scholarly journals Tip apex distance, hip screw placement, and neck shaft angle as potential risk factors for cut-out failure of hip screws after surgical treatment of intertrochanteric fractures

2012 ◽  
Vol 36 (11) ◽  
pp. 2347-2354 ◽  
Author(s):  
Hagen Andruszkow ◽  
Michael Frink ◽  
Cornelia Frömke ◽  
Amir Matityahu ◽  
Christian Zeckey ◽  
...  
Keyword(s):  
Risk Factors ◽  
Surgical Treatment ◽  
Potential Risk ◽  
Screw Placement ◽  
Intertrochanteric Fractures ◽  
Neck Shaft Angle ◽  
Potential Risk Factors ◽  
Shaft Angle ◽  
Hip Screw ◽  
Tip Apex Distance

scholarly journals Functional and radiological outcomes of intertrochanteric fractures treated with proximal femoral nail

2020 ◽  
Vol 6 (5) ◽  
pp. 1001
Author(s):  
Mayur Chopra ◽  
Sanjay Kumar Srivastava ◽  
Sumit Kumar ◽  
Deepak Kumar Mishra
Keyword(s):  
Weight Bearing ◽  
Proximal Femoral Nail ◽  
Harris Hip Score ◽  
Intertrochanteric Fractures ◽  
Radiological Outcome ◽  
Neck Length ◽  
Neck Shaft Angle ◽  
Femoral Nail ◽  
Shaft Angle ◽  
Tip Apex Distance

<p><strong>Background:</strong> Hip fracture is one of the most invalidating diseases affecting geriatric populations and in fall related fractures, they lead to most severe morbidity and mortality. Their surgical treatment allows stable fracture fixation which allows the early weight bearing. Many devices have been developed, yet mechanical failures still occur. The aim of this study was to assess the functional and radiological outcomes of intertrochanteric fractures treated with proximal femoral nail.</p><p><strong>Methods:</strong> 46 patients with intertrochanteric fractures fixed with proximal femoral nail were assessed. Functional outcome was measured by Harris hip score (HHS) and lower extremity functional scale (LEFS) and radiological outcome was measured by tip apex distance (TAD), any changes in neck shaft angle, neck length and the offset as compared to uninjured hip.</p><p><strong>Results:</strong> The tip apex distance on the postoperative X-ray was found to be 22.02±2.499 mm, change in the neck length as compared to the uninjured hip was found to be 1.507±1.1808 and change in the offset and neck shaft angle was 1.470±1.0126 and -1.602±1.5992 respectively. The LEFS was found to be 70.63±6.584 whereas the HHS was found to be 90.35±7.593</p><p><strong>Conclusions:</strong> With the increase in TAD the functional and radiological outcome worsens. It was also seen that the cutoff of 25 mm stands true in predicting the outcome of the patients with PFN in intertrochanteric fractures. Hence, the TAD should be routinely measured and if found more than 25 mm then proper precautions like delayed weight bearing may be advised.</p>

scholarly journals Prospective study of prognosis of intertrochanteric fractures with lateral wall involvement as compared to intertrochanteric fractures with intact lateral wall

2019 ◽  
Vol 6 (1) ◽  
pp. 129
Author(s):  
Amit Bansal
Keyword(s):  
Functional Outcome ◽  
Lateral Wall ◽  
Mechanical Complication ◽  
Intertrochanteric Fractures ◽  
Neck Shaft Angle ◽  
Shaft Angle ◽  
Tip Apex Distance ◽  
Specific Fixation ◽  
Primary Lateral ◽  
Worse Prognosis

