The objective of this study was to evaluate right proximal femur shape as a risk factor for incident hip fracture using active shape modeling (ASM). A nested case-control study of white women 65 years of age and older enrolled in the Study of Osteoporotic Fractures (SOF) was performed. Subjects (n = 168) were randomly selected from study participants who experienced hip fracture during the foll...

We evaluated the clinical course of subchondral insufficiency fracture of the femoral head (SIFFH) and its characteristic findings with special regard to joint space narrowing (JSN). Thirty-one cases of SIFFH of mean age 68.9 yr initially underwent limited weight-bearing conservative treatment. During the follow-up period, the patients with intractable pain underwent total hip arthroplasty (THA...

Resurfacing arthroplasty of the hip is being used increasingly as an alternative to total hip replacement, especially for young active patients. There is concern about necrosis of the femoral head after resurfacing which can result in fracture and loosening. Most systems use a cemented femoral component, with the potential for thermal necrosis of the cancellous bone of the reamed femoral head. ...

INTRODUCTION Preventing post-traumatic osteoarthritis is a challenging problem following acetabular fracture. Progressive osteoarthritis is considered to be caused by an irregular articular surface of the acetabular roof or cartilage injury, but little is known about the pathogenesis of collapse of the femoral head after acetabular fracture. We report a case of post-traumatic osteoarthritis aft...

Fractures of the femoral head associated with a hip dislocation are relatively rare and often associated with a poor functional outcome [1]. Keely and Lipscomb reported that the incidence of this type of femoral head fracture is two cases per one million per year [2]. Treatment strategies in femoral head fracture-dislocations are very controversial and represent one of the few true orthopedic e...

Objective :The objective of this study is preserving the joint by preventing the collapse of femoral head in Osteonecrosis of femoral head (ONFH) Methods :In this study patients with early ONFH are treated with core decompression and augmented with bone marrow aspirate concentrate spread on a collagen scaffold . Results : Core decompression augmented with bone marrow aspirate concentrate seems ...

BACKGROUND Subcapital femoral neck is known to cause many complications, such as avascular necrosis (AVN) of the femoral head or nonunion, compared with other femoral neck fractures. The purpose of this study was to analyze the incidence of AVN and fixation failures in patients treated with internal fixation using cannulated screws for the subcapital femoral neck fractures. METHODS This study...

Atypical femoral fractures (AFF), although rare, are recognized more often during the last decade. They are located in the subtrochanteric region or the femoral shaft, may be bilateral, can evolve to complete fractures after bone overload or minimal trauma and have specific radiological features. The complete fractures have horizontal or slightly oblique configuration accompanied by a medial sp...

We present the histological findings of bone retrieved from beneath the femoral components of failed metal-on-metal hip resurfacing arthroplasties. Of a total of 377 patients who underwent resurfacing arthroplasty, 13 required revision; for fracture of the femoral neck in eight, loosening of a component in three and for other reasons in two. None of these cases had shown histological evidence o...

background: the principal aim of this study was therefore to investigate association between family history of osteo porotic hip fracture, bmd and femur geometry in bushehr city in south of iran. methods: in this cross-sectional study, data were obtained from iranian multi-center osteoporosis study (imos) in bushehr. healthy men and women aged 50 to 75 years were selected based on randomized cl...