BACKGROUND The standard radiographic series for evaluation of a suspected hip fracture in most centers includes an anteroposterior (AP) radiograph of the pelvis, as well AP and cross-table lateral views of the hip. The natural femoral neck anteversion, as well as the fracture deformity, however, may make accurate fracture classification difficult. We have noted that inexperienced physicians som...

BACKGROUND A fracture neck of femur is the leading cause of injury-related mortality in the elderly population. The 30-day mortality figure is a well utilised marker of clinical outcome following a fracture neck of femur. Current studies fail to analyse all patient demographic, biochemical and comorbid parameters associated with increased 30-day mortality. We aimed to assess medical risk factor...

Objective: Femur is the strongest, longest and heaviest bone in the human body. Due to the great importance of femur in human body, its injury may cause large numbers of disabilities and mortality. Considering various effective parameters such as mechanical properties, geometry, loading configuration, etc. can propel the study to the trustable results.. Methods: A 3D finite element model of the...

INTRODUCTION Periprosthetic fractures of the femur are uncommon, but at times may lead to complications especially in elderly patients. As treatment of these fractures is difficult, prevention by identifying the risk factors is the best way to overcome these complex problems. CASE REPORT A periprosthetic right femur fracture associated with a neglected left femoral neck fracture in the contra...

Introduction: The occurrence rate of hip fractures due to osteoporosis is rapidly increasing, representing one of the most serious and urgent social problems. We focused on a computed tomography-based finite element method (CT/FEM) to quantify structural strength, thereby developing a nonlinear CT/FEM to achieve accurate assessment of strength of the proximal femur [1]. The aim of this study wa...

The most commonly used proximal femoral fracture measures for predicting femur neck and intratrochanteric fractures are femoral axis length (FAL), hip axis length (HAL) and the derived Q angle measure (neck-shaft angle). The listed measures only consider the relationship between the diaphysis and the femoral neck but not also between the femoral head and neck. These measures assume the femoral ...

4 Grimley Evans J, Prudham D, Wandless I. A prospective study of fractured proximal femur: incidence and outcome. Public Health 1979;93: 235-4 1. 5Brocklehurst JC, Exton-Smith AN, Lempert Barber SN, Hunt LP, Palmer MK. Fracture of the femur in old age: a two-centre study of associated clinical factors and the cause of the fall. Age Ageing 1978;7: 7-15. 6 Baker MR. An investigation into secular ...

Donnelly T, et al. BMJ Case Rep 2017. doi:10.1136/bcr-2017-221528 Description We present very interesting X-ray images of a 96-year-old woman with previous neck of femur fracture treated with Thompson’s hip hemiarthroplasty 45 years ago with excellent clinical outcomes, making it one of the longest reported follow-up in the literature. She had a recent fall and presented to emergency department...