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Journal articles on the topic 'Femur neck Fractures Victoria'

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Published: 10 December 2022

Last updated: 29 January 2023

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1

Ahmed, Muhammad Jawad, Maryam Shahid, Muhammad Hammad Ahmed, and Bilal Nazarq. "INTRACAPSULAR FEMORAL NECK FRACTURES." Professional Medical Journal 25, no. 09 (September 10, 2018): 1317–22. http://dx.doi.org/10.29309/tpmj/2018.25.09.60.

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Objectives: To compare of functional outcomes in terms of post-operativemobility for unipolar versus bipolar un-cemented hemiarthroplasty in elderly patients withdisplaced intracapsular femoral neck fractures. Study Design: Randomized Control Trial.Setting: Department of Orthopedics Bahawal Victoria Hospital, Bahawalpur. Period: April 2015to October 2016. Methodology: Sample size is (calculated by taking n6 =138, confidenceinterval 95, power of study 80, P1= 33%, P2=13%) 69 in each group. Sampling technique usedwas non probability consecutive sampling. All patients who meet the inclusion criteria presentingto orthopedic unit of Nishtar Hospital Multan with fracture neck of femur were selected for study.Patients were divided into two groups randomly by lottery method and enrolled for unipolaror bipolar hemiarthroplasty. Chi-square test was used to compare outcome variable in bothgroups. A p-value < 0.05 was considered statistically significant. Effect modifiers like age andsex was controlled by stratification. Chi square test was applied to see significant difference.Results: Overall, there were 100% (n=138) patients in this study, both genders. The mean ageof the patients was 66.35±4.29 years. (Range: 60 to 80years)Mean age and SD of group A (nowalking aid) was 54.52 ± 3.10 and in group B (walking aid) 54.99 ± 3.19. Time up go score wasnoted as successful 33.3% (n=46) and 66.7% (n=92) as unsuccessful. Walking aid was notedin 65.2% (n=90) patients. Functional outcome was noted as good in 26.8% (n=37) patientsand noted as bad in 73.2% (n=101) patients. Out of 100% (n=38) patients, good outcomewas 26.3% (n=10) unipolar and 73.7% (n=28) bipolar. Out of 100% (n=100) Bad outcomewas 59% unipolar and bipolar 41%. Conclusion: Functional outcome in term of mobility isbetter in case of bipolar prosthesis as compared to unipolar. Thus in our conclusion bipolarprosthesis is preferred procedure as compared to unipolar hemiarthroplasty in treating patientswith displaced intracapsular femoral neck fracture.

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2

Khan, Hanif Ullah, Abdul Waheed Jan, and Abdus Samad Khan. "FRACTURE NECK OF FEMUR." Professional Medical Journal 22, no. 07 (July 10, 2015): 949–53. http://dx.doi.org/10.29309/tpmj/2015.22.07.1192.

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Fracture neck of femur is a devastating injury. One of its main complicationsis avascular necrosis (AVN) of the femoral head. For the fixation of femoral neck fractures,cannulated screws are now universally used. The aim of the study was to determine thefrequency of avascular necrosis in fracture neck of femur fixed with cannulated screws.Study Design: Descriptive cross sectional study. Setting: Orthopedic unit of Ayub TeachingHospital Abbottabad. Period: 7th March, 2011 to 6th September, 2011. Material and Methods:Recruiting 113 patients of either gender between 15 to 60 years of age with fracture neck offemur who were fixed with cannulated screws. The data was entered and analyzed with thehelp of SPSS 10.Results: There were 113 patients with an overall mean age of 43.51 years+ 11.94SD. Maximum number of patients was 56 (49.50%) from the age group of 46 to 60years. Avascular necrosis was noted in 23 (20.35%) cases. The maximum number of patientswith avascular necrosis was 13 (56.52%) belonging to the age group of 15 to 25. Conclusion:Avascular necrosis was high in younger ages in displaced fractures of neck of femur treatedwith cannulated screws.

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3

Maimin, Dane Gary, and Livan Meneses-Turino. "Seizures Causing Simultaneous Bilateral Neck of Femur Fractures." Case Reports in Orthopedics 2019 (February 27, 2019): 1–3. http://dx.doi.org/10.1155/2019/4570578.

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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. The otherwise healthy index patient in this case report presented most unusually, with simultaneous, bilateral neck of femur fractures that were sustained during a seizure.

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4

Parfeev, S. G., M. M. Rankov, L. K. Brizhan, D. V. Davydov, B. P. Buryachenko, E. Yu Shiyanov, and I. D. Varfolomeev. "Modern approaches to the diagnosis and treatment of femoral neck fractures." Clinical Medicine (Russian Journal) 96, no. 7 (December 15, 2018): 663–66. http://dx.doi.org/10.18821/0023-2149-2018-96-7-663-666.

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Choice of surgical tactics in femur neckfractures is the actual problem of modern traumatology and orthopedics. The analysis of results of treatment of patients with femur neck fractures is carried out. It is taped that femur neck fractures happened in the place of the formed solitary cyst. Diagnostics of cysts of a femur neck is complicated, however at their detection, performance of an osteosynthesis of a femur neck can lead to development of a nearthrosis. Selection criteria ofpatients which were established the osteosynthesis of a neck of a femur or endoprosthesis replacement of a hip joint is shown. The received clinical and statistical results demonstrate that use of these criteria promotes decrease of quantity of auditing interventions and improvement of quality of life ofpatients.

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5

Parker, Martyn J. "Fractures of the neck of the femur." Trauma 10, no. 1 (January 2008): 43–53. http://dx.doi.org/10.1177/1460408608089640.

