Aims Periprosthetic fractures (PPFs) around cemented taper-slip femoral prostheses often result in a component that is loose at the prosthesis-cement interface, but where cement-bone interface remains well-fixed and bone stock good. We aim to understand how best classify manage these by using modification of Vancouver classification. Methods reviewed 87 PPFs. Each was first episode fracture com...

INTRODUCTION Fracture of stems in primary total hip arthroplasty is a known complication and has been attributed to varus positioning, excessive weight of the patient, resorption of the femoral calcar and failure of the cement mantle. Fractures in uncemented revision femoral stems are rare and are attributed to reduction in proximal support either in the form of bone loss or an extended trochan...

recurrent dislocation is not common in small joints. this report presents a new case of chronic recurrent dislocation of proximal interphalangeal joint of the finger in which soft tissue injuries have a role in the dislocation. the patient was a 23 years old man who had referred to our center because of recurrent dislocation of proximal interphalangeal joint of his right ring finger during spor...

OBJECTIVES Surgical treatment of proximal humerus fractures can be challenging due to osteoporosis. The weak bone stock makes stable implant anchorage difficult, which can result in low primary stability. Accordingly, significant failure rates, even with modern locking plates, are reported in the literature. Intraoperative knowledge of local bone quality could be helpful in improving results. T...

Complex periarticular fractures of the long bones are difficult to treat. Classic intramedullary osteosynthesis do not provide a stable fixation (Wiss et al., 1986), while open reduction and rigid fixation by classic plates (recommended in the 60s-70s) is requiring large incisions with important deperiostation. Potential complications as infections, consolidation delays and construct damage due...

Osteoporosis is a bone disease related to age, it weakens bone structure by deterioration of the trabecular architecture and decreases the cortical envelop width and increases its porosity. Hip fractures are the more recurrent consequences of osteoporosis, and are the cause of morbidity and increase the rate of mortality. The fracture risk due to osteoporosis, is undertaken with Dual-Energy X-r...

The prevalence of bone fractures increases markedly with age, which is correlated to osteoporosis, low bone mass and structural deterioration of trabecular bone. Infiltration of bone cement into vertebral bodies (vertebroplasty) has been shown to substantially increase the strength and stiffness of mechanically compromised trabecular bone. It was expected that a similar benefit might be realize...

background: intertrochanteric fracture is one of the most common fractures of the hip especially in the elderly with osteoporotic bones, usually due to low-energy trauma like simple falls. dynamic hip screw (dhs) is still considered the gold standard for treating intertrochanteric fractures by many. not many studies compare the dhs with proximal femoral nail (pfn), in type ii intertrochanteric ...

BACKGROUND Bisphosphonates are generally known to adversely affect fracture healing because they inhibit osteoclastic bone resorption. However, some authors argue that bisphosphonates have no adverse effect on the restoration of the mechanical integrity of long bones after fractures. It is unclear whether bisphosphonates can be initiated safely in patients with acute proximal humerus fractures....

introduction for decades, acetabular fractures were treated conservatively. judet et al. in 1960s established the operative treatment of these fractures by continuous improvement of pre-operative evaluation and classification of fractures. several studies demonstrated that accurate fracture reduction decreases the incidence of post-traumatic arthritis and improves functional outcome. conclusion...