Periprosthetic proximal femoral fractures are a major challenge for the orthopaedic surgeon, with a continuously increasing incidence due to aging populations and concordantly increasing numbers of total hip replacements. Surgical decision-making mainly depends on the stability of the arthroplasty, and the quality of bone stock. As patients final outcomes mainly depend on early mobilization, a ...

INTRODUCTION In the United States, there are over 300,000 hip fractures annually, resulting in over $13 billion in medical costs (1). About 90% of these have been reported to be the consequence of falls (1). The remaining 10% are thought to be the result of fatigue of the bone tissue (spontaneous fracture). Repeated falls may increase fracture risk by affecting the integrity of the bone tissue;...

Despite recent advances in operative techniques, internal fixation of (3- and 4-part) displaced proximal humeral fractures in elderly patients with osteoporotic bone remains controversial, sometimes followed by poor results. The aim of the present study was to evaluate outcomes of internal fixation with locking plate of multi-fragment proximal humeral fractures in elderly patients. The study co...

The hallucal interphalangeal sesamoid bone is usually asymptomatic, but it is not uncommon for it to be symptomatic in cases of undue pressure, overuse, or trauma. Even in symptomatic cases, however, patients often suffer for extended periods due to misdiagnosis, resulting in depression and anxiety that can steadily worsen to the extent that symptoms are sometimes mistaken for a somatoform diso...

Stress fractures are considered as multifactorial overuse injuries occurring in 0.3%-0.8% of patients suffering from rheumatic diseases, with rheumatoid arthritis being the most common underlying condition. Stress fractures can be classified according to the condition of the bone affected as: 1) fatigue stress fractures occurring when normal bone is exposed to repeated abnormal stresses; and 2)...

ObjectivesWe hypothesize that three-dimensional (3D) geometric analyses in weight bearing CT-images of the foot and ankle are more reproducible compared to two-dimensional (2D) analyses. Therefore, we 2D 3D on bones weight-bearing non cone-beam CT images healthy volunteers.MethodsTwenty volunteers (10 male, 10 female, mean age 37.5 years) underwent imaging both feet. Clinically relevant height ...

INTRODUCTION Proximal humeral fractures account for 4% to 5% of all fractures. Complex proximal humeral fractures with displaced three- and four-part fragments, humeral head splits and fracture-dislocations are more difficult to treat. In older patients, because of poor bone quality, hemiarthroplasty is often the indicated treatment. CASE REPORT One such case of a 73-year-old woman is present...

Introduction: The patella has a great importance in the extension and flexion activities of knee, being paramount patient's quality life. Nowadays surgical options that stand out most are open reduction plus internal fixation resection patella. increases leverage quadriceps. Management following injury been based on preservation bone vascular supply, addition to joint restoration extensor funct...

Fragility fractures, including neck of femur fractures, result from reductions in the amount, quality and architecture of bone. The aim of this study was to compare the cancellous bone structure, and static indices of bone turnover, in female patients who had sustained fragility fracture at the femoral neck, with age-matched females without fragility fracture. Bone samples were taken from the i...