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6

Koo, Hwan Mo, Myun Hwan Ahn, and Joo Chul Ihn. "A Clinical Study of Femur Neck Fractures." Yeungnam University Journal of Medicine 7, no. 1 (1990): 69. http://dx.doi.org/10.12701/yujm.1990.7.1.69.

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7

Sanjay, Nandini, and HS Arun. "Miss-A-Nail Technique for Neck of Femur Fracture – A Case Report." JOURNAL OF CLINICAL AND BIOMEDICAL SCIENCES 12, no. 1 (March 15, 2022): 34–35. http://dx.doi.org/10.58739/jcbs/v12i1.2.

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Femur shaft fractures are common fractures that orthopaedic surgeons come across. Such fractures frequently associate with high energy trauma (ex: Motor vehicle accident, fall from height) in young patients or a trivial fall in elderly patients. IMIL nailing is the most frequently used modality of management for shaft of femur fractures. Early definitive treatment within 24-48 hours in stable patients reduces the risk of mortality and morbidity. Fracture of femoral neck is an unusual complication while performing IMIL shaft fracture. We present a case of iatrogenic fracture neck of femur while performing IMIL for fracture shaft of femur and the technique of fixation used for the same intra-operatively. Keywords: Miss-A-Nail, Femoral neck, Fracture, Iatrogenic, Intramedullary, Nailing.

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8

Sanchez, Maria Dolores Porcel, and Karen L. Perry. "CPD article: Fractures of the femur." Companion Animal 26, no. 5 (May 2, 2021): 1–15. http://dx.doi.org/10.12968/coan.2020.0096.

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Femoral fractures occur commonly in dogs and cats, accounting for 45% of all long bone fractures. Femoral fractures are classified based on anatomic locational and include fractures of the proximal epiphysis, proximal physeal fractures, subcapital fractures, fractures of the femoral neck, trochanteric fractures, subtrochanteric fractures, fractures of the femoral shaft, supracondylar fractures, distal physeal fractures, unicondylar fractures, bicondylar fractures and fractures affecting the femoral trochlea. In general, femoral fractures are not amenable to treatment with external coaptation, so surgical stabilisation or a salvage procedure is required. Selection of an implant system will depend on fracture configuration and location, and requires a thorough understanding of the forces to which the implant system will be subjected. Complications associated with stabilisation may include premature physeal closure, resorption of the femoral head or neck, malunion, non-union, altered coxofemoral development, implant failure, sciatic neurapraxia, quadriceps contracture, patellar luxation and infection. The complication rate can be substantially reduced by the use of meticulous surgical technique and appropriate implant selection with the prognosis for complete functional recovery remaining good to excellent, providing that an optimal healing environment is preserved.

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9

Kim, Key Yong, Hyung Ku Yoon, and Se Yong Park. "Percutaneous Multiple Knowles Pinning in Femur Neck Fractures." Journal of the Korean Orthopaedic Association 21, no. 1 (1986): 115. http://dx.doi.org/10.4055/jkoa.1986.21.1.115.

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10

Harshavardhana, Nanjundappa S., Kalana Rathnayake, Andy Tanagho, and Calum Cree. "Quality assurance in segmental neck of femur fractures." International Journal of Health Care Quality Assurance 31, no. 6 (July 9, 2018): 474–82. http://dx.doi.org/10.1108/ijhcqa-09-2017-0167.

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Purpose The purpose of this paper is to report a rare case of segmental neck of femur fracture (SNoFF) and highlight its quality assurance and governance implications with respect to national guidelines, care pathways and best practice tariff. Design/methodology/approach Case report of an SNoFF in a 67-year-old woman treated at a district general hospital (DGH) was used in this study. Findings SNoFF required additional implants that delayed the surgery by five days. The authors were unable to adhere to the British Orthopaedic Association standards for trauma and Scottish Inter-Collegiate Guidelines Network recommendations which indicate that all neck of femur fractures (NoFFs) be fixed within 48 h. Though the patient was discharged without any untoward event and had an uneventful recovery, this case led us to introspect and learn how best to avoid such an incident from repeating again. Research limitations/implications This case led to an overhaul of NoFF and trauma services. The local logistics was restructured to procure “Trochanteric grip plates” within 24 h to provide mandated quality of care in an effort towards improving patient experience/outcomes. Originality/value SNoFF are rare injuries and its diagnosis is either delayed or missed in at least 20 per cent of the cases on initial evaluation. The non-availability of additional implants readily on the shelf coupled with lack of a trauma bed at the tertiary centre resulted in an unacceptable delay from admission to definitive surgery. The authors recommend that all DGHs have a mechanism/emergency procurement procedure system in place to obtain the required instrumentation kits rapidly through a sharing scheme with regional hospitals or through implant vendor to avoid unacceptable delays to surgery.

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11

Solomon, Lucian B., Saleem M. Hussenbocus, Jan Hoffmann, Donald W. Howie, and Frank J. Rühli. "Unusual appearances following intracapsular neck of femur fractures." Injury 42, no. 11 (November 2011): 1336–41. http://dx.doi.org/10.1016/j.injury.2011.05.012.

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12

Brennan, Stephen A., Cathleen J. O'Neill, Munir Tarazi, and Ray Moran. "Bilateral neck of femur fractures secondary to seizure." Practical Neurology 13, no. 6 (September 18, 2013): 420–21. http://dx.doi.org/10.1136/practneurol-2013-000669.

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13

Mitkovic, Milorad, Marko Bumbasirevic, Sasa Milenkovic, Ivan Micic, Milan Mitkovic, Marija Mitkovic, Desimir Mladenovic, and Momcilo Todorovic. "Fractures of the upper part of the femur treated with Mitkovic selfdynamisable internal fixator (SIF)." Acta chirurgica Iugoslavica 57, no. 4 (2010): 103–7. http://dx.doi.org/10.2298/aci1004103m.

