UNLABELLED The optimal surgical approach for combined femoral head and acetabular fractures (Pipkin IV) is controversial because of their rarity and lack of definitive reports. Surgical dislocation with trochanteric flip osteotomy (TFO) allows simultaneous exposure of the acetabulum and femoral head. We protected the obturator internus and inferior capsule during repair with a heavy suture at t...

The proximal femoral nail (PFN) is a recently introduced intramedullary system, designed to improve treatment of unstable trochanteric fractures of the hip. In a multicentre prospective clinical study, the intra-operative use, complications and outcome of treatment using the PFN (n = 211) were compared with those using the gamma nail (GN) (n = 213). The intra-operative blood loss was lower with...

BACKGROUND In treatment of unstable trochanteric fractures dynamic hip screw and Medoff sliding plate devices are designed to allow secondary fracture impaction, whereas intramedullary nails aim to maintain fracture alignment. Different treatment protocols are used by two similar Swedish regional emergency care hospitals. Dynamic hip screw is used for fractures considered as stable within the r...

Background: Failure of fixation of trochanteric fractures of the femur results in great disability and pain. Hip arthroplasty is a helpful reconstructive procedure in patients with poor bone stock, avascular necrosis of the femoral head, associated with damaged acetabular articular cartilage. Objective: This prospective study is to evaluate clinically and radiologically, the early results of to...

BACKGROUND Recently, various femoral head fixation devices (HFDs) for trochanteric fractures have become available. However, there are some cases in which femoral head rotation with excessive sliding of the HFD is observed and it is often followed by cutout. The purpose of this study is to compare the ability of the three types of HFDs to prevent femoral head rotation. METHODS Between July 20...

The proximal femoral nail antirotation had been successful in treating unstable trochanteric fractures. Previous studies have shown technical problems such as unsatisfactory fracture reduction, poor insertion technique, and poor blade position leading to complications such as cutout. We present a case of proximal femoral nail antirotation cutout resulting from the blocking of the gliding mechan...

Hip fractures in older people requiring dialysis are associated with high mortality. Our study primarily aimed to evaluate the specific burden of dialysis on the mortality rate following hip fracture. The secondary aim was to clarify the effect of the fracture site on mortality. A retrospective cohort study was conducted using Taiwan's National Health Insurance Research Database to analyze nati...

OBJECTIVE To compare the frequency of blood transfusion after surgery for fixation of inter-trochanteric fractures in patients given tranexamic acid versus placebo. METHODS The randomised control trial was conducted at the Aga khan university hospital from May 1 to October 31, 2014, and comprised patients diagnosed with Inter-trochanteric fracture based on X-ray imaging. The patients were ran...

Introduction: Predictors of fracture risk differ between cervical and trochanteric hip fractures. The aim of this experimental study was therefore to investigate whether two-dimensional (2D) finite element (FE) models, generated from standard radiographs, are able to predict and discriminate fracture types, originating from a simulated fall on the greater trochanter. Methods: A semi-automatic c...

BACKGROUND Greater thickness of the tissue extending laterally from the greater trochanter has been associated with a lower risk of hip fracture in women. The effect of trochanteric soft tissue thickness on the risk of incident hip fracture has not been evaluated in men. METHODS We measured trochanteric soft tissue thickness by dual-energy x-ray absorptiometry for all incident hip fracture ca...