We report five cases of intertrochanteric fractures that needed open reduction after failed closed reduction techniques. In all cases the shaft fragment included the lesser trochanter, and there was a long spike on the head-neck fragment. This was evident clinically as the proximal shaft, pulled by the iliopsoas tendon, produced a swelling in front of the hip joint. Radiographically, the fractu...

Retrograde femoral rodding is a technique that has recently been used with increasing frequency for the management of supracondylar and femoral shaft fractures. A review of the literature reveals that this technique may have advantages over other fixation techniques in certain clinical situations. Retrograde femoral rodding allows the surgeon to treat bilateral lower extremity injuries simultan...

Ipsilateral femoral neck and shaft fractures occur in 2.5% to 6% of femur fractures. The injury results from high energy trauma. Victims are usually young, with multiple associated injuries. The diagnosis of the neck fracture is delayed in 19% to 31% of patients. The neck fracture line is almost vertical and nondisplaced, or minimally displaced in 26% to 59% of cases. The shaft fracture is ofte...

BACKGROUND Dehydroepiandrosterone (DHEA) has been shown to have immunomodulatory effects after hemorrhage and sepsis. The present study analyzes whether DHEA is also involved in the mediation of inflammatory stimuli induced by bilateral femoral shaft fracture. METHODS Male C57/BL6 mice (6 per group) were subjected to closed bilateral femoral shaft fracture with intramedullary nailing followed...

The aim of this study was to demonstrate that the under-used technique of femoral nerve block (F.N.B.) (Berry, 1977) has excellent analgesic action for femoral shaft fractures when performed by junior staff. It had no recorded side effects and was used in all age groups for fractures at all levels along the femoral shaft. Twenty-seven consecutive patients were studied as they presented in an ac...

There is some clinical evidence to suggest that fractures of long bones heal more rapidly in patients with severe head injury or acute traumatic spinal cord injury. The mechanism underlying this orthopedic phenomenon is not well understood. The aim of the current study was to investigate the bone healing of diaphyseal femoral fractures in patients with concomitant head or spinal cord injuries a...

Introduction: In children fractures of the femoral shaft are commonly treated by various types of traction for about 3 weeks, followed by plaster cast immobilization. However little is known about the functional outcome and its complication in Indian scenario. Therefore our aim of study was to analyse the functional outcome in femoral shaft fractures of children operated by flexible intramedull...

PURPOSE To evaluate the treatment outcome of skin traction followed by spica casting for closed femoral shaft fractures in children. METHODS Between September 1997 and December 2001 inclusive, outcomes of 63 children aged one month to 15 (mean, 5.3) years with closed femoral shaft fractures managed with skin traction and spica casting were reviewed. Depending on age, patients were kept in tra...

Background:Femoral shaft fractures account for 1.6% of all pediatric bony injuries..Fixation of femur fractures in children by ender's nailing is becoming widely accepted because of the lower chance of iatrogenic infection and cost .The objective of the study was to study the functional outcome,duration of union and the complications following the use of ender's nail for femoral shaft fractures...

BACKGROUND Alendronate is a bisphosphonate that is approved to reduce bone loss in glucocorticoid treated patients. In this paper, we present a case of femoral fracture following the use of Alendronate. CASE PRESENTATION A- 46 year old woman who was a known case of hemolytic anemia has been treated by prednisolone (with different doses from 7.5 to 75 mg/day), calcium-D 500 mg/day and alendron...