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Complex transtrochanteric and subtrochanteric fractures need dynamisation in two axis: in neck axis and in the long axis of the femur. In this study is present one new concept of the surgical treatment of the fractures of proximal femur using new double dynamic selfdynamisable internal fixator (SIF). Dynamisation along the femoral neck axis is available immediately after the fixation, while dynamisation in the long axis of the femur is activated spontaneously 4-6 weeks after the fixation. It is shown series of 30 consecutive fractures of the upper femur. The average operative time was 42 minutes and average blood loss was 70 (seventy) milliliters. All fractures healed within an average period of sixteen weeks (ranging from 12 to 24 weeks). There were no serious complications. Conclusion: SIF is one effective minimally invasive method for the treatment of complex trochanteric and subtrochanteric femoral fractures.

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14

Griffin, Michelle, Alastair G. Dick, and Shamim Umarji. "Outcomes after Trifocal Femoral Fractures." Case Reports in Surgery 2014 (2014): 1–4. http://dx.doi.org/10.1155/2014/528061.

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Trifocal femur fractures are those of the femoral neck, diaphysis, and distal femur. These high-energy injuries predominantly occur in young people with the potential for long-term complications and disability. We present the cases of two men who were treated with proximal dynamic hip screws and distal periarticular locking plates to effectively manage trifocal femur fractures. Our cases have shown union at 2 years with good functional outcomes without the need for reintervention. We provide evidence for a successful surgical treatment option for these rare and complex injuries.

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15

Tokyay, Abbas, Melih Güven, Mehmet E. Encan, Erhan Okay, and Ozgur Akbaba. "The Influence of Acetabular Morphology on Prediction of Proximal Femur Fractures Types in an Elderly Population." HIP International 27, no. 5 (May 23, 2017): 489–93. http://dx.doi.org/10.5301/hipint.5000476.

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Introduction The role of proximal femur morphology to the development of certain proximal femur fracture types both femoral neck and trochanteric fractures has been observed. However, the relavance of acetabular morphology to the development of proximal femur fractures is not extensively questioned. Therefore the aim of the study was to determine whether there is a correlation between acetabular morphology and pathogenesis of 2 different hip fracture types after low energy trauma. Methods This retrospective study includes 60 cases (41 women, 19 men) with a proximal femoral fracture after a low energy trauma between July 2012 and December 2014. Acetabular depth and acetabular index were measured on pelvic radiographs. Neck shaft angle, hip axis length and cortical index were measured on pelvic computed tomography scans. All measurements were performed on the contralateral hip. Results Mean age was 77.56 ± 8.99 years (range 61-92 years). No statistically significant difference was found with regard to neck shaft angle, acetabular depth or cortical index measurements between patients with femoral neck fracture and patients with trochanteric femoral fractures (p>0.05). Acetabular index measurement was higher (p = 0.001) and hip axis length measurement was lower (p = 0.001) in trochanteric fracture group as compared to femoral neck fracture. Conclusions The rate of trochanteric femur fractures is higher in patients with high acetabular index, whereas the rate of femoral neck fractures is higher in patients with increased hip axis length.

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16

Dharmarajan, R., R. Vadivelu, and T. Lawrence. "An Unusual Neurological Complication following Internal Fixation of Pertrochanteric Fracture Neck of the Femur." HIP International 12, no. 4 (October 2002): 400–402. http://dx.doi.org/10.1177/112070000201200410.

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Fracture of the femoral neck is a common injury in the elderly population and may be associated with significant morbidity. More than 25,000 patients per year in the UK receive treatment for femoral neck fractures. Neurological injury associated with pertrochanteric fracture of the neck of the femur is rare. Sciatic nerve injury following isolated pertrochanteric femoral neck fractures is very rare and has not previously been reported in the literature. We describe a case of foot drop secondary to sciatic nerve injury following fracture of neck of the femur, with recovery after surgical exploration and nerve release.

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17

Kim, In, Jin Young Kim, Hyung Min Kim, Jon Hoon Park, Ki Won Kim, Sung Keun Lee, and Seoung Koo Rhee. "Treatment of Fractures of the Femur Neck in Children." Journal of the Korean Orthopaedic Association 31, no. 3 (1996): 426. http://dx.doi.org/10.4055/jkoa.1996.31.3.426.

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18

Yeo, Ingwon, and Seung-Jae Lim. "Current Treatment Strategy for Young Adult Femur Neck Fractures." Journal of the Korean Orthopaedic Association 50, no. 3 (2015): 178. http://dx.doi.org/10.4055/jkoa.2015.50.3.178.

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19

Lazarev, A. F., A. O. Ragozin, E. I. Solod, M. G. Kakabadze, A. F. Lazarev, A. O. Ragozin, E. I. Solod, and M. G. Kakabadze. "Peculiarities of Total Hip Replacement in Femur Neck Fractures." N.N. Priorov Journal of Traumatology and Orthopedics 10, no. 2 (June 15, 2003): 3–8. http://dx.doi.org/10.17816/vto20031023-8.

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Biomechanic conception of implant choice for primary total hip replacement in osteoporotic femur neck fractures is presented. Criterion for the choice is a localization of load-bearing surface of dense structure in acetabulum roof zone, i.e. sursile. Absolute indications to total hip replacement, use of bipolar and unipolar hemiprostheses are determined depending on the direction and deviation degree of sursile from horizontal axis of pelvis. Based on suggested conception the retrospective analysis of joint replacement results in 58 patients has been performed. The causes of protrusion and loosing of implants were studied.

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20

Crate, G., and M. Webb. "Open reduction of displaced intertrochanteric neck of femur fractures." Annals of The Royal College of Surgeons of England 104, no. 6 (June 2022): 1–2. http://dx.doi.org/10.1308/rcsann.2021.0240.

