INTRODUCTION Fracture of stems in primary total hip arthroplasty is a known complication and has been attributed to varus positioning, excessive weight of the patient, resorption of the femoral calcar and failure of the cement mantle. Fractures in uncemented revision femoral stems are rare and are attributed to reduction in proximal support either in the form of bone loss or an extended trochan...

Trochanteric fractures usually occur in older patients, who are more than 65 years old, with greater loss of the skeletal mass. Conservative methods of treatment are accompanied by the greater percentage of death cases; moreover, they do not render valid anatomical and functional results. Surgical treatment by using the dynamic implant presents a method of choice in the fixation of the trochant...

BACKGROUND Clinical guidelines from the National Institute for Health and Clinical Excellence recommend the use of an intramedullary nail for the treatment of subtrochanteric fractures.1 Reverse oblique fractures are associated with varus malunion,2 which defunctions the abductors by placing them at a mechanical disadvantage and increases the lever arm across the fracture. Most modern nails hav...

Background: Fracture of hip is long considered a major contributor to disability. Unstable trochanteric fractures with coronal split continue be challenge for orthopaedic surgeons. Objective: Comparison dynamic compression screw stabilization plate vs proximal femoral nail in intertrochanteric fracture. Methodology: The current study was prospective cohort study, carried out at the Department O...

Metastatic lesions often occur in the trochanteric region of the femur with a risk for pathologic fractures, requiring aggressive surgical treatment. We present two cases of mechanical failure of the Titanium Gamma 3 Nail 180 used for treatment of impending pertrochanteric pathologic fractures. Metallurgic and low power optical examination findings are presented. Treatment with intramedullary n...

Introduction: As the life expectancy of people is increasing , old age population also and trochanteric fractures with osteoporosis are getting commoner producing challenge regaining there pre operative activity status for which a cemented bipolar arthroplasty was performed as an alternative to osteosynthesis by Dynamic screws . Harris hip score assesed at various intervals within year.
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