Intraoperative proximal femoral fracture, one of the most common complications of total hip arthroplasty (THA), occurs more often in cementless procedures and can affect rehabilitation, hospitalization time, and cost of treatment. The goal of this study was to identify risk factors for intraoperative proximal femoral fracture in THA to identify high-risk groups preoperatively and minimize the i...

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...

OBJECTIVE Our objective was to analyze the relationship between bone mineral density (BMD) changes and fracture incidence during 3-yr treatment with strontium ranelate. PATIENTS Women from the strontium ranelate arm of the Spinal Osteoporosis Therapeutic Intervention study and the TReatment Of Peripheral OSteoporosis study were evaluated. OUTCOME MEASURES The outcome measures included BMD a...

A subtrochanteric femur fracture after cannulated screw fixation of a femoral neck fracture is a devastating complication. We hypothesized that an apex-distal screw orientation would tolerate higher loads to subtrochanteric fracture. Human cadaveric femora were instrumented with three cannulated screws in either an apex-distal or an apex-proximal configuration. Specimens were loaded along the m...

The sub trochanteric zone of the femur is the area extending up till 5 cm distally from the inferior border of the lesser trochanter or the junction of the proximal third and middle third of the femoral shaft. Fracture patterns presenting major displacement in this area are considered sub trochanteric fractures despite their proximal or distal extension. 1 High biomechanical stress concentratio...

We treated 108 patients with a pertrochanteric femoral fracture using either the dynamic hip screw or the proximal femoral nail in this prospective, randomised series. We compared walking ability before fracture, intra-operative variables and return to their residence. Patients treated with the proximal femoral nail (n = 42) had regained their pre-operative walking ability significantly (p = 0....

The authors describe a false aneurysm of the profunda femoris artery caused by a bony fragment from the lesser trochanter after a proximal femoral fracture. False aneurysm as a complication of a hip fracture is rare; however it is essential to consider the possibility, more even so if there is inexplicable persisting pain after internal fixation. Symptoms are sometimes diffi-cult to judge, as t...

This article describes a case of backout of the helical blade, a rare complication of proximal femoral nail antirotation. A 31-year-old man had sustained a trochanteric fracture of his right femur. Fracture fixation using proximal femoral nail antirotation and autologous bone grafting 7 months later were performed at another hospital. However, bony union was not obtained, and the patient's pain...

This review considers methods used to quantify lag screw placement within the femoral head following proximal femoral fracture. Implants used for fixation of femoral neck fractures can lead to unwanted outcomes in some patients. Cutting out of the screw within the femoral head has been shown to be the commonest cause of failure and is related to lag screw placement within the femur. Until now, ...

An 87-year-old woman with a residual dislocated hip suffered a trochanteric fracture on the ipsilateral side. The fracture was treated by open reduction and internal fixation surgery with good results. To treat a proximal femoral fracture of the residual dislocated hip in an elderly patient, the patient’s overall status, pre-fracture ability, hip joint configuration, and fracture pattern should...