CLINICAL/SURGICAL PEARLS: 1. Determining the highest level of supportive femoral bone is important to place the taper into this bone. An extended trochanteric osteotomy is useful for removal of the old stem and facilitates placement of a relatively straight, tapered, fluted stem down a bowed femur, thus preventing anterior perforation of the stem through the anterior cortex. The intact diaphysi...

Optimizing stability of femoral neck fracture fixation is important in obtaining a successful outcome. The mechanical problems and strategies for achieving optimal stability differ depending on patients' age and degree of osteoporosis. Femoral neck fractures in younger adults usually result from high-energy trauma and have a vertical fracture pattern. Strategies for optimizing fixation stabilit...

The use of bioabsorbable cross-pin transcondylar fixation has remained a viable option for femoral fixation in anterior cruciate ligament reconstruction. Although numerous biomechanical studies have demonstrated high fixation strength and minimal slippage with use of this method of fixation, there have been increasing reports of a variety of clinical complications associated with these implants...

Objective: In order to avoid the adverse consequences which cause by anthropogenic factor in the femoral neck fracture surgery and meet the requirements of selecting the most reasonable internal fixation way, from the viewpoint of biomechanics, an optimal selection system of internal fixation methods for femoral neck facture are established which integrates preprocessing, solving and post-proce...

OBJECTIVES To review the primary and the final results of surgical management of ipsilateral femoral neck and shaft fractures. SUBJECTS AND METHODS Seventeen patients (2 female, 15 male, average age 37 years, range 20-60) with ipsilateral femoral neck and shaft fractures were treated by compression plate fixation for the femoral shaft fractures and dynamic hip screw or cannulated cancellous s...

INTRODUCTION This study examined the bone density around the fixation area during knee ligament reconstructions and assessed how this clinical relevance can be applied to a firm construction for a reconstructed ligament. MATERIALS AND METHODS Fifty consecutive patients (25 healthy men and 25 healthy women) were enrolled in this study. A quantitative computed tomography was used to determine t...

When using parallel screws for treatment of femoral neck fractures, shortening of the femoral neck might occur. Given the high revision surgery rates associated with parallel screws, we developed a questionnaire to explore (1) surgeons’ viewpoints on difficulties in the fixation of femoral neck fractures, (2) their perception of the clinical importance of femoral neck shortening after internal ...

Background: Comminuted fractures happen frequently due to traumas. Fixation without opening the fracture site,known as minimally invasive plate osteosynthesis (MIPO), has recently become prevalent. This study has beendesigned to assess the outcomes of this treatment for tibial and femoral comminuted fractures.Methods: A total of 60 patients with comminuted femoral or tibial fractures were opera...

conclusions we underscored the importance of endocrinologic disorders in craniopharyngioma cases. such disorders should be taken into consideration and be followed up. introduction slipped capital femoral epiphysis is characterized by the slippage of the proximal femoral epiphysis on the metaphysis, which is sometimes associated with an underlying endocrine disorder. panhypopituitarism due to c...