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21

Hoskins, Wayne, Darren Webb, Roger Bingham, Marinis Pirpiris, and Xavier L. Griffin. "Evidence Based Management of Intracapsular Neck of Femur Fractures." HIP International 27, no. 5 (September 2017): 415–24. http://dx.doi.org/10.5301/hipint.5000519.

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Neck of femur fractures are occurring at an increased incidence. Functionally independent patients without cognitive impairment can expect reasonable life expectancy. This indicates the need for a durable surgical option that optimises the chance to return to pre-injury functional status, with minimal risk of complications and reoperation. Most fractures are displaced. Surgical options include internal fixation, hemiarthroplasty or total hip arthroplasty (THA). Evidence is conclusive that arthroplasty options outperform internal fixation in terms of function, quality of life and reoperation rates. In anyone other than young patients where head preserving surgery is required, arthroplasty is the standard of care. Hemiarthroplasty is the heavily favoured arthroplasty option for surgeons. However, in patients other than the extreme elderly, medically infirm, neurologically impaired, or with little or no ambulatory capacity, the evidence to support hemiarthroplasty is lacking. In functionally independent patients without cognitive impairment, THA should be considered the gold standard, producing better functional and quality of life outcomes, lower reoperation rates and better cost effectiveness, with no difference in complications or mortality. An increased risk of dislocation does exist. This may be reduced with modern surgical technique and implant options. Low amounts of research have been afforded to undisplaced fractures. For this fracture type, surgery is the standard of care. Despite a higher risk of reoperation, internal fixation is the preferred option for all age groups. Further study is required to identify the difference between internal fixation and THA, in particular, for unstable fracture patterns in elderly patients.

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22

Kause, J., and M. J. Parr. "Bilateral subcapital neck of femur fractures after eclamptic seizures." British Journal of Anaesthesia 92, no. 4 (April 2004): 590–92. http://dx.doi.org/10.1093/bja/aeh105.

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23

Raimann, A., C. Saavedra, and R. Raimann. "Fractures of the Neck of the Femur in Children." Journal of Pediatric Orthopaedics B 1, no. 2 (1992): 179. http://dx.doi.org/10.1097/01202412-199201020-00060.

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24

Mayr, J., V. Hirner, W. Styhler, E. Posch, M. Jelen, W. E. Linhart, W. Kohlmaier, T. Neubauer, and N. Schwarz. "Fractures of the neck of the femur in children." Der Unfallchirurg 101, no. 6 (June 1998): 426–32. http://dx.doi.org/10.1007/s001130050291.

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25

Mayr, J., V. Himer, W. Styhler, E. Posch, M. Jelen, W. E. Linhart, W. Kohlmaier, T. Neubauer, and N. Schwarz. "Fractures of the neck of the femur in children." Journal of Orthopaedic Trauma 12, no. 7 (September 1998): 528. http://dx.doi.org/10.1097/00005131-199809000-00024.

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26

Siddique, K., L. Athanatos, and P. Housden. "Spontaneous bilateral neck of femur fractures and shoulder dislocation." Case Reports 2011, jan20 1 (January 25, 2011): bcr0520103034. http://dx.doi.org/10.1136/bcr.05.2010.3034.

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27

Brand, Richard A. "Fractures of the Neck of the Femur in Childhood." Clinical Orthopaedics and Related Research 466, no. 1 (January 2008): 50–61. http://dx.doi.org/10.1007/s11999-007-0024-3.

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28

Bruyere, Olivier, Christian Roux, Johann Detilleux, Daniel O. Slosman, Tim D. Spector, Patrice Fardellone, Kim Brixen, et al. "Relationship between Bone Mineral Density Changes and Fracture Risk Reduction in Patients Treated with Strontium Ranelate." Journal of Clinical Endocrinology & Metabolism 92, no. 8 (August 1, 2007): 3076–81. http://dx.doi.org/10.1210/jc.2006-2758.

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Abstract Objective: Our objective was to analyze the relationship between bone mineral density (BMD) changes and fracture incidence during 3-yr treatment with strontium ranelate. Patients: Women from the strontium ranelate arm of the Spinal Osteoporosis Therapeutic Intervention study and the TReatment Of Peripheral OSteoporosis study were evaluated. Outcome Measures: The outcome measures included BMD at the lumbar spine, femoral neck, and total proximal femur assessed at baseline and after a follow-up of 1 and 3 yr; semiquantitative visual assessment of vertebral fractures; and nonvertebral fractures based on written documentation. Results: After 3 yr of strontium ranelate treatment, each percentage point increase in femoral neck and total proximal femur BMD was associated with a 3% (95% adjusted confidence interval, 1–5%) and 2% (1–4%) reduction in risk of a new vertebral fracture, respectively. The 3-yr changes in femoral neck and total proximal femur BMD explained 76% and 74%, respectively, of the reduction in vertebral fractures observed during the treatment. Three-year changes in spine BMD were not statistically associated with the incidence of new vertebral fracture (P = 0.10). No significant associations were found between 3-yr changes in BMD and incidence of new nonvertebral fractures, but a trend was found for femoral neck BMD (P = 0.09) and for total proximal femur BMD (P = 0.07). An increase in femoral neck BMD after 1 yr was significantly associated with the reduction in incidence of new vertebral fractures observed after 3 yr (P = 0.04). Conclusion: During 3-yr strontium ranelate treatment, an increase in femoral neck BMD was associated with a proportional reduction in vertebral fracture incidence.

