Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “FEMORAL FRACTURES”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 1,045 records · Page 58Linked to original sources
PubMed1991

Interlocking nails for femoral fractures: an initial experience.

We report the results of the first 50 femoral interlocking nails used in our city. The operations were performed by 20 different surgeons. The follow-up interval averaged 19 months. Five patients with pathological fractures died during this period and two could not be traced. Forty-three fractures were assessed clinically and radiologically by one of the authors. Malunion and/or shortening occurred in 22 patients. Six patients had varus (greater than 5 degrees), ten patients valgus (greater than 5 degrees) and ten patients had malrotation (greater than 10 degrees). Six patients were shortened (greater than 2 cm). Two cases progressed to non-union (greater than 26 weeks), and one had deep sepsis. We discuss the effect of insertion point, dynamic versus static fixation and the lateral table position on the final results. It is concluded that: 1. The nail should be inserted in line with the axis of the femoral shaft. This point is usually in the piriform fossa. 2. The static mode should be used for most fractures. 3. The lateral table position may result in rotational and valgus malalignment.

Adolescent↗
PubMedDate not supplied

Severe central fracture-dislocation of the hip migrated deep into the pelvis complicating ileal rupture and ipsilateral comminuted femoral fracture: CT characteristics.

A case of severe central fracture-dislocation of the hip migrated deep into the pelvis complicating ileal rupture and ipsilateral comminuted fracture of the proximal femur was described. Plain CT images of the pelvis were distinctive and quite useful for evaluating the severity of the injury. Osteomyelitis of the proximal femur occurred soon after resection of the femoral head and suturing of the peritoneum though laparotomy. Complete closure of the peritoneal laceration and rapid totally diverting colostomy would be recommendable in order to avoid infectious complications in such a severe central fracture-dislocation of the hip.

Abdominal Pain↗
PubMed1997

Modified transverse locking nail fixation of proximal femoral fractures.

It was hypothesized that transverse locking screws of intramedullary nails, seated above the lesser trochanter, provide equal strength to that of reconstruction nails, and that screws placed through the medial cortex of the femoral neck do not have adverse biomechanical effects during physiologic loading. Synthetic femurs (n = 10) and paired anatomic specimen femurs (n = 14) were tested intact and with an intramedullary device in place. Intact specimens were loaded nondestructively, then a segmental subtrochanteric defect was created and either a high seated transverse locking nail or a reconstruction nail was inserted and statistically locked. Axial and torsional stiffness were determined followed by axial failure testing. Mechanical parameters evaluated were stiffness, displacement, and energy. The implanted specimens did not show any statistically significant difference between transverse or reconstruction screw constructs with any of the measured parameters (stiffness, displacement, and energy). Failure tests in implanted specimens also did not show any statistically significant difference in yield load, yield displacement, or energy to failure between implant constructs. All anatomic specimens failed, with fractures of the proximal fragment involving medial and lateral cortices. Synthetic specimens did not fracture but showed failure with implant deformation at the level of the skeletal defect. The use of high seated transverse locking nails for complex proximal femoral fractures is a viable option and has comparable in vitro mechanical performance with reconstruction nails. Although not shown to be a problem in the present study, clinical evaluation of screws through the medial femoral neck cortex is required.

Bone Nails↗