Protein supplements increase serum IGF-1 and prevent proximal femur bone loss in elderly with a recent hip fracture

Background: Wagner proximal femur prosthesis is the versatile modular implant. Study Design: Prospective study Setting: Department of Orthopaedic Surgery Dow University of Health Sciences / Civil Hospital Karachi, from January 2013 to December 2019. Methodology: Total 19 patients of both genders with proximal femur bone loss due to tumor, implant failure for proximal femur fixation, comminuted intertrochanteric fracture, and failed arthroplasty included in the study. After taking written informed consent, detailed demographics including age, gender, indication of wagner prosthesis, and wagner stem type were recorded. Among all the patients 11 patients received total hip replacement and 8 patients received bipolar. Complications associated with procedure were recorded. Outcomes were assessed by Merle D Aubgine scale. Results: Total 19 patients were included in the study who were operated with wagner prosthesis for proximal femur bone deficit problems. 7 (37%) patients were male and 12 (67%) were female , between age of 16 to 70. 13 (68%) patient have proximal femur problem on right side and 6(32%) patient on left side .10 Patient have proximal femur fixation problems and 9 with proximal femur tumor. Modular wagner prosthesis used in all patients . Per-operative one (5%) patient have perforation of cortex and One (5%)patient posterior hip dislocation on next day . Two (11%) patient had per-operative fracture . Maximum follow-up is from 6.3 years to minimum 6 months. One patient with metastasis died within four weeks of surgery. Outcome measured with modified Merle D Aubgine scale showed no excellent , good in 15(79%) , fair 3 (16%), poor 1(5%). Conclusion: Wagner proximal femur modular implant is a versatile implant for proximal femur fixation failure and after proximal femur resection in tumor patients. It is modular with variable options to make stable hip joint. It is cheap as comparative to proximal femur replacement implant for tumor. Keywords: Implant failure, Proximal femur, Tumor, Wagner implant.

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Faculty Opinions recommendation of Factors associated with the lumbar spine and proximal femur bone mineral density in older men.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.726247612.793516119 ◽

2016 ◽

Author(s):

Alberto Trinchieri

Keyword(s):

Bone Mineral Density ◽

Lumbar Spine ◽

Bone Mineral ◽

Proximal Femur ◽

Older Men ◽

Mineral Density ◽

Factors Associated ◽

Femur Bone

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Early mortality in hip fracture patients admitted during first wave of the COVID-19 pandemic in Northern Italy: a multicentre study

Journal of Orthopaedics and Traumatology ◽

10.1186/s10195-021-00577-9 ◽

2021 ◽

Vol 22 (1) ◽

Author(s):

Dante Dallari ◽

Luigi Zagra ◽

Pietro Cimatti ◽

Nicola Guindani ◽

Rocco D’Apolito ◽

...

Keyword(s):

Hip Fracture ◽

Mortality Rate ◽

Multicentre Study ◽

Proximal Femur ◽

Femur Fracture ◽

Northern Italy ◽

Proximal Femur Fracture ◽

Time To Surgery ◽

Fracture Management ◽

The Mean

Abstract Background Treatment of hip fractures during the coronavirus disease 2019 (COVID-19) pandemic has posed unique challenges for the management of COVID-19-infected patients and the maintenance of standards of care. The primary endpoint of this study is to compare the mortality rate at 1 month after surgery in symptomatic COVID-positive patients with that of asymptomatic patients. A secondary endpoint of the study is to evaluate, in the two groups of patients, mortality at 1 month on the basis of type of fracture and type of surgical treatment. Materials and methods For this retrospective multicentre study, we reviewed the medical records of patients hospitalised for proximal femur fracture at 14 hospitals in Northern Italy. Two groups were formed: COVID-19-positive patients (C+ group) presented symptoms, had a positive swab for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and received treatment for COVID-19; COVID-19-negative patients (C− group) were asymptomatic and tested negative for SARS-CoV-2. The two groups were compared for differences in time to surgery, survival rate and complications rate. The follow-up period was 1 month. Results Of the 1390 patients admitted for acute care for any reason, 477 had a proximal femur fracture; 53 were C+ but only 12/53 were diagnosed as such at admission. The mean age was > 80 years, and the mean American Society of Anesthesiologists (ASA) score was 3 in both groups. There was no substantial difference in time to surgery (on average, 2.3 days for the C+ group and 2.8 for the C− group). As expected, a higher mortality rate was recorded for the C+ group but not associated with the type of hip fracture or treatment. No correlation was found between early treatment (< 48 h to surgery) and better outcome in the C+ group. Conclusions Hip fracture in COVID-19-positive patients accounted for 11% of the total. On average, the time to surgery was > 48 h, which reflects the difficulty of maintaining normal workflow during a medical emergency such as the present pandemic and notwithstanding the suspension of non-urgent procedures. Hip fracture was associated with a higher 30-day mortality rate in COVID-19-positive patients than in COVID-19-negative patients. This fact should be considered when communicating with patients and/or their family. Our data suggest no substantial difference in hip fracture management between patients with or without COVID-19 infection. In this sample, the COVID-19-positive patients were generally asymptomatic at admission; therefore, routine screening is recommended. Level of evidence Therapeutic study, level 4.

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BONE MINERAL CONTENT OF THE SPINE AND PROXIMAL FEMUR IN FEMALE PATIENTS WITH HIP FRACTURE

Orthopedics ◽

10.3928/0147-7447-19941001-08 ◽

1994 ◽

Vol 17 (10) ◽

pp. 917-921 ◽

Cited By ~ 1

Author(s):

G W Soghikian ◽

S A Boden ◽

P A Labropoulos

Keyword(s):

Hip Fracture ◽

Bone Mineral Content ◽

Bone Mineral ◽

Proximal Femur ◽

Mineral Content ◽

Female Patients

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A new classification for proximal femur bone defects in conservative hip arthroplasty revisions

International Orthopaedics ◽

10.1007/s00264-018-4233-z ◽

2018 ◽

Vol 43 (1) ◽

pp. 63-70 ◽

Cited By ~ 2

Author(s):

Filippo Casella ◽

Fabio Favetti ◽

Gabriele Panegrossi ◽

Matteo Papalia ◽

Francesco Falez

Keyword(s):

Hip Arthroplasty ◽

Proximal Femur ◽

Bone Defects ◽

New Classification ◽

Femur Bone

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Corticosteroid effects on proximal femur and lumbar spine bone loss

Bone and Mineral ◽

10.1016/0169-6009(90)90319-b ◽

1990 ◽

Vol 10 (3) ◽

pp. S289

Author(s):

Philip Sambrook ◽

Susan Kempler ◽

Paul Kelly ◽

Stefan Eberl ◽

Nicholas Pocock ◽

...

Keyword(s):

Lumbar Spine ◽

Bone Loss ◽

Proximal Femur

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Sensitivity of Modeling Parameters in Proximal Femur Analyses

10.1115/imece2000-2589 ◽

2000 ◽

Author(s):

Eric L. Wang ◽

Yanyao Jiang ◽

Lixia Fan ◽

Brian Greer

Keyword(s):

Hip Fracture ◽

Proximal Femur ◽

Material Properties ◽

Applied Load ◽

Loading Rate ◽

Frictional Resistance ◽

Fracture Load ◽

Loading Direction ◽

Structural Capacity ◽

Femoral Geometry

Abstract Hip fracture risk can be quantified using a factor of risk (Hayes et al., 1996): (1) Φ = Applied load / Fracture load The structural capacity, the denominator, can be affected by many parameters including femoral geometry, material properties, load locations, loading direction, loading rate, and frictional resistance.

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