Functional outcome after retrograde femoral intramedullary nailing was investigated in 35 patients older than 60 years (mean, 86 years) with 36 fractures, comprising 15 (41.7%) shaft and 21 (58.3%) distal fractures; overall, 7 (19.4%) periprosthetic fractures occured. Twenty-two (62.9%) of 35 patients were evaluated at a mean 16.5-month follow-up with the Lyshom-Gillquist score and the SF-8 que...

INTRODUCTION Epidemiological study of femoral fractures has been dominated by proximal fractures. Distal fracture requires equal attention for correct management. PATIENTS AND METHODS A prospective study in 12 French hospital centres between June 1st, 2011 and May 31st, 2012 recruited cases of non-pathologic distal femoral fracture in patients over 15 years of age without ipsilateral knee pro...

BACKGROUND Distal femoral fractures are usually complex and difficult to treat. The surgeon must demonstrate sound judgment in interpreting the fracture pattern and must possess a basic understanding of the principles of operative fracture management as well as knowledge of the mechanics of the implants. MATERIAL AND METHODS 1 70 patients with distal femoral fractures were operated by 10 diff...

We aimed to determine whether loss of volumetric bone mineral density (vBMD) and deterioration of microarchitecture imaged by high-resolution peripheral quantitative computed tomography at the distal radius/tibia provided additional information in fracture discrimination in postmenopausal women with recent hip fracture. This case-control study involved 24 postmenopausal Chinese women with unila...

Fracture of the femoral prosthesis neck following total hip arthroplasty is not common. We report a case of femoral prosthesis neck fracture in an adult male patient following modular, uncemented total hip arthroplasty. This case report further emphasizes the importance of the potentially high loading situation in the prosthetic femoral neck. On the other hand, the occurrence of a femoral prost...

PURPOSE To review 6 cases of periprosthetic distal femoral fracture during total knee arthroplasty (TKA). METHODS Of 778 women and 691 men who underwent primary TKAs using posterior-stabilised (n=1240), cruciate-retaining (n=165), or semiconstrained (n=64) implant, 5 women and one man with a mean age of 73.3 years and a mean body mass index of 31.6 kg/m(2) sustained an intra-operative peripro...

Radiographic osteopenia is regularly observed after implant removal from a fracture or femoral osteotomy but has not been objectively quantified. Hardware removal is generally performed months to years after the index event (fracture or osteotomy) when full activity has been resumed. Objectively demonstrable bone mineral deficiency affects fracture risk. Hardware removal may facilitate the retu...

background at altnagelvin, a district general hospital in northern ireland, we have observed that a significant number of hip fracture admissions are later readmitted for treatment of other medical conditions. these readmissions place increasing stress on the already significant burden that orthopedic trauma poses on national health services. objectives the aim of this study was to review a ser...