OBJECTIVE To investigate the value of lumbar bone mineral density (BMD) in fracture risk assessment (FRAX) tool. METHODS One hundred and ten patients aged over 60 years were enrolled and divided into 2 groups as non-osteoporotic vertebral fracture (OVF) and OVF groups. The 10-year-risk of major osteoporotic vertebral fracture of each group was calculated by FRAX tool with femoral and lumbar s...

Total Hip Replacement is a method of prosthetic reconstruction of the acetabulum and proximal femur following hip joint destruction. Prosthetic fractures have been reported after primary surgery ; with majority of them at the prosthetic stem. Few had fracture through neck of prosthetic stem. Here, we report a rare case of fracture neck of prosthetic stem within 10 year of implantation in a pati...

We analyzed 428 femoral metastases initially treated with radiotherapy between 2002 and 2011 to clarify the clinical details of post-irradiation fractures of femoral metastasis. Patients included 161 men and 167 women, with a mean age of 62 years. Fracture incidence, fracture site, fracture risk based on X-ray images before radiotherapy, and interval from completion of radiotherapy to fracture ...

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...

Worldwide, 30% – 40% of women and 13% of men suffer from osteoporotic fractures of the bone, particularly the older people. Doctors in the hospitals need to manually inspect a large number of x-ray images to identify the fracture cases. Automated detection of fractures in x-ray images can help to lower the workload of doctors by screening out the easy cases, leaving a small number of difficult ...

a 64-year-old woman, with amyloid related kidney failure (on renal dialysis) had a bone scan because of pain in the right upper femur. the 99m tc-mdp images revealed marked hepatic uptake. in addition, there was right proximal femoral concentration of radiotracer, which corresponded to a fracture site. as an added finding, the same femor demonstrated circumferential uptake at the lower pole. th...

Condylo-cephalic nailing which has been developed by Ender is described. Three elastic pins are inserted at the proximal part of the medial femoral condyle and passed through the femur across the fracture into the head of the femur. The operative procedure is very simple and not hazardous to elderly patients. A special advantage is early weight-bearing. One hundred and three patients with inter...

4 Grimley Evans J, Prudham D, Wandless I. A prospective study of fractured proximal femur: incidence and outcome. Public Health 1979;93: 235-4 1. 5Brocklehurst JC, Exton-Smith AN, Lempert Barber SN, Hunt LP, Palmer MK. Fracture of the femur in old age: a two-centre study of associated clinical factors and the cause of the fall. Age Ageing 1978;7: 7-15. 6 Baker MR. An investigation into secular ...

Periprosthetic fracture of the proximal femur involving the lesser trochanter (the Vancouver type A(LT)) is an uncommon occurrence. As it is basically an avulsion fracture of the attachment of the iliopsoas, it does not destabilize the stem and can be treated nonsurgically. In contrast, there is a so-called type "new B2" periprosthetic fracture of the lesser trochanter, which includes a segment...

Accurate assessment of hip fracture risk is very important to prevent hip fracture and to monitor the effect of a treatment. A subject-specific QCT-based finite element model was constructed to assess hip fracture risk at the critical locations of femur during the single-leg stance and the sideways fall. The aim of this study was to improve the prediction of hip fracture risk by introducing a n...