Background: This study evaluates submuscular locked plate in the pediatric femoral shaft fractures at the age from 6 to 12 years old. Methods: A prospective study was done on 30 patients with fracture shaft femur. 18 of them were males and 12 of them were females. Fixation of all cases was done with a submuscular locked plate using the cluster technique. Results: All fractures healed within 6 w...

Background. The aseptic loosening of the stem is a frequent complication of post-resection endoprosthesis. Material and methods. Twenty-one patients were operated for primary neoplasm of the distal femoral epiphysis. In 3 cases (14.3%) loosening of the endoprosthesis stem appeared 4 to 8 years after the resection-reconstruction procedure. In all cases the endoprosthesis was reinserted with reco...

INTRODUCTION Some authors have hypothesised that atypical femur fractures occur due to tensile mechanism of failure. We studied the distribution of such lesions along the femur shaft to determine if they concentrate in regions that are subject to tensile loading. METHODS From May 2004 to March 2010, radiological reviews of 48 patients aged 69 +/- 10.4 (range 47-92) years with atypical femoral...

We have reviewed 107 patients of 80 years or over who underwent primary total hip replacement. They had many more complications than younger patients. Thus, acute dislocation occurred in 15%, and became chronic in 9%; there were femoral shaft fractures in 4.6% and these, with shaft perforation gave universally poor results. Nevertheless, 75% of patients had a satisfactory outcome, with worthwhi...

Introduction. Femoral neck shaft angle (NSA) has been reported to be an independent predictor of hip fracture risk in men. We aimed to assess the role of NSA in UK men. Methods. The NSA was measured manually from the DXA scan printout in men with hip (62, 31 femoral neck and 31 trochanteric), symptomatic vertebral (91), and distal forearm (67) fractures and 389 age-matched control subjects. Age...

BACKGROUND The purpose of this study was to analyze femoral shaft sagittal parameters in Chinese osteoarthritis (OA) patients undergoing total knee arthroplasty (TKA) and identify whether the parameters in the coronal plane could be predictors of those in the sagittal plane. METHODS Standard long-standing anteroposterior and femoral lateral radiographs of 50 lower limbs in 50 Chinese OA patie...

A 29 year old woman, known to be eight weeks pregnant, presented to the accident and emergency department having twisted and fallen onto her left leg while playing netball. The limb was painful and she was unable to weight bear. On examination there was no deformity or swelling but the entire leg was painful and the patient was unable to locate an area ofmaximal tenderness. There was no neurova...

A series of 133 fractures of the shaft of the femur in children (during the first 12 years) is discussed. The injury is much more common in boys. The highest incidence is in 3-year-old children. A gentle reduction is desirable and anaesthesia is rarely necessary. In the age group under consideration i in. of shortening in reduction is desirable; angulation should be avoided. Initial immobilizat...

The removal of well-fixed bone cement from the femoral canal during revision of a total hip replacement (THR) can be difficult and risks the loss of excessive bone stock and perforation or fracture of the femoral shaft. Retaining the cement mantle is attractive, yet the technique of cement-in-cement revision is not widely practised. We have used this procedure at our hospital since 1989. The st...

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...