scholarly journals Comminuted Femur Fracture in a Free Fall Jump: A Case Report

2019 ◽  
Vol 185 (7-8) ◽  
pp. e1318-e1319
Author(s):  
Rachel E Bridwell ◽  
Joshua J Oliver ◽  
Danielle Ziehl ◽  
Lloyd I Tannenbaum ◽  
Patrick M McCarthy
Keyword(s):  
Femoral Neck ◽  
Femoral Neck Fracture ◽  
Femur Fracture ◽  
Free Fall ◽  
High Energy ◽  
Injury Patterns ◽  
Cephalomedullary Nail ◽  
Lower Altitude ◽  
Special Operations ◽  
Neck Fracture

Abstract Military free fall or high-altitude low-opening parachute jumps play a key role in special operations tactics, though injury patterns in these operators are not well characterized. In contrast to lower-altitude static line paratroopers, free fall operators require precise parachute deployment after a prolonged descent, with the potential for high-velocity trauma. This report describes a 33-year-old Marine Corps Reconnaissance operator who sustained left comminuted basicervical femoral neck fracture requiring cephalomedullary nail internal fixation with a full recovery. This femoral neck fracture highlights the high-energy injuries experienced by these invaluable operators, especially when conducting combat or night jumps.

scholarly journals Open femoral neck fracture of 14 years old boy treated by emergency internal fixation with additional osteomuscular pedicle graft: case report

2020 ◽  
Vol 6 (6) ◽  
pp. 1303
Author(s):  
Hendra C. Kumara ◽  
Ariya M. Nasution ◽  
Bayu S. Jiwandono ◽  
Anung B. Satriadi ◽  
Pamudji Utomo
Keyword(s):  
Femoral Neck ◽  
Femoral Neck Fracture ◽  
Avascular Necrosis ◽  
Road Traffic ◽  
Healing Process ◽  
High Energy ◽  
Fractures In Children ◽  
Short Term Evaluation ◽  
Neck Fracture ◽  
Term Evaluation

<p>The incidence of femoral neck fractures in pediatric patients is rare, including &lt;1% in all cases of fractures in children. The mechanism of injury is a high-energy injury that can cause a fracture in the femoral neck, open fracture cases are rare. Avascular necrosis is the most common complication. We report a fourteen year old boy who was in a road-traffic accident and had a Gustillo Anderson grade IIIA open femoral neck fracture. On the X-ray findings, we classified the type of fracture into Delbet type II. We decided to do the debridement and ORIF accompanied by an osteomuscular pedicle graft using a quadratus femoris muscle tendon fixed with 3 interfragmentary screws. Short-term evaluation shows a clinical union picture and is still well reduced without any signs of infection. Long-term evaluation of the bone healing process is needed and recognizes complications in the form of avascular necrosis of the femoral head.</p>

scholarly journals Threading the Needle: Intrapelvic Displacement of a Femoral Neck Fracture through the Obturator Foramen

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Gautham Prabhakar ◽  
Nicholas Kusnezov ◽  
Nicholas Rensing ◽  
Amr Abdelgawad
Keyword(s):  
Femoral Neck ◽  
Internal Fixation ◽  
Femoral Neck Fracture ◽  
Young Patient ◽  
High Energy ◽  
Femoral Neck Fractures ◽  
Obturator Foramen ◽  
Displaced Femoral Neck Fractures ◽  
Anatomic Reduction ◽  
Neck Fracture

Despite timely and appropriate management, displaced femoral neck fractures are often devastating injuries for the young patient. The risk of negative sequelae is further amplified with increasing displacement and vertical fracture patterns. Open anatomic reduction with rigid internal fixation is essential to maximize the healing potential in displaced fractures of the femoral neck. Successful primary osteosynthesis of significantly displaced femoral neck fractures in the young patient has been reported in the literature. We present a unique case of open reduction and internal fixation of a high-energy femoral neck fracture with extrusion of the head through the obturator foramen into the pelvis without associated acetabular or pelvic injury.

scholarly journals Pediatric Femoral Neck Fractures after Sliding in a Water Slide: A Case Report of Two Patients

2021 ◽  
Vol 11 (5) ◽  
Author(s):  
Barak Rinat ◽  
Noam Bor ◽  
Eytan Dujovny ◽  
Nimrod Rozen ◽  
Guy Rubin
Keyword(s):  
Case Report ◽  
Femoral Neck ◽  
Femoral Neck Fracture ◽  
Avascular Necrosis ◽  
Treatment Options ◽  
High Energy ◽  
Neck Of Femur ◽  
Neck Fracture ◽  
Fracture Diagnosis ◽  
Pediatric Orthopedic

Introduction: In contrast to adults, fractures of the neck of femur in children are relatively rare. The commonly described mechanism of injury is high energy trauma. Treatment options are almost always surgical. Prognosis, which entails relatively high rates of complications, varies with specific anatomic location, time to surgery, and reduction quality. Case Report: We describe two cases of 10- and 12-year-old girls who suffered a fracture of the neck of the femur, Delbet Type II and Type III, respectively, due to a suspected hyper-abduction injury while sliding on a water slide. Both patients were treated surgically, with the younger one developing signs of femoral head avascular necrosis a year postoperatively. Conclusion: Children with pain and an inability to bear weight after water sliding together with an adult companion at their backs should raise suspicion among medical staff of a femoral neck fracture. Prompt pediatric orthopedic consultation and treatment are needed in case of fracture diagnosis to reduce the risk of complications. Keywords: Avascular necrosis, child, femoral neck fracture.

