Classification of Femoral Fractures

Author(s):  
Yingze Zhang ◽  
Yanbin Zhu
Keyword(s):  
2021 ◽  
Vol 12 ◽  
pp. 204201882110496
Author(s):  
Yoto Oh ◽  
Kouhei Yamamoto ◽  
Toshitaka Yoshii ◽  
Masanobu Kitagawa ◽  
Atsushi Okawa

Stress fractures have traditionally been classified into three categories: fatigue fractures due to overuse of bone with normal elastic resistance; insufficiency fractures due to everyday physiological stress on fragile bone with poor elastic resistance; and pathologic fractures due to bone weakness involving tumors. The concept of atypical fractures has emerged and is considered a type of stress fracture. However, there has been some inconsistency in interpretation when using the traditional classification of stress fractures, and atypical femoral fractures (AFFs) can potentially be classified into subtypes: “typical” AFFs involving bone turnover suppression due to specific drugs (e.g. bisphosphonates) and fragility fractures of the bowed femoral shaft. In this article, the classification of stress fractures is redefined with the addition of atypical fractures as a fourth category, in which biological activity for fracture healing is absent, to promote consistent understanding and interpretation of clinical conditions involving stress fractures.


Injury ◽  
2010 ◽  
Vol 41 (7) ◽  
pp. 739-745 ◽  
Author(s):  
C.L. Loizou ◽  
I. McNamara ◽  
K. Ahmed ◽  
G.A. Pryor ◽  
M.J. Parker
Keyword(s):  

2021 ◽  
pp. 1-7
Author(s):  
Georg Zdolsek ◽  
Yupei Chen ◽  
Hans-Peter Bögl ◽  
Chunliang Wang ◽  
Mischa Woisetschläger ◽  
...  

Author(s):  
Shashank Mishra ◽  
Mohit Kumar ◽  
Prashant Kumar ◽  
Gaurav Luthra

<p><strong>Background: </strong>Femoral fractures are frequently occurring fractures that are caused due to large force impaction. The purpose of this study was to clinically evaluate the outcomes of treating femoral fractures with the use of the intramedullary femoral nailing system.</p><p><strong>Methods:</strong> This retrospective clinical trial consists of 32 patients with femoral fracture and are treated by using an intramedullary femoral nailing system which consists of retrograde femoral nail, gamma nails, expert femoral nail, universal intramedullary cannulated femoral nails that are manufactured by Auxein medical Pvt. Ltd. Sonipat, Haryana, India. There were 32 patients from two different hospitals i.e., first hospital group consist of 15 patients (8 male and 7 female) with mean age of 32 years and the second hospital group consist of 17 patients (9 male and 8 female). The fracture categorization was done on the basis of AO Classification of fracture and physical fitness was categorized by American society of anaesthesiologists. VAS score and HHS was used as a criterion for assessing the clinical outcomes of the patients.</p><p><strong>Results: </strong>There were 32 patients to whom surgery was performed and follow up time was 1 month, 3 months, 6 months and 12 months. After the final follow up no patient in any group complaint about the complications or any hardware related problem, there were perfect bone union in every patient. Radiological outcomes also showed proper union at 6 months follow up.</p><p><strong>Conclusions: </strong>For femoral fractures, intramedullary femoral nail gives a better result with high union rate and post-operative composure.</p>


2021 ◽  
Vol 9 (1) ◽  
pp. 52-60
Author(s):  
R.E.T. Enemudo ◽  
E.O. Edomwonyi ◽  
D.O. Odatuwa-Omagbemi ◽  
A.T. Obumse ◽  
M.M. Awa

Objective: To report the outcome of treatment of Types B2 and B3 Post- operative Periprosthetic proximal femoral fracture (PPFF) in four patients treated in Delta State University Teaching Hospital, Oghara, Delta State, using Vancouver classification of Duncan and Masri. Methodology: A retrospective study of four cases managed in this hospital. Information retrieved from case notes were sex, age, duration of prosthesis, treatment given, complications and outcome of treatment. Result: Atotal of 4 patients were reviewed in the study, 2 males and 2 females with a M: F of 1: 1. Duration of the implant before treatment was 5-12 years (mean of 8.3years). Age range was 60-83years (mean of 67.5 years). Two patients had Type B2 and two had Type B3. Average intraoperative blood loss was 1 litre. Duration of surgery was 3-4 hours. Duration of hospital stay was between 3 weeks and 5 months. The complications seen were primary haemorrhage, wound infection, hip dislocation and pulmonaryembolism. The outcome was good for 3 patients and fair in 1, using Harris Hip Score. Conclusion:Vancouver classification of Duncan and Masri is effective in the treatment of PPFF. Key words; Periprosthetic femoral fracture, Long stem hip prosthesis, Vancouver classification, osteolysis.


Injury ◽  
2019 ◽  
Vol 50 (3) ◽  
pp. 758-763 ◽  
Author(s):  
Miquel Videla-Cés ◽  
José-Miguel Sales-Pérez ◽  
Rubén Sánchez-Navés ◽  
Eudald Romero-Pijoan ◽  
Sebastián Videla

Author(s):  
Sean Duffy ◽  
Yael Gelfer ◽  
Alex Trompeter ◽  
Anna Clarke ◽  
Fergal Monsell

AbstractThis article discusses the incidence, applied anatomy and classification of paediatric femoral fractures based on critical appraisal of the available evidence. The aim is to identify techniques that are relevant to contemporary practice whilst excluding the technical details of individual procedures that are beyond the scope of this review. Injuries of the proximal, diaphyseal and distal segments are considered individually as there are considerations that are specific to each anatomical site. Femoral neck fractures are rare injuries and require prompt anatomical reduction and stable fixation to minimise the potentially devastating consequences of avascular necrosis. Diaphyseal fractures are relatively common, and there is a spectrum of management options that depend on patient age and size. Distal femoral fractures often involve the physis, which contributes up to 70% of femoral length. Growth arrest is common consequence of fractures in this region, resulting in angular and length-related deformity. Long-term surveillance is recommended to identify deformity in evolution and provide an opportunity for early intervention. Deliberate injury should be considered in all fractures, particularly distal femoral physeal injuries and fractures in the non-walking child.


2000 ◽  
Vol 15 (1) ◽  
pp. 59-62 ◽  
Author(s):  
Owen H. Brady ◽  
Donald S. Garbuz ◽  
Bassam A. Masri ◽  
Clive P. Duncan

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