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Pesic, Goran, Jovana Jeremic, Isidora Stojic, Aleksandra Vranic, Marija Cankovic, Tamara Nikolic, Nevena Jeremic, et al. "Redox Status in Patients with Femoral Neck Fractures." Serbian Journal of Experimental and Clinical Research 17, no. 3 (September 1, 2016): 199–206. http://dx.doi.org/10.1515/sjecr-2015-0061.

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Abstract The femur transfers the body weight from the pelvic bone to the shinbone. Femur fractures are a significant cause of morbidity and mortality among the group of locomotor apparatus injuries, especially in the elderly population. Considering that oxidative stress occurs as a result of increased production of free radicals that damage cell function and cause numerous pathological conditions and diseases, the aim of this study was to investigate oxidative stress parameters in older patients with femoral neck fractures. This clinical study included 70 patients, of which 35 had femoral neck fractures (26 males and 9 females), while the other half of the patients formed the matched control group. Markers of oxidative stress (NO2−, TBARS, H2O2 and O2-) and anti-oxidative enzymes (SOD, CAT, and GSH) were measured. Results showed that the levels of O2- increased, while levels of NO2-, H2O2 and all the antioxidative enzymes decreased in patients with femoral neck fractures. These findings indicate that fractures cause oxidative stress, probably because of the reduced activity of osteoblasts and the increased activity of osteoclasts.

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Talebi, Shahin, and Shayan Amjadi. "An Occult Ipsilateral Femoral Neck Fracture Associated With Mid-Shaft Femur Fracture." Journal of Research in Orthopedic Science 7, no. 4 (November 1, 2020): 185–88. http://dx.doi.org/10.32598/jrosj.7.4.703.1.

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Occult ipsilateral femoral neck fractures associated with femoral shaft fractures are frequently missed. They may lead to adverse outcomes, such as fracture displacement and delayed treatment followed by poor outcomes, including delayed union, malunion, nonunion, and osteonecrosis, which may lead to early arthroplasty. These adverse effects can be prevented by the awareness of this combined injury pattern, the adequate preoperative and intraoperative imaging of the femoral neck, and proper treatment. A 27-year-old man was admitted with a displaced fracture of the right femur. Fluoroscopic evaluation was performed after the intramedullary nailing of the shaft fracture. The evaluation revealed an ipsilateral displaced femoral neck fracture, which was fixed with two cannulated screw inserted anterior to the nail. Between 2% and 9% of all femoral shaft fractures are associated with ipsilateral femoral shaft fractures. This case report necessitates the increase of awareness for the presence of associated femoral shaft and neck fractures in patients undergoing antegrade femoral nailing. Also, we recommend appropriate preoperative, intraoperative, and postoperative imaging.

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31

Park, Kyeong-Hyeon, Chang-Wug Oh, Joon-Woo Kim, Hee-Jun Kim, Dong-Hyun Kim, Jin-Han Lee, Won-Ki Hong, and Jong-Keon Oh. "Prophylactic Femoral Neck Fixation in an Osteoporosis Femur Model: A Novel Surgical Technique with Biomechanical Study." Journal of Clinical Medicine 12, no. 1 (January 3, 2023): 383. http://dx.doi.org/10.3390/jcm12010383.

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Intramedullary nailing (IMN) is a popular treatment for elderly patients with femoral shaft fractures. Recently, prophylactic neck fixation has been increasingly used to prevent proximal femoral fractures during IMN. Therefore, this study aimed to investigate the biomechanical strength of prophylactic neck fixation in osteoporotic femoral fractures. An osteoporotic femur model was created to simulate the union of femoral shaft fractures with IMN. Two study groups comprising six specimens each were created for IMN with two standard proximal locking screws (SN group) and IMN with two reconstruction proximal locking screws (RN group). Axial loading was conducted to measure the stiffness, load-to-failure, and failure modes. There were no statistically significant differences in stiffness between the two groups. However, the load-to-failure in the RN group was significantly higher than that in the SN group (p < 0.05). Femoral neck fractures occurred in all specimens in the SN group. Five constructs in the RN group showed subtrochanteric fractures without femoral neck fractures. However, one construct was observed in both subtrochanteric and femoral neck fractures. Therefore, prophylactic neck fixation may be considered an alternative biomechanical solution to prevent proximal femoral fractures when performing IMN for osteoporotic femoral fractures.

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Napoli, Nicola, Jenny Jin, Katherine Peters, Rosanna Wustrack, Shane Burch, Aldric Chau, Jane Cauley, Kristine Ensrud, Michael Kelly, and Dennis M. Black. "Are Women with Thicker Cortices in the Femoral Shaft at Higher Risk of Subtrochanteric/Diaphyseal Fractures? The Study of Osteoporotic Fractures." Journal of Clinical Endocrinology & Metabolism 97, no. 7 (July 1, 2012): 2414–22. http://dx.doi.org/10.1210/jc.2011-3256.

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Abstract Context: Femoral shaft cortical thickening has been mentioned in reports of atypical subtrochanteric and diaphyseal (S/D) femur fractures, but it is unclear whether thickening precedes fracture or results from a preceding stress fracture and what role bisphosphonates might play in cortical thickening. Objective: Our objective was to examine the relationship of cortical thickness to S/D fracture risk as well as establish normal reference values for femoral cortical thickness in a large population-based cohort of older women. Design: Using pelvic radiographs obtained in 1986–1988, we measured femoral shaft cortical thickness 3 cm below the lesser trochanter in women in the Study of Osteoporotic Fractures. We measured this in a random sample and in those with S/D fractures and femoral neck and intertrochanteric fractures. Low-energy S/D fractures were identified from review of radiographic reports obtained between 1986 and 2010. Radiographs to evaluate atypia were not available. Analysis used case-cohort, proportional hazards models. Outcomes: Cortical thickness as a risk factor for low-energy S/D femur fractures as well as femoral neck and intertrochanteric fractures in the Study of Osteoporotic Fractures, adjusting for age and bone mineral density in proportional hazards models. Results: After age adjustment, women with thinner medial cortices were at a higher risk of S/D femur fracture, with a relative hazard of 3.94 (95% confidence interval = 1.23–12.6) in the lowest vs. highest quartile. Similar hazard ratios were seen for femoral neck and intertrochanteric fractures. Medial or total cortical thickness was more strongly related to fracture risk than lateral cortical thickness. Conclusions: In primarily bisphosphonate-naive women, we found no evidence that thick femoral cortices placed women at higher risk for low-energy S/D femur fractures; in fact, the opposite was true. Women with thin cortices were also at a higher risk for femoral neck and intertrochanteric fractures. Whether cortical thickness among bisphosphonate users plays a role in atypical S/D fractures remains to be determined.