scholarly journals Femoral neck fracture treatment methods and results evaluation in children in a 5 year period Mashhd, Iran

2015 ◽  
Vol 14 (2) ◽  
pp. 183-185
Author(s):  
Mohammad Hallaj Moghadam ◽  
Hasan Rahmi Shervin ◽  
Masoomeh Alami
Keyword(s):  
Femoral Neck ◽  
Femoral Neck Fracture ◽  
External Rotation ◽  
Medical Science ◽  
Reduction Rate ◽  
High Energy ◽  
Late Complications ◽  
Femoral Neck Fractures ◽  
Treatment Methods ◽  
Neck Fracture

Background: Femoral neck fractures are rare in children. This type of fracture usually originates from high energy traumas. This fracture has serious complications and one of the most disabling one is avascular necrosis. The goal of this research is active follow up of patients in order to decide about the rate of late complications, patient’s function after surgery and residual pain.Methods: In this five year study, 35 patients were evaluated and different parameters studied. These parameters included: age, sex, side of fracture, mechanics of injury, type of reduction, rate and type of complication followed surgery.Results: In general, femoral neck fractures are more common between 16 and 20. It is two fold common in females than males and it was more common in left side. The most common mechanisms was falling. Treatment methods were open reduction in 88 % and close reduction in 12%. The most common type of fractures was type 3. Following treatment, 60% of patients remained uncomplicated and 40% had complication. In fact, limitation in internal and external rotation in 20 to 30 degree was the most common complication. 30% of patients complained of mild pain during walking.Conclusion: After appropriate treatment most patients with femoral neck fracture have no complications, however in some cases a vascular necrosis occurs as a serious complication. This study will provide clues and information to design studies with more patients to assess how different treatment methods have impact on outcomes of patients.Bangladesh Journal of Medical Science Vol.14(2) 2015 p.183-185

Evaluation of the correlation between risk factors and mortality in elderly patients with femoral neck fracture with 5-year follow-up

2008 ◽  
Vol 149 (11) ◽  
pp. 493-503 ◽  
Author(s):  
Andor Sebestyén ◽  
Imre Boncz ◽  
Ferenc Tóth ◽  
Márta Péntek ◽  
József Nyárády ◽  
...  
Keyword(s):  
Risk Factors ◽  
Femoral Neck ◽  
Elderly Patients ◽  
Femoral Neck Fracture ◽  
Neck Fracture

A csípőtáji törésekhez idős korban magas halálozás társul. A szakirodalomban kevés a nagy beteganyagot feldolgozó, országos kiterjedésű ellátórendszer adatain alapuló feldolgozás. Célkitűzés: A tanulmány célja a 60 év feletti akut, monotraumás combnyaktöröttek primer ellátását követő halálozások vizsgálata havonta és évente ötéves utánkövetéssel, valamint a különböző rizikófaktoraik halálozásra gyakorolt hatásainak értékelése az egyes időperiódusokban. Módszer: Az adatok az Országos Egészségbiztosítási Pénztár adatbázisából származnak. Az értékelés bázisát a fekvőbeteg-ellátást végző intézményekből combnyaktörés primer műtéti ellátását követően 2000. évben emittált betegek képezik. Bemutatjuk az átlagos évenkénti, havonkénti és heti halálozási arányokat, valamint rizikótényezők szerinti alakulásukat havonként és évenként. A rizikótényezők és a halálozás kapcsolatának értékelése logisztikus és Cox-regressziós analízissel történik. Eredmények: A tanulmányban 3783 fő került elemzésre. Átlagéletkoruk 77,97 (SD 8,52) év. A halálozás az első héten 1,71%, 30 napon belül 8,99%, az első évben 30,74%, öt év alatt 61,88% volt. A halálozás havi szinten az első 5 hónapig mutat csökkenést, éves szinten az első év után stagnál. A rizikófaktorok közül a férfinem és a magasabb életkor öt évig, a kísérőbetegségek hatásai a negyedik évig, a laterális combnyaktöréstípus és a 12 órán túli ellátás két évig, a korai lokális szövődmények egy évig, a hétvégi ellátások az első hónapban eredményeznek magasabb halálozási kockázatot. Az országos és egyetemi ellátásokat követően az első évben alacsonyabb a halálozási kockázat. Következtetések: A csípőtáji törések managementjében a halálozások csökkentése érdekében hangsúlyozzuk a 12 órán belüli ellátás, a törési típusnak megfelelő módszerválasztás, a hét minden napján történő azonos ellátási feltételek biztosítása, az ellátások centrumokba történő szervezése, a beteg általános állapotának és kísérőbetegségeinek megfelelő akut ellátás és az utókezelések fontosságát.

Prediction of disturbed healing in femoral neck fracture

1992 ◽  
Vol 63 (6) ◽  
pp. 639-644 ◽  
Author(s):  
Antti Alho ◽  
Jan Benterud ◽  
Helge Rønningen ◽  
Arne Høiseth
Keyword(s):  
Femoral Neck ◽  
Femoral Neck Fracture ◽  
Neck Fracture
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