19 Objective: Avascular necrosis of femoral head and nonunion is a major complication 20 after the treatment of displaced femoral neck fracture in young adults. 21 The purpose of this study was to introduce a new technique using biodegradable 22 magnesium screws and vascularised iliac grafting for displaced femoral neck fracture 23 in young adults. 24 Methods: Totally 19 patients with displaced...

A number of reports regarding atypical fractures of the femur have raised questions concerning the possible correlation between long-term bisphosphonate treatment and the occurrence of insufficiency fractures in the proximal femur. However, clinically, it is often confused whether is it a fatigue fracture because of implant induced stress concentration or a bisphosphonate-related atypical fract...

Femoral neck fractures in young patients are usually caused by a high-energy trauma, which results in a perpendicular fracture. Although efforts are focused on preserving the femoral head in young patients, vertical femoral neck fracture is a problematic orthopedic injury due to the domination of shear forces. Due to controversy regarding which fixation method is the best choice, the purpose of...

background fractures of the knee account for about 6% of all trauma admissions. while its management is mostly focused on fracture treatment, it is not the only factor that defines the final outcome. objectives this study aimed to study objective and subjective outcomes after proximal tibial versus distal femoral fractures in terms of knee instability and health-related quality of life. patient...

PURPOSE The purpose of this study was to compare preoperative clinical outcomes before occurrence of periprosthetic femoral fracture (status before trauma) with postoperative clinical outcomes (status after operation) in patients with periprosthetic femoral fracture after hip arthroplasty. MATERIALS AND METHODS A retrospective review was performed of all periprosthetic femoral fracture after ...

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 prolonged use of bisphosphonates has been associated with an increased rate of atypical femoral fracture. A 77-year-old woman with prolonged bisphosphonate use presented to our office with groin pain and end-stage arthritis, She was scheduled for a total hip replacement. Before the surgery and with minimal trauma, the patient then suffered a displaced atypical femoral fracture. She underwen...

The fixation of distal femoral fractures (Vancouver type-C fractures) following a well-fixed hip arthroplasty femoral stem has become a challenging issue for orthopedic surgeons due to the inter-prosthetic biomechanical effects such as negative, positive, and torsional strain. Surgeons have applied a range of constructs to overcome these difficulties. To minimize the risk of inter-prosthetic fr...

The purpose was to detect the effects of ovariectomy (OVX) on femoral fracture healing through different angiogenesis and HIF-1α expression in mice. Thirty-six young female C57 mice were randomized into two groups: OVX and age-matched intact control (CON). The femoral fracture was generated at 3 weeks after OVX or CON. At 2 or 4 weeks after fracture, the femoral fracture area was evaluated heal...

Patients with proximal femoral fracture occupy 20% of all orthopaedic beds at any one time [1]. In postmenopausal women, proximal femoral fracture accounts for more bed days annually than breast cancer, acute myocardial infarction, diabetes mellitus or chronic obstructive pulmonary disease. Most people with a proximal femoral fracture are old: 90% are older than 65 and 75% are older than 75. Mo...