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Okcu, G�venir, and Kemal Aktuglu. "Antegrade nailing of femoral shaft fractures combined with neck or distal femur fractures." Archives of Orthopaedic and Trauma Surgery 123, no. 10 (December 1, 2003): 544–50. http://dx.doi.org/10.1007/s00402-003-0584-y.

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Jordaan, Jacobus D., Marilize C. Burger, Shafique Jakoet, Muhammad Ahmed Manjra, and Johan Charilaou. "Mortality Rates in Femoral Neck Fractures Treated With Arthroplasty in South Africa." Geriatric Orthopaedic Surgery & Rehabilitation 13 (January 2022): 215145932211173. http://dx.doi.org/10.1177/21514593221117309.

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Objectives To investigate the mortality rate for neck of femur fractures treated with arthroplasty at a tertiary level unit in South Africa and to evaluate the effect of known risk factors for mortality in neck of femur fractures treated with arthroplasty in the South African context. Design Retrospective cohort study. The main outcome was to determine mortality rates during in hospital stay, at 3 months, 6 months 1 year post surgery. The secondary outcome was to determine factors influencing mortality at 30 days, 6 months and 12 months post-surgery. Results Mortality rate was 3.3% in hospital, 5.6% at 30 days and 26.7% at 1 year. Age >79, ASA score >3, and cementing of the femur had statistically increased mortality risk ( P < .001). Average length of hospital stay was 12.3 ± 5.1 days (range 3.0-41.0 days) with 73% of patients discharged back to pre-hospital home. Conclusion Mortality rates after femur neck fracture arthroplasty in South Africa are slightly higher at 1 year compared to international data. However, the rates are comparably low during hospital stay, 30 day and at 6 months post-surgical intervals.

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Sahu, Ramji Lal. "Pediatric Femoral Neck Fractures." Bangladesh Journal of Medical Science 13, no. 2 (March 10, 2014): 198–204. http://dx.doi.org/10.3329/bjms.v13i2.18303.

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Introduction: Femoral neck fractures are rare injuries in children, but the high incidence of long term complications make it an important clinical entity. The aim of this prospective study was to analyze the clinical outcomes of pediatric femur neck fractures. Methods: The study included 16 children (10 boys and 6 girls) who sustained femoral neck fractures and completed an average follow-up of 28 months. The children were treated with anatomical reduction and internal fixation with partially threaded cancellous screws. The outcomes were clinically and radio logically assessed for fracture healing, joint movements and implant failure. Results: The mean age of included patients was 10 years (range, 6 to 16 years) and the average followup was 28 months (range, 17 -48 months). Coxa- vara was the most common complication Other complications included nonunion associated with Partial a vascular necrosis and delayed union was seen in one case but later on it had been corrected. Two cases of slight coxa vara were seen radiologically but clinically patients had no problem in walking and daily activities. All children achieved union in a mean time of 10 weeks (range from 6 - 16 weeks) except two cases. Full weight bearing was possible in a mean time of 8.8 weeks. The results were excellent in 68.75% and good in 18.75% patients. Conclusions: We conclude that the early operation using anatomical reduction and internal fixation of pediatric femoral neck fracture offers the best results and provide early healing less complication with good results and is economical. DOI: http://dx.doi.org/10.3329/bjms.v13i2.18303 Bangladesh Journal of Medical Science Vol.13(2) 2014 p.198-204

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Biesemans, Stef, and Wim Vandesande. "Segmental Fractures of the Neck of Femur: Fix or Replace?" Arthroplasty Today 8 (April 2021): 247–52. http://dx.doi.org/10.1016/j.artd.2021.03.004.

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Varghese, Viju Daniel, Abel Livingston, P. R. Boopalan, and Thilak S. Jepegnanam. "Valgus osteotomy for nonunion and neglected neck of femur fractures." World Journal of Orthopedics 7, no. 5 (2016): 301. http://dx.doi.org/10.5312/wjo.v7.i5.301.

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Yousry, Ahmed H., Shady S. El-Beshry, and Gergis Nabil Benyameen. "Fixation of Unstable Neck Femur Fractures in Adults : Review Article." Egyptian Journal of Hospital Medicine 68, no. 3 (July 2017): 1374–80. http://dx.doi.org/10.12816/0039677.

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Goucke, C. R. "Mortality following surgery for fractures of the neck of femur." Anaesthesia 40, no. 6 (February 22, 2007): 578–83. http://dx.doi.org/10.1111/j.1365-2044.1985.tb10902.x.

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Bhangoo, N. S., R. W. Westerman, and M. Hatton. "Femoral head histology for intra-capsular neck of femur fractures." Injury Extra 41, no. 12 (December 2010): 173. http://dx.doi.org/10.1016/j.injury.2010.07.340.

