Is bone-cement augmentation of screw-anchor fixation systems superior in unstable femoral neck fractures? A biomechanical cadaveric study

Injury ◽  
2019 ◽  
Vol 50 (2) ◽  
pp. 292-300 ◽  
Author(s):  
Matthias Knobe ◽  
Sebastian Bettag ◽  
Christian Kammerlander ◽  
Simon Altgassen ◽  
Klaus-Jürgen Maier ◽  
...  
Keyword(s):  
Femoral Neck ◽  
Bone Cement ◽  
Cement Augmentation ◽  
Femoral Neck Fractures ◽  
Cadaveric Study ◽  
Anchor Fixation

Biomechanical analysis of impending femoral neck fractures: The role of percutaneous cement augmentation for osteolytic lesions

2014 ◽  
Vol 29 (3) ◽  
pp. 289-295 ◽  
Author(s):  
Brian T. Palumbo ◽  
Charles Nalley ◽  
Roger B. Gaskins ◽  
Sergio Gutierrez ◽  
Gerald E. Alexander ◽  
...  
Keyword(s):  
Femoral Neck ◽  
Cement Augmentation ◽  
Femoral Neck Fractures ◽  
Biomechanical Analysis ◽  
Osteolytic Lesions ◽  
Percutaneous Cement Augmentation

scholarly journals Anchorage strategies in geriatric hip fracture management

2016 ◽  
Vol 1 (2) ◽  
pp. 73-78
Author(s):  
Matthias Knobe ◽  
Hans-Christoph Pape
Keyword(s):  
Hip Fracture ◽  
Femoral Head ◽  
Femoral Neck ◽  
Bone Quality ◽  
Femoral Fractures ◽  
Cement Augmentation ◽  
Femoral Neck Fractures ◽  
Patient Specific ◽  
Mechanical Complication ◽  
Augmentation Strategies

AbstractThere is an enormous humanitarian and socioeconomic need to improve the quality and effectiveness of care for patients with hip fracture. To reduce mechanical complications in the osteosynthesis of proximal femoral fractures, improved fixation techniques have been developed including blade or screw-anchor devices, locked minimally invasive or cement augmentation strategies. However, despite numerous innovations and advances regarding implant design and surgical techniques, systemic and mechanical complication rates remain high. Treatment success depends on secure implant fixation in often-osteoporotic bone as well as on patient-specific factors (fracture stability, bone quality, comorbidity, and gender) and surgeon-related factors (experience, correct reduction, and optimal screw placement in the head/neck fragment). For fracture fixation, the anchorage of the lag screw within the femoral head plays a crucial role depending on the implant’s design. Meta-analyses and randomized controlled studies demonstrate that there is a strong trend towards arthroplasty treating geriatric femoral neck fractures. However, for young adults as well as older patients with less compromised bone quality, or in undisplaced fractures, head-preserving therapy is preferred as it is less invasive and associated with good functional results. This review summarizes the evidence for the internal fixation of femoral neck fractures and trochanteric femoral fractures in elderly patients. In addition, biomechanical considerations regarding implant anchorage in the femoral head including rotation, migration, and femoral neck shortening are made. Finally, cement augmentation strategies for hip fracture implants are evaluated critically.

scholarly journals The role of bone cement for the development of intraoperative hypotension and hypoxia and its impact on mortality in hemiarthroplasty for femoral neck fractures

2020 ◽  
Vol 91 (3) ◽  
pp. 293-298 ◽  
Author(s):  
Fredrik Olsen ◽  
Mathias Hård Af Segerstad ◽  
Bengt Nellgård ◽  
Erik Houltz ◽  
Sven-Erik Ricksten
Keyword(s):  
Femoral Neck ◽  
Bone Cement ◽  
Femoral Neck Fractures ◽  
Intraoperative Hypotension

HIP FRACTURES IN 5 YEARS AT HUE UNIVERSITY HOSPITAL

2014 ◽  
pp. 47-50
Author(s):  
Duy Binh Ho ◽  
Nghi Thanh Nhan Le ◽  
Maasalu Katre ◽  
Koks Sulev ◽  
Märtson Aare
Keyword(s):  
Hip Fracture ◽  
Femoral Neck ◽  
Hip Fractures ◽  
Age Groups ◽  
Femoral Fractures ◽  
Femoral Neck Fractures ◽  
University Hospital ◽  
High Risk Population ◽  
Intertrochanteric Fractures ◽  
Significant Difference

Aim: This study aimed to review the clinical findings and surgical intervention of the hip fracture at the Hue University Hospital in Vietnam. Methods:The data of proximal femoral fractures was collected retrospectively. All patients, in a period of 5 years, from Jan 2008 to December 2012, suffered either from intertrochanteric or femoral neck fractures. The numbers of patients were gathered separately for each year, by age groups (under 40, 40-49, 50-59, 60-69, 70-79, older) and by sex. We analyzed what kind of treatment options were used for the hip fracture. Results:Of 224 patients (93 men and 131 women) studied, 71% patients are over 70 years old, 103 women and 56 men (p<0.05). For patients under 40 years, there were 1 woman and 11 men (p<0.05). There were 88 intertrochanteric and 136 femoral neck fractures. There was no significant difference in the two fractures between men and women. The numbers of hip fracture increased by each year, 29/224 cases in 2010, 63/224 cases in 2011, 76/224 cases in 2012. Treatment of 88 intertrochanteric fractures: 49 cases (55.7%) of dynamic hip screw (DHS), 14 cases of hemiarthroplasty (15.9%), 2 cases of total hip replacement (2.3%). Treatment of 136 femoral neck fractures: 48 cases of total replacement (35.3%), 43 cases of hemiarthroplasty (31.6%), 15 cases of screwing (11%). In cases of 40 patients (17.9%) hip fracture was managed conservatively, 23 were femoral neck fractures and 17 were intertrochanteric fractures. Conclusions: Hip fracture is growing challenge in Hue medical university hospital. The conservative approach is still high in people who could not be operable due to severe medical conditions as well as for patients with economic difficulties. Over 70% of the hip fractures in people 70+ are caused by osteoporosis. The number of hip fracture is increasing in the following years, most likely due to the increase in the prevalence of osteoporosis. Early detection and prevention of osteoporosis should be addressed, particularly in high risk population. More aggressive surgical approach should be implemented in order to improve the quality of life in patients with hip fractures. Key words:Hip fracture.

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