INTRODUCTION: Slipped capital femoral epiphysis (SCFE) is the most common hip disorder of adolescent children [1]. It results in fracture of the growth cartilage, separating the proximal femoral epiphysis from the metaphysis, due to hormonal and mechanical factors [2]. The most widely accepted treatment for stable SCFE (defined by the ability to bear weight on the affected limb) has been a sing...

In situ stabilization remains the standard of care in the treatment of stable slipped capital femoral epiphysis (SCFE). Screw placement perpendicular to the physis has shown satisfactory results with minimal complications. A prominent screw head may produce femoral acetabular impingement and pain after in situ fixation in severe SCFE. We performed a biomechanical study to establish whether scre...

This study investigates the adhesion capacity of a polyglycolic acid- (PGA-) hyaluronan scaffold with a structural modification based on a planar polymer (PM) surface in a cadaver cartilage defect model. Two cadaver specimens were used to serially test multiple chondral matrices. In a cadaver hip model, cell free polymer-based cartilage implants with a planar bioinspired PM surface (PGA-PM-scaf...

abstract we report a 71 year-old patient with intertrochanteric fracture who had been managed with dhs and her healed fracture complicated by a subcapital femoral neck fracture. a subcapital femoral neck fracture complicating a healed intertrochanteric fracture is rare but catastrophic event. such cases are managed in a hetereogenous manner, i.e. there exists a mixture of cases treated by eithe...

INTRODUCTION: Bone conserving designs, such as hip resurfacings, are an alternative treatment option to conventional total hip arthroplasty (THA) in young, active patients. Previous studies have shown that medullary fixation can result in significant proximal bone resorption through stress shielding [1,2], while it has been suggested that hip resurfacing arthroplasty will load the proximal femo...

The purpose of this study was to assess the effect of timing of large fragment fixation in patients with Pipkin type-I fractures. Patients with Pipkin type-I fractures from the authors' trauma center were prospectively observed between July 2007 and July 2010. Fragments that constituted more than one-fourth of the femoral head were included. Thirty-six patients were equally randomized to underg...

Pediatric subtrochanteric femoral fractures are rare and have received limited attention in the literature Treatment is controversial. Different treatment options are used: skin traction, 90/90 skeletal traction, spica casting, cast bracing, internal fixation and external fixation. The aim of this study is to present our results with internal fixation of subtrochanteric femoral fractures in chi...

BACKGROUND There is now a clear trend with increased usage of cementless femoral stems for all ages and most patients. As the number of total hip arthroplasties (THAs) performed annually continues to increase with expanding indications for THA and demands for improved quality of life, so will the prevalence of THA in the elderly and aging populations. This is worrisome as the risk of complicati...