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İnan, Ulukan, Nusret Köse, and Hakan Õmeroğlu. "Pediatric femur neck fractures: a retrospective analysis of 39 hips." Journal of Children's Orthopaedics 3, no. 4 (August 2009): 259–64. http://dx.doi.org/10.1007/s11832-009-0180-y.

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D., Sidharth, Thyagarajan U., Raghavendran B., and Raghul Siddharth. "Management of acetabulum fracture with contralateral neck of femur in an obese patient: a rare case report." International Journal of Research in Orthopaedics 8, no. 2 (February 25, 2022): 278. http://dx.doi.org/10.18203/issn.2455-4510.intjresorthop20220618.

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<p class="abstract">Acetabular fractures are complex fractures that pose a challenge for orthopaedic trauma surgeons due to their extension into the hip joint. The simultaneous occurrence of contralateral neck of femur fracture in an obese patient makes postoperative wound healing and rehabilitation even challenging. Here, we report a case of management of acetabulum fracture with contralateral neck of femur fracture in an obese patient. We are reporting a case of a 50-year-old obese female from Chennai who presented to the Department of Orthopaedics, SRIHER, Chennai, with complaints of bilateral hip pain and inability to weight bear on bilateral lower limb, following a high-velocity road traffic accident. She was diagnosed to have left acetabulum fracture with right hip displaced neck of femur fracture. We managed her with right hip bipolar hemiarthroplasty and left acetabulum open reduction and internal fixation. 6 month follow up showed excellent radiological and functional outcome. This case report highlights how obesity alters the surgical and medical management in obese patients with contralateral acetabulum and neck of femur fracture and the importance of a multidisciplinary approach in such polytrauma patients.</p>

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Vitale, Elsa, Angela Notarnicola, Lorenzo Moretti, Antonio Esposito, Vito Pesce, and Biagio Moretti. "Multidimensional prognostic index in the elderly with hip or neck femur fracture." Orthopedic Reviews 4, no. 2 (April 12, 2012): 15. http://dx.doi.org/10.4081/or.2012.e15.

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Hip and neck femur fracture surgery was associated with high post-operative mortality and poor functional results. The decision-making process with regards to the elderly with hip or neck femur fractures was of great importance, requiring consideration of ethical, medico legal and economic factors in addition to the purely medical ones. An important component in the decision-making process was the precise knowledge of the expected mortality. We considered here several articles from 1 January 2002 to 31 August 2010 that identified the possible scoring system to predict mortality in the elderly undergoing hip or neck femur fracture surgery. We found seven studies which included a total of 12,177 patients that were assigned to hip/neck femur fracture surgery. Each study identified the possible scoring system to predict mortality in the elderly undergoing hip/neck femur fracture surgery. By reviewing the literature available, it was shown that there were more multidimensional prognostic indexes in the elderly after hospitalization than multidimensional prognostic indexes with hip or neck femur fracture which could be used as a simple point scoring system at the bedside to predict mortality in the elderly undergoing hip or neck femur fracture surgery. Although, all the prognostic indexes searched worked well for a general population, but they were of limited validity in the specific, relatively homogeneous population of hip/neck femur fracture patients.

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Mokhchani, Youness, Mouad Fahl, Youssef Zorkani, Bouchaib Chafry, and Mustapha Boussouga. "Fatigue Fracture of the Femur Neck: A Case Report and Literature Review." Scholars Journal of Medical Case Reports 10, no. 3 (March 3, 2022): 178–81. http://dx.doi.org/10.36347/sjmcr.2022.v10i03.001.

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Fatigue fractures are fractures that occur on a healthy bone following a rather intense and unusual activity. The diagnosis is based on anamnestic data (no notion of trauma), clinical data (especially pain, with poor clinical examination in general), and radiological data (the standard radiography allows in general to make the diagnosis, however, the use of other additional examinations such as ultrasound, MRI or scintigraphy may be necessary. The treatment of fatigue fractures is mainly functional and medical, but some cases require surgical treatment. The evolution of these fractures is generally satisfactory; however, complications are not uncommon, which can compromise the functional prognosis.

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Dharmshaktu, Ganesh Singh. "An unreported variant of fracture neck femur: a case report." International Journal of Scientific Reports 1, no. 1 (May 2, 2015): 102. http://dx.doi.org/10.18203/issn.2454-2156.intjscirep20150215.

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<p class="abstract">Fracture neck femur is common but ‘unsolved’ injury. Despite many classifications certain fractures do not fit into well recognized patterns or classifications. We report an unreported variation of the intraoperatively detected fracture. The fracture consisted of a subcapital fracture with a long intramedullary spike along the neck of femur attached to proximal segment. The patient was managed accordingly with good functional outcome. </p><p class="keywords"><strong><span lang="EN-US">Keywords: </span></strong>Fracture neck femur, Classification, Management, Hip trauma<strong></strong></p>

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Murali, Sujayendra Davanagere, Nikhil Hegde, and Hitesh Shah. "Valgus-impacted fracture of neck of femur in a 12-year-old child." BMJ Case Reports 14, no. 3 (March 2021): e240707. http://dx.doi.org/10.1136/bcr-2020-240707.

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Though uncommon, fracture of neck of femur in children is a devastating injury due to the complications it may cause. Treatment depends on the age of the child, the displacement of the fracture and the type of fracture based on Delbet classification. Surgical treatment is indicated in displaced fractures. We report a case of an impacted fracture of neck of femur in a 12-year-old girl. The girl was managed non-operatively. The fracture united uneventfully. An impacted fracture of neck of femur is common in the adult population. To the best of our knowledge, this fracture pattern has not been reported in the paediatric age group.

