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...

We studied the pattern of proximal femoral growth after severe Perthes' disease (Catterall grade III or IV) by retrospective analysis of serial radiographs in 52 hips (46 patients). Our aim was to determine the relationship between proximal femoral growth abnormalities and metaphyseal cysts, epiphyseal extrusion, physeal narrowing, and extensive epiphyseal necrosis. The average follow-up after ...

As the indications for total hip arthroplasty increase, the prevalence of extensive proximal femoral bone loss will increase as a consequence of massive osteolysis, stress shielding and multiple revisions. Proximal femoral bone stock deficiency provides a major challenge for revision hip arthroplasty and is likely to account for a significant future caseload. Various surgical techniques have be...

PURPOSE To assess the treatment outcome of revision hip arthroplasty for Vancouver type B3 periprosthetic femoral fractures using a modular distally cemented stem. METHODS 22 men and 14 women (37 hips) aged 66 to 79 (mean, 70) years underwent revision hip arthroplasty for Vancouver type B3 periprosthetic femoral fractures. The indication for surgery was periprosthetic fracture with stem loose...

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...

The newer second generation reconstruction nails, such as the proximal femoral nail (Synthes-Stratec, Oberdorf, Switzerland), Russell-Taylor Delta nail (Smith & Nephew Inc, Memphis, Tenn) and gamma nail (Stryker Corp, Kalamazoo, Mich), produce satisfactory results clinically and biomechanically in the treatment of unstable proximal femoral fractures.1-4 The key to smooth progression of the surg...

There is increasing evidence that proximal femoral geometry has an important role in the aetiology of hip fractures. We performed a simple radiological study to investigate the relationship between proximal femoral geometry and intracapsular and extracapsular fractures of the proximal femur. Measurements of proximal femoral geometry were made on pelvic radiographs on the contralateral hip of 50...