Distally anchored uncemented modular tapered porous stems are often the preferred treatment in total hip arthroplasty revisions and failed subtrochanteric fractures. These conditions mainly affect elderly osteoporotic patients, with an increased risk of later fractures below the well-fixated implant. Treatment in secondary fractures with long looking plates is the recommended treatment, where s...

The Gamma Nail is the latest advance in the treatment of trochanteric fractures based on intramedullary nailing principles during closed procedures. Its design is based on Küntscher's Y-nail and locking intramedullary (IM) nails. This paper reports the results from the first-ever series of 121 patients operated between 1988 and 1990. They were followed until bone union was achieved. The mean pa...

PURPOSE To compare patients with or without intra-operative fracture during cementless bipolar hemiarthroplasty. METHODS Records of 76 men and 202 women who underwent cementless bipolar hemiarthroplasty for femoral neck fractures were reviewed. Patients with and without intra-operative fractures and patients with different types of intra-operative fractures were compared. RESULTS Two men an...

Introduction: Pertrochanteric fractures are devastating injuries that most commonly affect the elderly. There various forms of internal fixation devices used for Trochanteric Fractures; them, device is Dynamic Hip Screw with Side Plate assemblies. In unstable fracture patterns, intramedullary such as PFN appear to have a biomechanical advantage over extramedullary devices. Aim: To compare funct...

BACKGROUND Many different surgical techniques have been described for the internal fixation of extracapsular hip fractures. OBJECTIVES To compare different aspects of surgical technique used in operations for internal fixation of extracapsular hip fractures in adults. SEARCH STRATEGY We searched the Cochrane Bone, Joint and Muscle Trauma Group Specialised Register (January 2008), the Cochra...

BACKGROUND The most common mechanical failure in the internal fixation of trochanteric hip fractures is the cut-out of the sliding screw through the femoral head. Several factors that influence this complication have been suggested, but there is no consensus as to the relative importance of each factor. The purpose of this study was to analyse the cut-out complication with respect to the follow...

Purpose Bipolar hemiarthroplasty (HA) is an option for the treatment of unstable intertrochanteric fracture in elderly patients. There is a raising concern regarding cable-grip related complications for the fixation of trochanteric fragments. Therefore, the aim of this study was to evaluate outcome of cementless HA with fixation for the trochanteric fragments using monofilament wires in unstabl...

Case 2-Woman aged thirty-three. Sanatorium treatment for pulmonary tuberculosis in 1944, with thoracoplasty five years later. Onset of ankylosing spondylitis in 1953, with marked rigid cervical kyphosis. The vital capacity was only 880 cubic centimetres. The deformity was so severe that atlanto-axial dislocation seemed imminent. Operation was undertaken at C.3-4 level with correction as shown (...

The aim of our study was to, in accordance with the presented theoretical presumptions, analyze the possible reasons for hip fractures of the older population in the north-eastern part of Croatia. A group of 2,696 persons (1,936 women and 760 men) with hip fractures has been analyzed during a 12 year period (from 1993. until 2005. year) in the Clinical Hospital Osijek. The date of admittance, a...