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At least 55 records · Page 3Linked to original sources
PubMed2003

Intrapelvic dislocation of the head of femur through the obturator foramen associated with ipsilateral fracture femur.

We describe a case of traumatic anterior dislocation of the hip in a 14-year-old boy with associated intrapelvic displacement of the femoral head and ipsilateral fractures of the shaft of the femur and greater trochanter. There was a delay in presentation of eight days. At operation the femoral head was reduced into the acetabulum after enlarging the obturator foramen by performing an osteotomy of the superior pubic ramus.

Accidents, Traffic↗
PubMed1991

[Experimental studies of the stability behavior of the coxal end of the femur after montage and removal of DHS implants in the intact cadaver femur].

After experimental implantation in non-fractured cadaver femora, the ASIF dynamic hip screw system supported the femoral neck and the lateral proximal femur and prevents deformation, depending on the vector of the resultant force. Three positions of weight-bearing were simulated: near-axial loading of the femoral neck, standing on one leg and standing on two legs. After removal of the metal the bone breaking point was markedly lowered.

Biomechanical Phenomena↗
PubMed1994

[Treatment of the ipsilateral femur shaft and femur neck fractures with the Russell-Taylor reconstruction nail].

Eleven ipsilateral neck and shaft fractures of the femur in 11 patients (4 females, 7 males) were treated between May 1987 and December 1990 at the Department of Orthopedic Surgery. University of Louisville, Trauma center level one. The mean age was 34.5 (16-60) years. All patients sustained their injuries from high energy trauma (8 traffic accidents, 3 falls). All neck fractures were closed and there were 8 closed and 3 open (grade I, grade II, grade IIIA = one each) shaft fractures. All fractures were operated on the fracture table and all were stabilized with the Russell-Taylor reconstruction nail. Thus, antegrade reamed nailing of the shaft fracture was followed by internal fixation of the neck fracture with 8.0 mm and 6.4 mm lag screws. Those were placed with a targeting device through the proximal locking holes of the nail. Then, the distal locking bolts were implanted by free hand technique. The mean follow-up was 36.2 (18-71) months. All fractures of the neck and shaft healed. There was no necrosis of the femoral head. No infection was observed. The mean healing time for the neck fractures was 13.4 weeks and 16.8 weeks for the shaft fractures. In one case autogenous cancellous bone grafting was performed in delayed healing of a shaft fracture. There were no varus or valgus malangulations. Five patients had a minor limited ROM of the hip joint, another 6 patients an average shortening of 1.3 cm of he involved leg. In one case a locking bolt had to be removed due to loosening.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗
PubMed1989

[Surgical treatment of unstable trochanteric fractures of the femur. I. Evaluation of the surgical treatment of trochanteric fractures of the femur using angular nails].

One hundred and two patients with trochanteric fractures of the femur were treated with angular nail-plates during a four-year period between 1984 and 1987. It is proved that this method is efficient for stable fracture patients, particularly used 24 hours after trauma. Whereas concerning unstable fractures III-th and IV-th degree most results are unsatisfactory. Disadvantage of the method is that patients can not be weight bearing operated leg soon after operation, what has negative influence for healing results.

Adult↗
PubMed1981

[Comments on the problem of treatment of ipsilateral combined fractures at the coxal end of the femur and shaft of the femur (author's transl)].

The article discusses te problems of ipsilateral fractures of the neck and shaft of the femur, basing on relevant cases of patients of the university clinic of Accident Surgery in Vienna (8 patients) and available references from literature (164 injured persons). The surgical methods of treatment are shown, attention is drawn to their justification, and the advantages and disadvantages of the individual methods are described. Preference is given to intramedullary methods of osteosynthesis, such as the locking nail and the Y nail.

Adult↗
PubMed1995

[Management of ipsilateral fractures of the femur shaft and proximal femur--therapy overview and current management].

Fractures of the femoral shaft are combined in 2-5% of all cases with an ipsilateral fracture of the proximal femur. These double fractures are mostly caused by high energy trauma. An analysis of 9 selected papers points to the problem. In more than 10% the proximal fracture is not diagnosed initially. In the literature nearly 30 different operative treatments are described and underline the demands on proper operative techniques and implants for ipsilateral femoral shaft and hip fractures. In this publication the new unreamed femoral nail system (UFN) with a special proximal interlocking option for double fractures will be presented. This system provides a good possibility to stabilize femoral double fractures in an easy and safe manner.

Adult↗