A 61-year-old man presented with a 3-day history of progressive swelling and pain in the right lower limb in September 2010. A motor vehicle injury 39 years earlier had caused a head injury and right femoral shaft fracture, which resulted in a residual right hemiparesis. Subsequently he suffered from recurrent falls and 14 years ago he sustained a right neck of femur fracture, which was surgica...

To report a proximal femoral osteotomy with retention of bone ledges in a reciprocal position to increase bone contact and stability. The method was applied to 5 patients over a 3-year period. All patients had coxa vara. The average length gained was 1.5 cm, and the average neck shaft angle improvement was 30°. The Harris hip score improved from an average of 63 to 82. The reciprocal ledge oste...

We report the case of an 82-year-old woman who developed extensive proximal thigh swelling and persistent anaemia following internal fixation of an extracapsular neck of femur fracture with a dynamic hip screw (DHS). This was revealed to be a pseudoaneurysm of a branch of profunda femoris artery on angiography. Her case was further complicated by a concurrent pulmonary embolism (PE). She underw...

abstract traumatic hip dislocations are common in high-energy motor vehicle accidents. we present a case of a 43-year old man who sustained posterior hip dislocation with posterior wall acetabular fracture and ipsilateral intertrochantric fracture following a motorcycle accident. urgent open reduction and internal fixation of the hip fracture-dislocation and fixation of intertrochantric fractur...

Background: Intracapsular fractures of neck femur have always presented a great challenge to orthopaedics surgeons and remain in many ways the unsolved fracture as far as treatment and results are concerned. Methods: Cases included in this study are transcervical and subcapital fracture neck femur in patients less than 60 yrs of age managed in Sir JJ Hospital, Mumbai -08. Results: Fracture type...

Objectives: To investigate the biomechanical behavior of the femur with two different implant configurations, namely dynamic hip screw and Gamma nail, in the treatment of two types of unstable intertrochanteric femoral fracture. Methods: A 3D finite element model of the intact proximal femur was constructed, from which two types of fractured models (AO classification 31-A2 and 31-A3) were produ...

Aneurysmal bone cyst (ABC) is a benign, expansile, non-neoplastic lesion of the bone, characterized by channels of blood and spaces that are separated by fibrous septae. Giant ABC is an uncommon condition and can be difficult to handle because of the destructive effect of the cyst on the bones and the compressive effect on the nearby structures, especially in weight-bearing bones of the body. W...

We present 2 cases of elderly females presenting with atraumatic, near-vertical (Pauwells grade 3), intracapsular neck of femur fractures. Following diagnosis of osteoporosis on DEXA scans, they had received alendronic acid for 7 and 10 years respectively. Routine blood tests and serum estimations of calcium, vitamin-D and thyroid-stimulating hormone, done at admission, were within the normal r...

PURPOSE To compare the short-term results of conventional versus mini-incision approaches to dynamic hip screw (DHS) fixation. METHODS 41 geriatric patients with either basal femoral neck or intertrochanteric fractures (Kyle types I to III) who underwent closed reduction and DHS fixation by a single surgeon were retrospectively reviewed. From January 2001 to June 2005, 6 men and 19 women aged...

OBJECTIVE To evaluate factors associated with revision of dynamic hip screw implant in patients undergoing the procedure for the fixation of intertrochanteric fractures. METHODS The retrospective study was conducted at the Aga Khan University Hospital, Karachi, and comprised records of patients who had undergone dynamic hip screw fixation surgery between 2008 and 2012. Medical records and dat...