OBJECTIVE To estimate the number of deaths and readmissions associated with delay in operation after femoral fracture. DESIGN Analysis of inpatient hospital episode statistics. SETTING NHS hospital trusts in England with at least 100 admissions for fractured neck of femur during the study period. Patients People aged > or = 65 admitted from home with fractured neck of femur and discharged b...

Heparin plus aspirin significantly improves the live birth rate of women with primary antiphospholipid syndrome. Osteopenia is a major concern of long-term heparin therapy. We studied prospectively the bone mineral density (BMD) changes during pregnancy and the puerperium in 123 women with primary antiphospholipid syndrome treated with low-dose aspirin and subcutaneous low-dose heparin (46 wome...

We report a male patient who presented with suspicion of skeletal metastases based upon an abnormal 99-mTc bone scan, which showed increased uptake at both femoral heads, left femoral neck, and several ribs. The images also suggested reflex sympathetic dystrophy, subcapital fracture of the left femur, and rib fractures. A diagnosis of hypophosphataemic osteomalacia was finally made.

A 55 year old woman with multiple myeloma presented with a pathological fracture of the right neck of femur. Following internal fixation, and during subsequent radiotherapy, she developed small bowel obstruction. Laparotomy revealed an intussusception about a small bowel myeloma deposit. This is a previously unreported cause of small bowel intussusception.

BACKGROUND Proximal femoral fracture rates are increasing due to osteoporosis and traffic accidents. Proximal femoral nails are routinely used in the treatment of these fractures in the proximal femur. AIMS To compare various combinations and to determine the ideal proximal lag screw position in pertrochanteric fractures (Arbeitsgemeinschaft für Osteosynthesefragen classification 31-A1) of th...

The aim of this study was to investigate the long-term clinical outcomes of valgus osteotomy combined with intramedullary nail for the treatment of shepherd’s crook deformity of polyostotic fibrous dysplasia. We reviewed the clinical data of 22 patients with polyostotic fibrous dysplasia that was treated at our department between January 1995 and January 2010. All 22 of the patients (23 femurs)...

OBJECTIVE The aims of the current study were to determine whether pre-operative urinary tract infections in patients presenting acutely with neck of femur fractures resulted in a delay to surgery and whether such patients were at increased risk of developing post-operative surgical site infections. DESIGN A retrospective review of all patients presenting with a neck of femur fracture, at a si...

We present a rare clinical case of a 90-year-old female who sustained a proximal femoral neck fracture following long-standing hip arthrodesis. Since the fracture occurred relatively proximally and involved the pelvis, double-plate fixation was chosen to achieve rigid fixation. The reconstruction plate was placed at the posterior and anterior columns individually through single vertical incisio...

BACKGROUND The purpose of this study was to determine the relationships among hip geometry, bone mineral density, and the risk of hip fracture in premenopausal women. METHODS The participants in this case-control study were 16 premenopausal women with minimal-trauma hip fractures (fracture group) and 80 age-and BMI-adjusted controls. Subjects underwent dual-energy X-ray absorptiometry (DXA) t...

Abstract Aim Patients admitted with Neck of Femur (NOF) fracture are often complex and frail. Junior doctors in our institution first on call have minimal orthopaedic experience. Anecdotal experience has shown that patients inadequately optimised. For example, fluids not prescribed, anticoagulants reversed which could lead to further complications delay surgery, affecting patient outcomes. Ther...