We evaluated the effects of an injectable complex of β-tricalcium phosphate (β-TCP) granules, hyaluronate, and recombinant human fibroblast growth factor-2 (rhFGF-2) on repair of unstable intertrochanteric fractures in elderly patients. Twenty-five patients (range, 76-91 years) having 31.A2 fractures (AO classification) were treated with injection of the complex followed by intramedullary nails...

INTRODUCTION Intertrochanteric hip fractures occur in the proximal femur. They are very common in the elderly and are responsible for high rates of morbidity and mortality. The authors hypothesized that adding an autologous bone marrow stem cells concentrate (ABMC) to a hydroxyapatite scaffold and placing it in the fracture site would improve the outcome after surgical fixation of intertrochant...

BACKGROUND Fractures of the intertrochanteric hip are common and the treatment of unstable fractures generally requires an operative approach. In elderly patients, osteoporosis makes internal fixation problematic and frequently contributes to failed fixation and poor clinical results. We have attempted to apply the Less Invasive Stabilization System (LISS) in reverse position for the repair of ...

background:  due to difficulty in obtaining anatomical reduction, management of the unstable intertrochanteric fractures in elderly osteoporotic patients is challenging. the purpose of this study is to compare the results of hip arthroplasty (total, hemi, or bipolar) with dhs in the elderly patients with unstable intertrochanteric fractures.   methods:  we prospectively studied and followed-up ...

patients and methods sixty elderly patients with intertrochanteric fractures were randomized for treatment with either skeletal traction (group a) or an external fixation (group b). in this study patients at least 60 years of age, with ao/ota a1 or a2 type fracture and intertrochanteric fracture as a result of minor trauma, were enrolled. results acceptable reduction was achieved in eight and 2...

INTRODUCTION: Hallux valgus (bunions) are prominent and often inflamed metatarsal heads and overlying bursae. They are associated with valgus deviation of the great toe which moves towards the second toe. Hallux valgus is found in at least 2% of children aged 9 to 10 years, and almost half of adults, with greater prevalence in women. METHODS AND OUTCOMES: We conducted a systematic review and ai...

IMPORTANCE The different nasal osteotomy patterns used to perform rhinoplasty are poorly described in the literature, and there is a continuous debate between surgeons on the ideal sequence and technique to obtain desired results. OBJECTIVES (1) To evaluate the necessity of a paramedian osteotomy when performing a high-low-high (HLH) osteotomy, (2) to study the fracture pattern of a high-low-...

Background: The best method for repairing intertrochanteric fractures is still controversial. The fixation methods includeextramedullary (EM) and intramedullary (IM). Studies that compare IM and EM fixations for unstable hip fractures arerare. In this study, our goal was to compare the efficacy of EM and IM fixation in treatment of unstable intertrochantericfractures.Met...

Intertrochanteric fractures are very common among elderly patients. These fractures are cause of significant morbidity and mortality in conservatively treated patients. Because of that the treatment of choice is surgery. The most commonly used surgical method is internal fixation which is associated with intraoperative blood loos and prolonged anesthesia. The elderly patients are high risk pati...