background: several systemic factors and hormones are thought to regulate the fracture healing process. vitamin d has emerged as a compound or hormone that actively participates in the regulation of calcium homeostasis and bone metabolism. objectives: the aim of this study is to determine the serum changes in the level of vitamin d during the acute healing period of tibial and femoral shaft fra...

Femoral neck fractures are associated with femoral shaft fractures in 1% to 9% of cases. Undisplaced neck fractures are susceptible to displacement during shaft nailing. We report the case of a 57-year-old male patient in whom we performed standard intramedullary nailing for a femoral shaft fracture. In doing so, we identified a vertical radiolucent line at the femoral neck, which was thought t...

The source of continued hip pain following fixation of traumatic femoral shaft fracture is not always clear. Intra-articular hip pathology is often overlooked when evaluating the etiology of residual pain. The purpose of this study was to describe cases of intra-articular hip pathology following traumatic femoral shaft fracture. This was a retrospective case series of patients presenting to a p...

UNLABELLED Non-union is a well recognized complication of femoral neck fractures. The decision whether to attempt fracture fixation or to resort to hip replacement is particularly difficult in patients in the borderline age group in whom complex attempts at gaining union may fail and later present a difficult revision. On the other hand the patient may be young enough that arthroplasty best be ...

INTRODUCTION A femoral shaft fracture with an ipsilateral patella fracture has been, to our knowledge, given only cursory attention in English-speaking literature. CASE PRESENTATION A 15 year old male patient had hitten by a car to his motorcycle came to emergency room and he had been operated for his femoral shaft freacture and vertical patellar fracture which was iniatally missed. CONCLUS...

BACKGROUND Occult femoral neck fractures associated with femoral shaft fractures are frequently missed and may lead to adverse outcomes. CASE PRESENTATION A 46-year old female presented to our institution with increasing groin pain one month after antegrade intramedullary nailing of a femoral shaft fracture at an outside hospital. Radiographic evaluation revealed a displaced ipsilateral femor...

BACKGROUND Ipsilateral femoral neck and shaft fractures are rare, and currently available treatment methods each have their own benefits and limitations. Although reconstruction intramedullary nails have been considered to be effective alternative, clinical outcomes vary significantly in reports. METHODS Thirty-seven consecutive adult patients with 37 combined fractures were treated with reco...

Femur fractures are common in paediatric population and femoral shaft fractures have an incidense of 1.4-1.7% of all paediatric fractures. These are often seen in boys rather than girls. Most of the fractures are transverse, non-comminuted and closed [1]. The mechanism of the femoral shaft fracture for older children is associated with high-energy transmission such as traffic accidents. Combine...

background:proximal femoral shaft fractures are commonly associated with marked blood loss which can lead topostoperative acute anemia and some other complications.tranexamic acid (ta) is an antifibrinolytic medication that reduces intra-and postoperative blood loss and transfusionrequirements during some elective surgeries (1-3).the aim of this study is to evaluate the effect of intravenous tr...