BACKGROUND Numerous proposed surgical techniques have had minimal success in managing greater trochanter overgrowth secondary to retarded growth of the femoral capital epiphysis. For reconstruction of residual hip deformities, a novel type of proximal femur L-osteotomy was performed with satisfactory results. Although the clinical outcome was good, the biomechanical characteristics of the femur...

OBJECTIVE To evaluate the correlation between radiographic parameters of the proximal femur anatomy and fractures. METHODS Three hundred and five digital x-rays of the pelvis were analyzed in the anteroposterior view. Of these x-rays, twenty-seven showed femoral neck or transtrochanteric fractures. The anatomical parameters analyzed were: femoral neck width (FNW), femoral neck length (FNL), f...

Mechanical factors have a strong influence on the growth and development of the skeleton [1], [2]. Forces acting on the growing bones play an important role in their forming process. Disturbances of such loadings in the prenatal period as well as during infancy and childhood can lead to serious developmental deformities [3]. Proximal end of the femur is one of the main parts of the hip joint. T...

Background: The Singh index is an inexpensive simple method to evaluate bone density, commonly used to assess osteoporosis is based on the radiological appearance of the trabecular bone structure of the proximal femur on a plain antero-posterior (AP) radiograph. The purpose of this study was to compare between Singh index and bone mineral density measurement using dual energy X-ray abs...

Thirteen long Gamma nails were utilized without adjunctive bone cement in 11 patients for stabilization of 12 impending pathologic fractures and 1 pathologic fracture in the setting of metastatic disease (10 femora) and fibrous dysplasia (3 femora) of the proximal femur. Each femur was reamed to 18 mm proximally and 13 mm distally to accept the 17-mm diameter proximal portion and the 11-mm dist...

Careful planning of operations is critical to success of the closed reduction and internal fixation (CRIF) surgery to fix proximal femur fractures. This paper presents a novel surgery planning simulation for the CRIF. The developed simulation employs 3D femur model reconstructed from actual patient’s CT data, and enables the user to make a plan on the model using 2D mouse. A projection scheme i...

BACKGROUND/AIM Unstable intertrochanteric (IT) fractures, especially fractures with a reverse or transverse fracture line, have tendencies to make significant impaction on shortening of the femoral neck and lower extremity. The biomechanical complexity of the fracture, the type and the position of the implant are known to influence postoperative outcome. The aim of this study was to compare cha...

Fractures of the proximal femur are one of the greatest challenges facing the medical community, constituting a heavy socioeconomic burden worldwide. The National Hip Fracture Audit currently provides a framework for service evaluation. This evaluation is based upon the assessment of process rather than assessment of patient-centred outcome and therefore it fails to provide meaningful data rega...

Bone fluoride concentration and bone mineral density (BMD) were evaluated in 51 female patients who had undergone hip arthroplasty due to proximal femur fracture. The hip fractures were divided into 42 neck and head fractures and 9 trochanteric fractures. BMD in the contralateral femoral neck and Ward triangle was determined by dual-energy X-ray absorptiometry measurement performed within 7 day...

This chapter examines the effects of femoral neck geometry and topological structure on elastic properties. A finite element code is used to calculate the full elastic tensor for thirteen human proximal femur specimens. We show that the micro-structure within the human femoral neck and head gives rise to approximate orthotropic elastic symmetry at the whole bone scale. The finite element code c...