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Lazarev, A. F., E. I. Solod, A. O. Ragozin, M. G. Kakabadze, A. F. Lazarev, E. I. Solod, A. O. Ragozin, and M. G. Kakabadze. "Treatment of Proximal Femur Fractures on the Background of Osteoporosis." N.N. Priorov Journal of Traumatology and Orthopedics 11, no. 1 (March 15, 2004): 27–31. http://dx.doi.org/10.17816/vto200411127-31.

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Analysis of treatment of 526 patients with proximal femur fractures (362 patients with femoral neck fractures and 164 patients with trochanteric zone fractures) was performed. Patients' age ranged from 34 to 92 (mean 67). Algorithm of differentiated choice of operative tactics depending on fracture characteristics and injury term was presented. Low invasive osteosynthesis of femoral neck with bundle of stressed V-shaped pins was suggested. Theoretical and practical ground of that technique was given. Stress within fixative-bone system created after osteosynthesis by V-shaped pins, provided stable fixation even in marked osteoporosis. The importance of bone mineral density evaluation for the choice of treatment tactics as well as the necessity of medicamental correction of the disturbed bone remodeling after surgical treatment was noted.

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Gorsche, Mark T., Michelle S. Caird, Frances A. Farley, G. Ying Li, and Matthew D. Abbott. "Femoral neck fractures in osteogenesis imperfecta patients: A retrospective case series and novel surgical technique." Case Studies in Surgery 3, no. 3 (August 6, 2017): 14. http://dx.doi.org/10.5430/css.v3n3p14.

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Case: We conducted a retrospective review of three cases of femoral neck fractures treated operatively in patients with osteogenesis imperfecta (OI). All of our patients had acetabular protrusio as well as coxa vara deformity. All patients successfully underwent cannulated screw fixation without avascular necrosis (AVN). One patient required a sub-adductor hip arthrogram during a revision procedure to assist with visualization of the proximal femur which resulted in improved screw purchase.Conclusions: We report on three cases of femoral neck fractures in OI patients and a previously undescribed technique; using a hip arthrogram to assist in fluoroscopic evaluation of the proximal femur in these osteopenic patients.

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Rajasekharan, Jayakrishnan. "Study of femoral neck fractures in elderly patients of Malayalam population." International Journal of Research in Orthopaedics 5, no. 6 (October 22, 2019): 1207. http://dx.doi.org/10.18203/issn.2455-4510.intjresorthop20194831.

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<p class="abstract"><strong>Background:</strong> 53 elderly patients aged between 51 to 80 were operated for fracture of neck of Femur to compare the two methods for early healing.</p><p class="abstract"><strong>Methods:</strong> All patients selected for bipolar hemiarthopalsty. Out of them 25 were cemented, and 28 were un-cemented. Every patients was operated through posterior (Southern- Moore) approach. Harris Hip score was studied to assess the duration of improvement.<strong></strong></p><p class="abstract"><strong>Results:</strong> History of the patients was 12 (22.6%) were diabetic mellitus, 14 (26.4%) were Hypertensive 9 (16.9%) were alcoholic, 18 (33.9%) were normal (NAD) in the comparison of Harris Hip score at different age-in 51-60 years mean value was 92.8, (SD±0.3), in 61-70 years mean value was 85.1 (SD±0.26), in 71-80 years mean value was 81.9 (SD±0.26), On total sum of score was 729.6, DF was 51, MSS was 363, 0.07, F=ratio was 5019, p value was highly significant (p<0.01). In the comparative study of Harris Hip score degrees in both methods were quite functional, chi-square test was 3.90 DF=3, and p>0.05.</p><p class="abstract"><strong>Conclusions:</strong> This study of bipolar hemiartho pasty with cement or without cement will be quite effective to treat the neck fracture in old patients due to its dual fixation because calcar femorale present in the neck of the femur become function less with advancement of age moreover neck of the femur is devoid of periosteum Hence healing of neck fracture of the femur is medical challenge.</p><p align="center"> </p>

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Popsuishapka, Olexii, Serhii Dovhan, and Oleksandr Khomyak. "Остеосинтез у разі переломів шийки та вертлюгової зони стегнової кістки в дітей." ORTHOPAEDICS, TRAUMATOLOGY and PROSTHETICS, no. 2 (October 12, 2021): 10–16. http://dx.doi.org/10.15674/0030-59872021210-16.

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Proximal femur fractures are uncommon injuries in children, accounting for less than 1 % of all fractures per year, but usually result in hospitalization and are at risk of complications. We have designed a device for bone fragments fixation in the case of proximal femur fractures and the method of its application in adults. The device consists of rods that are screwed into the cap of the head, the diaphyseal part and the module, which is located in the subtrochanter area. The rods can be connected to the module at any angle in the frontal plane. The device provides a certain stage of installation of the elements, which allows you to effectively place it with minimal bone destruction. Objective. Share your own experience in the treatment of femoral neck and proximal femur fractures in children. Material. The experience of treatment of 28 children with femoral neck fracture or proximal femur fractures for the period 2005–2020 is presented, 11 of them were treated conservatively with the skeletal traction. Osteosynthesis by the author’s device was performed in 17 patients: 15 closed reduction, 2 in case of intertrochanteric fracture, — open reduction. The method of osteosynthesis and postoperative management of patients is described in detail. Results. In children who were treated conservatively, the fracture consolidation was achieved within 5–7 months, in one of them — in the position of varus deformity. In contrast to conservative treatment, children began to walk with crutches after a few days after surgery, with partial weight-bearing on injured limb. The device was removed in 16 patients after 5–8 months, and complete fracture consolidation of the fragments in their anatomical position was noted. There were no pathological tissue reactions to the metal device. Conclusions. The proposed device and method of closed osteosynthesis with its usage in the case of proximal femur and femoral neck fractures in children can be recommended in the practice of pediatric traumatology.

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