Postoperative hypoalbuminemia is an independent predictor of 1-year mortality after surgery for geriatric intertrochanteric femoral fracture

Intramedullary nailing is the mainstay of treatment for unstable intertrochanteric hip fractures. Various complications have been described with the use of these nails. We report an unusual complication whereby the lag screw completely missed the nail. We hypothesize that this previously unreported complication may be related to a specific flexible carbon fiber aiming device. Surgeon awareness and thorough intraoperative imaging are crucial to avoiding this complication.

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Iatrogenic Injury of Profunda Femoris Artery Branches after Intertrochanteric Hip Screw Fixation for Intertrochanteric Femoral Fracture: A Case Report and Literature Review

Case Reports in Vascular Medicine ◽

10.1155/2014/694235 ◽

2014 ◽

Vol 2014 ◽

pp. 1-3 ◽

Cited By ~ 6

Author(s):

Nikolaos Patelis ◽

Andreas Koutsoumpelis ◽

Konstantinos Papoutsis ◽

George Kouvelos ◽

Chrysovalantis Vergadis ◽

...

Keyword(s):

Case Report ◽

Literature Review ◽

Femoral Fracture ◽

Coil Embolization ◽

Material Removal ◽

Screw Fixation ◽

Arterial Rupture ◽

Intertrochanteric Femoral Fracture ◽

Hip Screw ◽

Profunda Femoris

A case of arterial rupture of the profunda femoris arterial branches, following dynamic hip screw (DHS) fixation for an intertrochanteric femoral fracture, is presented. Bleeding is controlled by coil embolization, but, later on, the patient underwent orthopedic material removal due to an infection of a large femoral hematoma.

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Effects of Proximal Femoral Nail Anti-Rotation (PFNA-II) and Artificial Total Hip Arthroplasty (THA) on Unstable Intertrochanteric Femoral Fracture Combined with Severe Osteoporosis

Journal of Biomaterials and Tissue Engineering ◽

10.1166/jbt.2020.2255 ◽

2020 ◽

Vol 10 (3) ◽

pp. 413-417

Author(s):

Xiaosong Chen ◽

Xunsheng Cheng ◽

Wuxiu Ma ◽

Congcong Chen ◽

Gan Zhang

Keyword(s):

Total Hip Arthroplasty ◽

Hip Arthroplasty ◽

Femoral Fracture ◽

Proximal Femoral Nail ◽

Therapeutic Effects ◽

Severe Osteoporosis ◽

Total Hip ◽

Femoral Nail ◽

Intertrochanteric Femoral Fracture

The current study was conducted to compare the therapeutic effects of proximal femoral nail antirotation (PFNA-II) and artificial total hip arthroplasty (THA) on elderly Chinese patients with unstable intertrochanteric femoral fracture combined with severe osteoporosis. There were 60 people in each group. The duration of surgery, blood loss, and weight-bearing period when standing on the floor were compared between the two groups (P > 0.05). Harries function scores of both groups increased over time. Scores of THA group were significantly higher than those of PFNA-II group during six- and twelve-months follow-up visit (P < 0.05). In addition, excellent and good rates of hip joint function in THA group were higher than those of PFNA-II group during twelve-month follow-up visit (P < 0.05). The occurrence rates of follow-up complications in both groups showed no statistical significance (P > 0.05). Thus, both PFNA-II and THA have good effects on Chinese elderly patients with unstable intertrochanteric femoral fracture combined with severe osteoporosis.

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