Fialka, Christian Muschitz
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. METHODS: Patients who had sustained multiple fractures between 2000 and 2012 were included in this study...
February 12, 2019: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
Toby Jennison, Rathan Yarlagadda
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. Therefore, we performed a retrospective study to: (1) determine fracture union in patients following surgical treatment of a femoral interprosthetic fracture, (2) measure outcomes included mortality and complications...
February 7, 2019: Orthopaedics & Traumatology, Surgery & Research: OTSR
Woori Cho, Tae Yeon Hwang, Yoon Kyung Choi, Ji Hyun Yang, Myung-Gyu Kim, Sang-Kyung Jo, Won Yong Cho, Se Won Oh
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. Methods: This was an observational cohort study including 285 patients who were ≥ 65 years of age and who underwent femoral neck fracture surgery between 2013 and 2017...
February 11, 2019: Kidney Research and Clinical Practice
Tove T Borgen, Åshild Bjørnerem, Lene B Solberg, Camilla Andreasen, Cathrine Brunborg, May-Britt Stenbro, Lars M Hübschle, Anne Froholdt, Wender Figved, Ellen M Apalset, Jan-Erik Gjertsen, Trude Basso, Ida Lund, Ann K Hansen, Jens-Meinhard Stutzer, Cecilie Dahl, Tone K Omsland, Lars Nordsletten, Frede Frihagen, Erik F Eriksen
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...
February 8, 2019: Bone
B Maeder, M Hanauer, P Poglia, F Chevalley, E Thein
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. Case Report: We describe the case of a 52-year-old patient with OI Type III with a displaced femoral neck fracture with varus deformity. We performed a hemiarthroplasty of the hip with valgus and shortening osteotomy of the proximal femoral shaft. Conclusion: The incidence of OI is 1 in 10,000-,000 births...
September 2018: Journal of Orthopaedic Case Reports
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