BACKGROUND The purpose of this prospective cohort study was to clarify the safety and efficacy of total hip arthroplasty via the direct anterior approach in the supine position with a novel mobile traction table. METHODS The first experience of consecutive surgeries by a single surgeon using the direct anterior approach with a traction table is described with a two-year follow-up period. Of 1...

Vascular injuries in conjunction with low-energy geriatric hip fractures, although uncommon, can be life-threatening. Furthermore, vascular injuries are usually iatrogenic, related to malpositioning of percutaneous reduction aids, aberrant drilling, or poorly sized implants. The authors describe an older woman who had a low-energy pertrochanteric hip fracture. She was noted preoperatively to ha...

It is well known that head injuries with a linear skull fracture in infancy sometimes cause a growing skull fracture') with or with out a leptomeningeal cyst.') This condition, however, is mainly located in the supratentorial portion of the cranium. Leptomeningeal cysts in the posterior fossa are rare, and to our knowledge, there have been only four cases reported in the literature. The leptome...

Box 88.1 lists the signs and symptoms of fractures and complications that indicate serious injury. In general, forearm fractures are classified by the bone (or bones) involved, anatomic location, trajectory of the fracture and alignment of the fracture fragments, and the presence of angulation, rotation, comminution, and concurrent dislocations. All fractures should be further described as open...

MAIN RESULTS 824 patients did not fall. Of the 201 patients who fell, 77 (38%) had an early fall, and 124 (62%) had a late fall. Several patient characteristics predicted the occurrence of an early fall (table). Patients who had an early fall were more likely to have a past history of falls and less likely to have had a lower limb fracture than patients who had a late fall. CONCLUSION In elderl...

The positioning of the patient on the fracture table is critical to the successful reduction and operative fixation of hip fractures which are fixed using the dynamic hip screw system (DHS). There is a standard setup which is commonly used with relative ease. Yet the positioning of patients with amputations either above or below knee of the affected side can pose a significant challenge. We des...

Simplified fatigue and fracture mechanics based assessment methods are widely used by the industry to determine the structural integrity significance of postulated cracks, manufacturing flaws, service-induced cracking or suspected degradation of engineering components under normal and abnormal service loads. In many cases, welded joints are the regions most likely to contain original fabricatio...