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Results for “FEMORAL FRACTURES”

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At least 1,261 records · Page 70Linked to original sources
PubMed1979

Proximal femoral fractures in psychiatric patients.

During an 8-year period, 122 inpatients of a psychiatric hospital sustained fractures of the proximal part of the femur. They were treated by operative as well as by conservative methods and their subsequent mobility, morbidity and mortality have been reviewed. The results suggest that these patients are best managed within their familiar environment, that femoral head replacement arthroplasty is appropriate for high fractures and that the prevention of bedsores in conservatively treated patients is of great importance.

Aged↗
PubMed1991

[Osteosynthesis of proximal femoral fractures. Experience in the treatment of 2012 patients].

Between 1973 and 1990 a total of 2012 patients with fractures of the proximal femur were operatively treated at the surgical accident and emergency department of the Städtische Krankenanstalten Krefeld. The most commonly observed fracture in the high age group (mean: 81.2 years) was that of subcapital femoral neck (n = 1067). A total hip replacement (TEP n = 768) or a hemiarthroplasty (n = 135) was indicated in 85% of the cases. All patients in which a head preserving internal fixation was possible, were normally treated as an emergency with a cancellous screw (n = 81) or stabilized with 130 grade angled plate (n = 83). Pertrochanteric femur fractures (n = 715) were mainly stabilized with 130 grade angled plates (n = 605). In subtrochanteric femur fractures (n = 230) a 130 grade angled plate (n = 155) or a 95 grade condylar plate (n = 75) was used. In principle early internal fixation followed by immediate mobilization was the aim in all patients (68% of patients were operated on within three days of admission). Sufficient stability was achieved using internal fixation to allow full weight bearing in 76% of the injures, or partial weight bearing in 21% postoperatively. The paper shows that the patients need spend less time in the hospital (60% stayed less than three weeks on the ward, 80% were discharged within four weeks) and that the mortality in this study was reduced to 10.1% in comparison with formerly studies. Complications such as fracture of the implant (0.5%) and dislocation (0.9%) were described. The rate of bone infection amounted to 0.9% of all operations.

Adult↗
PubMed2004

Cable plates and onlay allografts in periprosthetic femoral fractures after hip replacement: laboratory and clinical observations.

Fractures of the femur after total hip replacement are an increasingly common and technically challenging problem. The results of nonsurgical treatment are poor. When the general condition of the patient allows, these injuries should be treated surgically. Several surgical treatments can be used to treat these fractures, and classification of the fracture assists the surgeon in the choice of procedure. Over the past decade, cable plate fixation systems and onlay strut allografts have become two of the most commonly used methods of fixation for fractures associated with hip prostheses. The ideal method of fixation is yet to be determined. However, laboratory studies have shown that dual fixation using either a lateral plate and anterior strut graft or two strut grafts produces the strongest construct. Cables rather than smooth wires should be used for fixation, and fixation strength increases with the number of cables used. The use of screws proximally produces a strong fixation but there are theoretical disadvantages to using screws around a femoral implant. Clinical data show high rates of fracture union using cable plate fixation, cortical onlay allograft fixation, and combined fixation methods for fractures that occur around well-fixed implants. Results have been less encouraging when these techniques have been used to fix fractures around prostheses that are either loose or malaligned; such fractures are better managed by revision of the femoral component to a long-stemmed device. Care should also be taken when there has been previous periosteal stripping of the femur because this may predispose to fracture nonunion. Periprosthetic fractures of the femur are a complex surgical problem and require specialized training in a range of surgical techniques.

Arthroplasty, Replacement, Hip↗
PubMed1988

Malunion of a femoral fracture mimicking osteomyelitis in three phase bone imaging.

A case of greatly increased blood flow in the region of a fracture with malunion of the left femur, both in the flow and immediate blood pool studies during three phase bone imaging, is presented. The sluggish left femoral artery flow resulted from the greatly increased regional perfusion and is similar to the findings in acute osteomyelitis. The sluggish left femoral artery flow and greatly increased regional perfusion of the site is probably best explained as a regional "neurovascular flush" resulting from the pain caused by the malunion of the fracture and/or hyperemia in the area of the malunion responding to inflammation.

Aged↗
PubMed1991

[Incidence of proximal femoral fractures in the Canton of Vaud].

Hip fractures place a major and increasing burden on health services in Western countries. Reported incidence rates vary considerably from one geographic area to another. No published data are available for Switzerland or surrounding countries, but such descriptive indicators are indispensable in orienting national or regional policies. To fill this gap and to assess the similarity of hip fracture incidence in Switzerland and other countries, we collected data from several sources in 26 public and private hospitals, in the Canton of Vaud (total population: 538,000) for 1986, which allowed us to calculate the incidence (for people over twenty years old) and assess related parameters. 577 hip fractures were identified among the resident population, indicating a crude average annual incidence rate of 140 per 100,000 (95% confidence interval: 128, 152). Corresponding rates for males and females were 58 (47, 68) and 213 (193, 232). Standardized rates and international comparisons show that Swiss rates are slightly lower than those of most industrial countries. More detailed results of relative risks for various study variables are presented and the pathogenesis of hip fractures is discussed.

Adult↗