scholarly journals How to Assess Proximal Femoral Shortening after Nailing of Proximal Femoral Fractures? A Short Review

2021 ◽  
Vol 07 (01) ◽  
pp. 003-007
Author(s):  
Ahmed A. Khalifa ◽  
Mohammed Khaled ◽  
Ahmed S. El-Hawary ◽  
Ahmed M. Ahmed
Keyword(s):  
Gold Standard ◽  
Femoral Fractures ◽  
Short Review ◽  
Implant Failure ◽  
Walking Distance ◽  
Proximal Femoral Fractures ◽  
Secondary Effects ◽  
Femoral Shortening ◽  
Hip Abductor ◽  
Cephalomedullary Nails

AbstractProximal femoral fractures (PFFs) are considered one of the most frequent situations faced by orthopaedic surgeons. Many lines of management had been described. Although management of PFFs with cephalomedullary nails (CMNs) is now considered the gold standard with many mechanical and biological advantages, this technique may have some disadvantages such as residual peritrochanteric pain, limping, limited walking distance, and difficulty with stairs. These complications may be attributed to fracture malreduction with shortening, which may result in either malunion or nonunion and ultimately implant failure. The resultant proximal femoral shortening (PFS) with alteration of the proximal femoral mechanics may affect both the hip abductor function and the daily patient activities. The purpose of this short review is to discuss the assessment and secondary effects of PFS after treating femoral fractures with CMNs.

scholarly journals Hip Abductor Muscle Weakness after Antegrade Nailing of Femoral Fractures

2020 ◽  
Vol 3 (1) ◽  
Keyword(s):  
Muscle Weakness ◽  
Femoral Fractures ◽  
Short Review ◽  
Standard Line ◽  
Abductor Muscle ◽  
Antegrade Nailing ◽  
Hip Abductor

Nailing of femoral fractures is now considered as the standard line of management, although having many advantages, this technique carries some risks related to the technique, in this short review we will handle the issue of hip abductor muscle weakness after antegrade nailing of femoral fractures.

scholarly journals Comparison of Clinical Outcomes Between Cephalomedullary Nails and Dynamic Hip Screws for Basicervical Proximal Femoral Fractures

2020 ◽  
Author(s):  
Zhen Jian ◽  
Tao Lv ◽  
Rongguang Ao ◽  
Xinhua Jiang ◽  
Jianhua Zhou ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Weight Bearing ◽  
Femoral Fractures ◽  
Osteoporosis Treatment ◽  
Proximal Femoral Fracture ◽  
Proximal Femoral Fractures ◽  
Anatomic Reduction ◽  
Significant Difference ◽  
The Mean ◽  
Cephalomedullary Nails

Abstract Background Basicervical proximal femoral fractures have greater biomechanical instability and higher incidence of implant-related complications than other types of proximal femoral fractures. The present retrospective study was performed to find a proper fixation treating basicervical proximal femoral fractures by a comparation of clinical outcomes between cephalomedullary nails and dynamic hip screws, and introduce our experience in surgical tricks and perioperative management. Methods Between January 2015 and December 2018, 821 patients aged 60 years or older suffering from a proximal femoral fracture and receive internal fixation surgery were reviewed. 25 patients of basicervical femoral fractures were included in the study according to inclusion and exclusion criteria. 7 patients were treated with a DHS, 18 with the CMN. Relevant operational data and clinical evaluation were collected. Results Reduction qualities of 6 patients were good (85.7%), 1 were acceptable (14.3%) in DHS Group and 14 of the 18 patients were good (77.8%), 4 were acceptable (22.2%) in CMN Group. The mean TAD in DHS Group of was 17.4 mm while 20.3 mm in CMN Group. Bone union had been achieved 19.9 weeks in DHS Group and 17.8 weeks in CMN Group. The mean Harris score at the final follow up was 83.9, 84.4 respectively in DHS and CMN Group with no significant difference. Conclusions DHS was not inferior for the treatment of basicervical proximal femoral fractures compared to CMNs with blade type or two integrated screw type. When applied properly, both CMNs with blade type or two integrated screw type and DHS can achieve satisfied prognosis. Our unique experiences included anatomic reduction during surgery, anti-osteoporosis treatment and prolonged weight-bearing time.

Risk factors for implant failure after fixation of proximal femoral fractures with fracture of the lateral femoral wall

Injury ◽  
2018 ◽  
Vol 49 (2) ◽  
pp. 315-322 ◽  
Author(s):  
Zhechen Gao ◽  
Yang Lv ◽  
Fang Zhou ◽  
Hongquan Ji ◽  
Yun Tian ◽  
...  
Keyword(s):  
Risk Factors ◽  
Femoral Fractures ◽  
Implant Failure ◽  
Proximal Femoral Fractures

Compensatory Tibial Overgrowth Following Healing of Closed Femoral Fractures in Young Dogs

1995 ◽  
Vol 08 (03) ◽  
pp. 159-162 ◽  
Author(s):  
L. Susan ◽  
R. T. O’Brien ◽  
K. A. Johnson
Keyword(s):  
Internal Fixation ◽  
Femoral Fractures ◽  
Surgical Reduction ◽  
Femoral Shortening ◽  
Hindlimb Lameness ◽  
Femoral Condyles

SummaryTwo young dogs examined for hindlimb lameness were found to have healed femoral fractures, 2-4 cm of femoral shortening, and 1 cm of compensatory ipsilateral tibial overgrowth. Neither dog had had surgery or internal fixation. Although tibial overgrowth partially corrected for limb shortening, both dogs had chronic intermittent lameness due to malformation of the femoral condyles and secondary stifle osteoarthritis.Compensatory tibial overgrowth was found in two young dogs with femoral fractures which had healed without any surgical reduction or internal fixation. Tibial overgrowth of approximately 1 cm in each case partially compensated for 2-4 cm of femoral shortening.

scholarly journals Proximal Femoral Locking Compression Plate for Proximal Femoral Fractures

2014 ◽  
Vol 22 (3) ◽  
pp. 287-293 ◽  
Author(s):  
Wei Ting Lee ◽  
Diarmuid Murphy ◽  
Fareed HY Kagda ◽  
Joseph Thambiah
Keyword(s):  
Femoral Fractures ◽  
Locking Compression Plate ◽  
Proximal Femoral Fractures ◽  
Compression Plate
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