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 1,189 records · Page 66Linked to original sources
PubMed1977

Medial displacement osteotomy for unstable intertrochanteric femoral fractures.

The charts and roentgenograms of 86 consecutive patients treated by medial displacement osteotomy between 1970 and 1974 were reviewed. All patients had unstable four-fragment intertrochanteric fractures and were treated by the residents and attending staff of the hospitals served by the University of Alabama Medical Center. Thirty patients had sufficient follow-up to be included in the preliminary retrospective study. There were complications of fixation in 11 patients (37%) and one superficial wound infection (3%). The most significant factors associated with complications of fixation were (1) placement of the nail in a superior and anterior position in the femoral neck and head, and (2) advanced osteoporosis. No correlation was noted with the distance of the tip of the nail from the femoral articular cartilage.

Adult↗
PubMed1994

Initial experience with the treatment of supracondylar femoral fractures using the supracondylar intramedullary nail: a preliminary report.

Initial experience at a Level I Trauma Center with the use of a retrograde supracondylar intramedullary (IM) nail for the treatment of supracondylar and supracondylar-intercondylar intraarticular fractures of the distal femur is presented. Thirty-eight patients with 41 complex distal femur fractures were treated with this newly developed retrograde IM rod. These included 22 open fractures and 19 closed fractures. Four nonunions occurred, but all progressed to union after revision internal fixation and bone grafting. Two of five delayed unions required revision fixation. Two required screw renewal and dynamization. Thirty-five of 41 knees achieved at least 90 degrees of knee motion. There were no infections and no problems with wound healing. Four patients developed fatigue fractures of the rod. These mechanical failures occurred when 11- and 12-mm nails were used in conjunction with 6.4-mm interlocking screws. The rod system was therefore modified to include 12- and 13-mm diameter nails and smaller 5.0-mm interlocking screws. There have been no subsequent nail failures. We are cautiously optimistic that supracondylar IM rod fixation will contribute to the management of these difficult fractures. However, further clinical trials and additional biomechanical testing should be undertaken prior to widespread use of this device.

Adolescent↗
PubMed1981

Comparison of methods for femoral fracture repair in young calves.

The right femurs of 12 Holstein calves were fractured and repaired with intramedullary pins, half-pin assemblies, or bone plates and screws. Nine calves survived the 6-week experiment. One calf with each type of internal fixation was equipped with either a modified Thomas splint, an Ehmer sling, or had no external fixation. At necropsy, 42 days after surgery, the femurs with intramedullary pins were healing with slight malalignment and overriding. The femurs with half-pin assemblies were considered nonunions, with severe overriding, malalignment, and osteomyelitis; the femurs with bone plates and screws were healing, although the screws had loosened and allowed overriding with rotational malalignment of the fractures. The calves equipped with the Thomas splints and those with no external fixation were able to stand and to walk earlier and with less difficulty than the calves with the limb placed in an Ehmer sling.

Animals↗
PubMed1980

[Causes and dynamics of incapacity in femoral fractures].

The causes and dynamics of invalidism following femur fractures were analysed in 549 patients. Serious fractures of the femur were most frequently associated with traffic accidents. Treatment defects are emphasized to be greatly responsible for the appearance of invalidism. The most effective treatment and use of dynamic observations of such patients is shown to be necessary.

Accidents, Traffic↗
PubMed2001

[Distal femoral fracture--technical possibilities].

The fractures of the distal femur are classified as extra-articular fractures (type A), partial articular fractures (type B), and complete articular fractures (type C). The aims of operative treatment are anatomical reconstruction of the articular surfaces, restoration of rotational and axial alignment, stable fixation of the condyles to the shaft of the femur and early functional aftercare. Techniques and implants for treating intra-articular fractures lies in the reduction of the joint fragments and fixation with lag screws. For the treatment of the extra-articular fractures different approaches, techniques and implants have proven to be reliable and effective: direct-indirect reduction, open-minimal invasive approaches, open-slipped techniques. Implants: condylar plate, dynamic condylar screw (DCS), condylar buttress plate, anterograde nailing, retrograde nailing, internal fixators (Low Invasive Stabilisation System--LISS) and external fixation.

External Fixators↗
PubMed1992

[The sequelae of osteoporotic femoral fracture in Barcelona].