<p class="abstract"><strong>Background:</strong> Intertrochanteric fractures with fracture lateral wall (FLW) are biomechanically unstable fractures.</p><p class="abstract"><strong>Methods:</strong> 40 patients who met inclusion criteria underwent surgery. Post-operatively patients were followed up for a minimum period of 24 weeks. Radiological and functional assessment was done post-operatively. Endpoints of fracture were studied thoroughly.<strong></strong></p><p class="abstract"><strong>Results:</strong> Secondary lateral wall fractures were common than primary lateral wall fractures. Functional outcome was found to be poor in FLW than intact lateral wall (ILW) group (p=0.01). HHS of ILW fracture was 70, while in FLW it was 46. Displacement was found to be a better radiological parameter to assess reduction quality (p=0.02) than neck shaft angle. Implant position with Cleveland method was found to be a better predictor of fixation quality than tip apex distance. There were 6 (15%) mechanical failures. Screw cut out (3 cases) found to be most common mechanical complication (7.5%). There were four failures (33%) in FLW. Secondary lateral wall fractures were found to have poor prognosis than primary lateral wall fractures. A2.3 was found to have more chance of conversion to A3 due to thinned out lateral wall. Many of them happened when DHS was the implant of choice (60%).</p><p class="abstract"><strong>Conclusions:</strong> Functional outcome of FLW is poor than ILW. Secondary lateral wall fractures have worse prognosis than primary lateral wall fractures. Fragment specific fixation is difficult in secondary lateral wall fractures as compare to primary lateral wall fracture, due to higher comminution.</p>

Premature Arterial Disease Associated with Familial Antithrombin III Deficiency

1990 ◽  
Vol 63 (01) ◽  
pp. 013-015 ◽  
Author(s):  
E J Johnson ◽  
C R M Prentice ◽  
L A Parapia
Keyword(s):  
Risk Factors ◽  
Venous Thromboembolism ◽  
Potential Risk ◽  
Antithrombin Iii ◽  
Arterial Disease ◽  
Coagulation System ◽  
Early Age ◽  
Arterial Thromboembolism ◽  
Potential Risk Factors ◽  
Antithrombin Iii Deficiency

SummaryAntithrombin III (ATIII) deficiency is one of the few known abnormalities of the coagulation system known to predispose to venous thromboembolism but its relation to arterial disease is not established. We describe two related patients with this disorder, both of whom suffered arterial thrombotic events, at an early age. Both patients had other potential risk factors, though these would normally be considered unlikely to lead to such catastrophic events at such an age. Thrombosis due to ATIII deficiency is potentially preventable, and this diagnosis should be sought more frequently in patients with arterial thromboembolism, particularly if occurring at a young age. In addition, in patients with known ATIII deficiency, other risk factors for arterial disease should be eliminated, if possible. In particular, these patients should be counselled against smoking.

Perception of stroke warning signs and knowledge of potential risk factors among medical students in King Faisal University

2020 ◽  
pp. 1421-1427
Author(s):  
Sami Almalki ◽  
Faissal Habeeb ◽  
Njood Alaboud ◽  
Hassan Alhamoud ◽  
Abdullah Albeladi ◽  
...  
Keyword(s):  
Risk Factors ◽  
Medical Students ◽  
Potential Risk ◽  
Warning Signs ◽  
Potential Risk Factors

Classification of Potential Risk Factors through HIRARC Method in Assessing Indoor Environment of Museums

2018 ◽  
Vol 10 (8) ◽  
Author(s):  
Syahrun Neizam Mohd Dzulkifli ◽  
◽  
Abd Halid Abdullah ◽  
Yee Yong Lee ◽  
Mohd Mahathir Suhaimi Shamsuri ◽  
...  
Keyword(s):  
Risk Factors ◽  
Potential Risk ◽  
Indoor Environment ◽  
Potential Risk Factors

Lack of Social Support and Social Trust as Potential Risk Factors for Dry Eye Disease: JPHC-NEXT Eye Study

2018 ◽  
Author(s):  
Chi Hoang Viet Vu ◽  
Miki Uchino ◽  
Motoko Kawashima ◽  
Akihiro Nishi ◽  
Christopher A. German ◽  
...  
Keyword(s):  
Risk Factors ◽  
Social Support ◽  
Dry Eye ◽  
Potential Risk ◽  
Social Trust ◽  
Dry Eye Disease ◽  
Eye Disease ◽  
Potential Risk Factors
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