Ipsilateral fractures of the neck of the femur and the femoral shaft are uncommon injuries and they present considerable challenge as the concurrent survival of the femoral head and union of the femoral shaft fracture is of paramount importance. We present a young male patient who sustained a Garden IV fracture of the neck of his right femur following a road traffic accident, with the fracture ...

The removal of well-fixed bone cement from the femoral canal during revision of a total hip replacement (THR) can be difficult and risks the loss of excessive bone stock and perforation or fracture of the femoral shaft. Retaining the cement mantle is attractive, yet the technique of cement-in-cement revision is not widely practised. We have used this procedure at our hospital since 1989. The st...

The purpose of this study is to describe and analyze the severity of road traffic accidents in which a femoral fracture was identified, comparatively, in ante and post-mortem cases. For this purpose we have conducted a retrospective study, using the archives of the National Institute of Legal Medicine from which were selected 82 consecutive cases of clinical medicallegal expertises and 100 case...

We performed a retrospective review of all patients admitted to two large University Hospitals in the United Kingdom over a 24-month period from January 2008 to January 2010 to identify the incidence of atypical subtrochanteric and femoral shaft fractures and their relationship to bisphosphonate treatment. Of the 3515 patients with a fracture of the proximal femur, 156 fractures were in the sub...

BACKGROUND The application of indirect reduction techniques has improved fracture-healing and reduced the need for bone-grafting compared with the outcomes of older, direct reduction techniques. We investigated the results of such indirect reduction techniques for the treatment of periprosthetic femoral shaft fractures. METHODS Fifty consecutive patients with a femoral shaft fracture about a ...

INTRODUCTION Femoral fractures are the most common presenting injury at the orthopaedic department in a large Tanzanian hospital. To date, there has been no current examination of the epidemiology of femoral fractures and the disease burden has not been quantified. METHODS A retrospective descriptive study of patient records in the orthopaedic department at Kilimanjaro Christian Medical Centr...

BACKGROUND Both pelvic fractures and femoral shaft fractures are caused by high-energy injuries. When unstable pelvic fractures and femoral shaft fractures occur concomitantly, the optimal treatment method is controversial. The aim of this study was to establish a reasonable principle for treating such complicated injuries. METHODS Forty patients sustaining unstable pelvic fractures and conco...

OBJECTIVE To evaluate the personal, fracture, treatment and complication characteristics among patients with pediatric femoral shaft fractures attended at the pediatric orthopedic service of the Joana de Gusmão Children's Hospital. METHODS This was a retrospective cross-sectional study on a population consisting of patients with femoral shaft fractures, aged between birth and 14 years and 11 ...

A 29 year old woman, known to be eight weeks pregnant, presented to the accident and emergency department having twisted and fallen onto her left leg while playing netball. The limb was painful and she was unable to weight bear. On examination there was no deformity or swelling but the entire leg was painful and the patient was unable to locate an area ofmaximal tenderness. There was no neurova...