BACKGROUND: The aim of the present was to study the long term sequelae of osteoporotic fracture of the femur in a general hospital of 300 beds in Barcelona, analyzing 1) mortality; 2) degree of functional capacity; 3) care requirements; 4) familial repercussion, and 5) psychic repercussion. METHODS: Structured telephone interviews were carried out between 1990-1991 with the patients attended for osteoporotic fracture of the femur in our center from 1988-1989. Of a total of 145 patients, 12 died within 1 month. Among the remaining patients the interview was performed with 100 patients--25 of whom were males of 78 +/- 8 years of age and 75 females of 82 +/- 10 years of age. The degree of functional capacity was evaluated by the index of independence in daily activities (DA). RESULTS: Mortality within one month was 8.3%; at one year 30% and at 2 years 38%. Factors associated with the highest mortality were: age of over 80 years (p less than 0.004), deterioration of post fracture functional capacity (p less than 0.0004) and pre-fracture dementia (p less than 0.01). Important deterioration in post fracture functional capacity was seen in 45% of the cases. Seventeen percent of the patients required transfer to a center for chronic care and 34% resided in a center for chronic care prior to the fracture. Familial repercussion was observed in 43% of the cases and post fracture psychologic repercussion was seen in 28%. CONCLUSIONS: Osteoporotic fracture of the femur presents the following sequelae: mortality, intense deterioration of functional capacity and important health care requirements in addition to considerable familial and psychological repercussion.

Activities of Daily Living↗
PubMed1994

Home traction in the management of femoral fractures in children.

Fracture of the femur in children is a common problem which can be managed in a variety of ways. We treated such fractures in children up to the age of 13 by immobilization in a Thomas splint, after reduction, if necessary, and traction in hospital. After a short period, traction was continued at home using a mobile frame with the Thomas splint. The results of such home traction were assessed in terms of both healing of the fracture and any complications and of the parental attitudes to treatment at home. It was found that traction at home was an acceptable method for the management of such fractures. Results were comparable to other methods of treatment and parental satisfaction was very high, providing there was adequate surveillance by the district nurse and immediate access to advice. The cost-savings of such a treatment are significant.

Adolescent↗
PubMed1975

[Comparative strength analysis of selected osteosynthesis materials for pertrochanteric femoral fractures].

Four commercially available hip-fixation devices for stable fixation of pertrochanteric fractures were selected for a biomechanical evaluation, in order to determine, which construction would best support the load of weight-bearing in postoperative period. Intramedullar nailing by Lezius, Küntscher or Ender showed less bending moments than trifin nail-plates or extramedullar plate attachments with plate angles of 130 degrees or 95 degrees, so that bending tension of Lezius-nails were reduced compared to other implants in a proportion of 1.1,6:1,8:2,7. Whenever possible intramedullar nailing should be preferred. For extramedullar fixation of pathologic or unstable pertrochanteric fractures a double-T-plate was constructed, which shows a 3-fold load resistance of a Lezius-nail, 5-fold load-bearing of a 130 degree plate or a trifin nail combination and a 8-fold higher stress tolerance than a 95 degree-plate.

Biomechanical Phenomena↗
PubMed1989

Femoral fracture during non-cemented total hip arthroplasty.

A study of the data on 1,318 consecutive non-cemented total hip-replacement arthroplasties revealed thirty-nine intraoperative fractures of the femur (3 per cent), only half of which were diagnosed intraoperatively. The fractures occurred in the proximal region of the femur or at the tip of the stem of the prosthesis. Most were incomplete and minimally displaced, and they did not jeopardize the stability of the femoral component. All complete proximal fractures were stabilized with a four-fifths-coated or fully coated prosthesis to provide distal fixation, and, when diagnosed intraoperatively, were fixed with cerclage wiring. When an incomplete fracture near the tip of the stem was discovered postoperatively and the posterior part of the femoral cortex was intact, a spica cast was applied, and the patient was instructed in protected weight-bearing. For a complete fracture at the tip of the stem, we recommend open reduction and internal fixation. No statistical difference was found with respect to residual pain, the score for walking, or the stability of the implant when we compared the results for the patients who had a fracture with those for the patients who did not. Modifications in surgical technique resulted in a decrease in the incidence of fractures (p less than 0.05).

Cementation↗
PubMed1997

Transarticular joint reconstruction and indirect plate osteosynthesis for complex distal supracondylar femoral fractures.

