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Results for “FEMORAL FRACTURES”

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At least 1,135 records · Page 63Linked to original sources
PubMed1977

A comparison of the stability of proplast-coated and cemented Thompson prostheses in the treatment of subcapital femoral fractures.

Twenty randomly selected patients with displaced subcapital fractures of the femur, were treated with prosthetic replacement of the femoral head using a Thompson prosthesis of which the intramedullary portion was coated with Proplast. The results were compared with a control group of 20 similar patients in whom the standard Thompson prosthesis was used with acrylic cement. At follow-up, which ranged from 3 to 17 months, there was substantial X-ray evidence of prosthetic loosening in the Proplast series.

Bone Cements↗
PubMed2006

Three hundred and twenty-one periprosthetic femoral fractures.

BACKGROUND: The purpose of this study was to determine the demographics, incidence, and results of treatment of periprosthetic fractures in a nationwide observational study. METHODS: In the years 1999 and 2000, 321 periprosthetic fractures were reported to the Swedish National Hip Arthroplasty Register. All of the associated hospital records were collected. At the time of follow-up, the Harris hip score, a health-related quality-of-life measure (the EuroQol-5D [EQ-5D] index), and patient satisfaction were used as outcome measurements. A radiologist performed the radiographic evaluation. RESULTS: Ninety-one patients, with a mean age of 73.8 years, sustained a fracture after one or several revision procedures, and 230 patients, with a mean age of 77.9 years, sustained a fracture after a primary total hip replacement. Minor trauma, including a fall to the floor, and a spontaneous fracture were the main etiologies for the injuries. A high number of patients had a loose stem at the time of the fracture (66% in the primary replacement group and 51% in the revision group). Eighty-eight percent of the fractures were classified as Vancouver type B; however, there was difficulty with preoperative categorization of the fractures radiographically. There was a high failure rate resulting in a low short to mid-term prosthetic survival rate. The sixty-six-month survival rate for the entire fracture group, with reoperation as the end point, was 74.8% +/- 5.0%. One factor associated with fracture risk was implant design. CONCLUSIONS: On the basis of these findings, we believe that high-risk patients should have routine radiographic follow-up. Such a routine could identify a loose implant and make intervention possible before a fracture occurred. Furthermore, we recommend an exploration of the joint to test the stability of the implant in patients with a Vancouver type-B fracture in which the stability of the stem is uncertain.

Aged↗
PubMed1992

Primary knee arthroplasty for distal femoral fractures in elderly patients.

We discuss the role of primary knee arthroplasty in supracondylar and intercondylar fractures of the femur in elderly patients with reference to 13 cases. This method of treatment is shown to be effective and to have good results. It is recommended for all type C and some type A supracondylar fractures in old people.

Aged↗
PubMed2003

[New minimally invasive methods of stabilizing distal femoral fractures].

New, minimally invasive methods of stabilizing distal femur fractures offer the advantage of superior bone healing rates and lower infection rates despite of a decreased necessity of bone grafts. In comparison to conventional plating, the employed indirect reduction method does not lead to an increase in postoperative malalignments. The Less Invasive Stabilizing System (LISS) and the Distal Femur Nail (DFN) are introduced as examples of these new methods of stabilization. Although bone biology is widely respected by these new implants and operation techniques, distal femur fractures remain a serious injury, often resulting in subnormal function.

Adult↗
PubMed1990

The Grosse-Kempf nail for distal femoral fractures. 2-year follow-up of 25 cases.

Totally, 25 patients with an infraisthmic fracture of the femur, treated with a Grosse-Kempf slotted nail, were followed up for a median of 21 (8-44) months. The median age of the 9 males and 16 females was 45 (18-90) years. No deep infections occurred. An excellent result was obtained in 14 patients, good in 5, fair in 5, and poor in 1 patient in whom intraoperative splintering led to a 9-cm shortening. We conclude that intramedullary locked nailing of fractures of the infraisthmic, extraarticular part of the femur compares favorably with alternative methods.

Adult↗
PubMedDate not supplied

[Walking recovery in stroke patients with femoral fracture].