In a prospective study conducted between 1992 and 1995, displaced Müller type C2-C3 intraarticular fractures of the distal femur were treated using an indirect plate fixation technique and a lateral parapatellar arthrotomy for the direct reduction of the condylar block. There were 6 closed, and 2 open fractures (1 grade II and 1 grade IIIB). Following reconstruction of the articular block, the block was indirectly reduced and fixed to the shaft by a plate inserted by the retrograde method beneath the vastus lateralis. Transcutaneous/transmuscular screws were used to fix the plate to the shaft. Time to bone healing was 12 weeks (median range 8-17 weeks) after surgery without needing primary or secondary bone grafts. There were no infections or refractures. Except for one case which required a corrective osteotomy for 10 degrees of varus malalignment, there were no revisions. According to the Neer score, there were 6 excellent or satisfactory results, 2 unsatisfactory results, and no failures. At follow-up, there were 2 varus-valgus deformities greater than 5 degrees, 2 leg length discrepancies greater than 10 mm, and 2 rotational deformities of 15 degrees. The treatment results for complex supracondylar/intracondylar fractures of the distal femur obtained with this technique compare favourably with other reported series using different techniques without the added morbidity associated with autogenous bone grafting. However, the surgical technique is demanding and special care must be taken to ensure correct axial alignment.

Adult↗
PubMed2005

The role of MRI in the diagnosis of proximal femoral fractures in the elderly.

The diagnosis of an undisplaced hip fracture cannot always be made on plain radiographs alone. The use of MRI scanning in detecting occult hip fractures is well documented. However, no previous studies have suggested which specific patient group would benefit most from this investigation. Thirty-five patients with hip pain and normal plain radiographs underwent MRI scanning. Pathology was detected in 29 of the patients, of which 21 involved a neck of femur fracture. Patients were divided into two groups based on age. In patients over 70 years, pathology detected resulted in surgical intervention in 13 cases. This is in contrast with those below the age of 70 years, in whom no neck of femur fractures were found and no surgical intervention was indicated (p<0.001). We recommend that an MRI scan be performed on such patients, above 70 years of age. These are the patients in whom management is significantly altered due to the imaging process used.

Aged↗
PubMed1983

[Unsuccessful results of osteosynthesis in subtrochanteric femoral fractures].

Operative treatment of subtrochanteric fractures of the femur was performed in 65 patients in the years 1975 through 1981. This study is an analysis of complications with reference to fracture types and operative techniques. Complications were non-union of fracture with loosening of the plate in 4, delayed union in 4, osteitis in 1 and gliding of nails in 4 cases. Neglecting the importance of continuity of the medial cortex combined with too small plates and wrong operative technique had been the reasons for failure in all cases and could have been avoided.

Aged↗
PubMed1990

Incomplete femoral fracture produced by a wooden projectile: case report.

We report on a case of incomplete fracture of the metaphyseal portion of the femur produced by a wooden missile, a part of which remained stuck in the bone after wound management. The wooden foreign body in the bone was detected with xeroradiography and computed tomography. Complete regression of acute inflammation was achieved through removal of the wounding agent, wound debridement, and systemic and local antibiotic therapy.

Adult↗
PubMed1990

[Femoral fractures following total hip prosthesis].

Fractures of the ipsilateral femur after hip arthroplasty are a serious problem. In most cases, minimal trauma is responsible for the fracture. Predisposing factors, such as severe osteoporosis, loosening of the stem of the prosthesis, or cortex perforations, are often found. Such fractures occurred between 1979 and 1989 in 30 patients, i.e. 2.3% of our patients who had received primary prosthesis and 2.9% of those who had undergone revision. The patients' ages at the time of fracture ranged from 41 to 88 years (mean 63 years), 33% of the patients in these group being female. The time lapse from implantation of the prosthesis to the fracture varied between 1 month and 11 years (mean 4.4 years). The fracture was at the level of the proximal trochanteric region in 3% of these patients, between the trochanteric line and the tip of the prosthesis in 20%, and below the tip of the prosthesis in 70%. Operative treatment was performed in 29 patients. Fractures were fixed with a compression plate in 19 (63%), and in 3 the plate fixation was reinforced with intramedullary cement. In 2 osteoporotic patients with supracondylar fractures the osteosynthesis ruptured and a successful revision operation with cement was performed. In 3 others internal fixation was combined with replacement of the prosthesis; 3 patients received a Wagner revision prosthesis and 1 a long-stem Protek tumor prosthesis.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMed1981

[Küntscher's intramedullary nailing. An alternative method in the treatment of femoral fractures close to the knee joint in the aged].

UNLABELLED: Femur fractures near the knee joint provide serious problems where therapy is concerned. In elderly patients, especially those who also have other illnesses, who must be mobilized very early, the use of an exceptionally long nail as described by Küntscher offers an alternative method to the AO angleplate. ADVANTAGES: Short time of operation, early mobilization, sufficient mobility after removal of the nail.

Aged↗