UNLABELLED: The aims of this study were: 1) to evaluated the degree of walking of hemiplegic patients after femur fracture, 2) to evaluate if the neurological damage interferes with the recovery of walking. We studied 51 hemiplegic patients with femur fracture. All patients could walk without any help before the fracture. At the end of the rehabilitation period we had the following results: 5.8% of patients regained full walking independence; 37.2% walked with a cane; 43.1% with a quadripod; 9.8% walked with assistance; 3.9% remained unable to walk. 50.9% of them regained their prefracture functions. 96.1% returned directly to their own home, the remaining 3.9% were admitted to Geriatric hospitals. To address the second aim, we divided the same patients into two groups of 20 patients each (A = mild impairment; B = severe impairment) according to Mathew's scale. At the end of treatment, 95% of group A and 75% of group B regained full walking independence. IN CONCLUSION: 1) the femur fracture did not influence the recovery of walking in stroke patients, 2) patients with mild neurological impairment had enhanced recovery of walking.

Aged↗
PubMed2001

Effect of force direction on femoral fracture load for two types of loading conditions.

Identifying the loading conditions under which the femur is most likely to fracture may aid the prevention of hip fracture. This study quantified the effect of force direction on fracture load, a factor inherently associated with fracture risk. Finite element (FE) models of four femora were used to determine the force directions associated with the lowest fracture loads. Force directions were varied three-dimensionally for two types of loading, one representing impact from a fall and one similar to joint loading during daily activities (atraumatic loading). For the fall configuration, the force direction with lowest fracture load corresponded to an impact onto the posterolateral aspect of the greater trochanter. For atraumatic loading, the lowest fracture loads for the force directions analyzed occurred when posterior force components were relatively large or when posterior and lateral components were both small, similar to conditions while standing on one leg or climbing stairs. When both fall and atraumatic configurations are considered, the type of loading associated with greatest fracture risk, i.e., with the greatest applied force and lowest fracture load, is impact from a fall onto the posterolateral aspect of the greater trochanter. Therefore, evaluation of hip fracture risk and development of fracture prevention technologies should focus on this high-risk loading condition.

Accidental Falls↗
PubMed2002

[Hip protectors in prevention of proximal femoral fracture].

Hip fractures are a major cause of impairment, disability and death in elderly people. The incidence of hip fractures is increasing. Most attempts to prevent hip fractures have focused on reducing underlying medical disorders and risk. In 1993 Lauritzen et al. reported the results of a clinical trial which showed a significant (53%) reduction for hip fractures in the protector wearing group. These results were reproduced many times. Hip protectors offer a powerful new method for reducing the risk of hip fractures. Their use should be encouraged for people with advanced osteoporosis or high fall risk and for those living in nursing homes.

Accidental Falls↗
PubMed1990

Femoral fracture reduction techniques.

Closed reduction techniques using a countersupport vector on an extension table, which minimize intraoperative reduction effort as well as surgeon radiation hazards, are described that are particularly suited for the polytrauma patient.

Femoral Fractures↗
PubMed1981

[Malignant fibrous histiocytoma after supracondylar femoral fracture (author's transl)].

Supracondylar slanting fracture of the femur was treated by osteosynthesis in a 14-year-old girl. Two months after removal of the plate and screws, 10 months after the initial trauma, a malignant bone tumour in the form of malignant fibrous histiocytoma was diagnosed at the same location after a renewed fracture. The preceding trauma may be assumed to be one of the reasons for occurrence of this rare tumour.

Adolescent↗
PubMed2005

Finite element prediction of proximal femoral fracture patterns under different loads.

The main purpose of this work is to discuss the ability of finite element analyses, together with an appropriate anisotropic fracture criterion, to predict the ultimate load and type of fracture in bones and more specifically in the proximal femur. We show here that the use of a three-dimensional anisotropic criterion provides better results than other well-known isotropic criteria. The criterion parameters and the anisotropic elastic properties were defined in terms of the bone tissue microstructure, quantified by the apparent density and the so-called "fabric tensor", whose spatial distributions were obtained by means of an anisotropic remodeling model able to capture the main features of the internal structure of long bones. In order to check the validity of the results obtained, they have been compared with those of an experimental work that analyzes different types of fractures induced in the proximal femur by a static overload.

Aged↗