scholarly journals Subtrochanteric Fracture following Removal of a Porous Tantalum Implant

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Derek F. Amanatullah ◽  
Randall Farac ◽  
Thomas J. McDonald ◽  
H. David Moehring ◽  
Paul E. Di Cesare
Keyword(s):  
Core Decompression ◽  
Subtrochanteric Fracture ◽  
Porous Tantalum ◽  
Significant Challenge ◽  
Femoral Head Collapse ◽  
Femur Fractures ◽  
Femoral Cortex ◽  
Distal Border ◽  
Subtrochanteric Femur Fractures ◽  
Femoral Implants

Osteonecrosis of the hip accounts for about 10% of all total hip arthroplasty cases and presents a significant challenge for those patients with and without femoral head collapse. Subtrochanteric femur fractures have been reported with numerous types of proximal femoral implants. Care must be taken to avoid penetrating the lateral cortex of the proximal femur inferior to the distal border of the lesser trochanter. Core decompression requires a 3 mm to 20 mm defect in the lateral femoral cortex. Subtrochanteric femur fractures are a well-known complication of core decompression as well. We present a case of a subtrochanteric fracture following the removal of a porous tantalum implant.

scholarly journals Functional outcome of Subtrochanteric Fractures of femur fixed with Dynamic Condylar Screw (DCS).

2020 ◽  
Vol 27 (02) ◽  
pp. 225-229
Author(s):  
Masroor Ahmed ◽  
Ghulam Hussain ◽  
Mukesh Kumar ◽  
Nida ◽  
Rukhsana Hamid
Keyword(s):  
Functional Outcome ◽  
Road Traffic ◽  
Subtrochanteric Fracture ◽  
Female Ratio ◽  
Subtrochanteric Fractures ◽  
Femur Fractures ◽  
Dynamic Condylar Screw ◽  
Quasi Experimental ◽  
Subtrochanteric Femur Fractures ◽  
Male To Female

Objectives: To determine functional outcome of Subtrochanteric femur fractures fixed with dynamic condylar screw. Study Design: Single group quasi experimental study. Setting: Orthopedic Surgery, creek general hospital, united medical and dental college and KVSS SITE hospital Karachi. Period: 15th February 2015 to 30th November 2016. Material & Methods: All the patients with Type 32A (A1, A2 and A3) subtrochanteric fractures of femur presenting within two weeks of injury were included in the study. Functional outcome was assessed by modified Schatzker and Lambert Criteria. Results: 79 patients with closed subtrochanteric fractures were included in study. The mean age of the patients was 41.2±12.98 years, mean duration of fracture was 4.58±1.25 days. Male to female ratio was 2.04 to 1, 42(53.16%) were injured in road traffic accident and 37(46.84%) were due to fall, right side were effected in 40.51% cases and left side effected in 59.49% cases. Acceptable functional outcome achieved in 82.28% (65/79) of cases. Conclusion: We conclude that open reduction and internal fixation are the best procedure to treat difficult fractures like subtrochanteric fractures and to avoid complications like implant failure, nonunion, and mal-union. In our study we attained satisfactory results by the use of dynamic condylar screw in patients with subtrochanteric fracture of femur.

STUDY OF PROXIMAL FEMORAL NAILING IN THE MANAGEMENT OF SUBTROCHANTERIC FRACTURES OF FEMUR

2021 ◽  
pp. 77-79
Author(s):  
Nilabh Kumar ◽  
Laljee Chaudhary ◽  
Debarshi Jana
Keyword(s):  
Early Mobilization ◽  
Subtrochanteric Fracture ◽  
Harris Hip Score ◽  
Subtrochanteric Fractures ◽  
Femur Fractures ◽  
Intramedullary Device ◽  
Fracture Table ◽  
Nail Insertion ◽  
Subtrochanteric Femur Fractures ◽  
Proximal Femoral Nailing

Background:The proximal femoral nail (PFN) used as an intramedullary device for the treatment of fractures. Objectives: Study was taken to analyse the union of the subtrochanteric fracture, internally xed with PFN. Materials and Methods: Study was conducted in the Department of Orthopaedics, DMCH, Laheriasarai, Bihar from June 2019 to November 2019. Individuals with acute subtrochanteric femur fractures >18 years were included in the study. The patient was positioned supine on the fracture table under spinal or epidural or general anesthesia as the condition of the patient permitted. Pre-operatively one dose of antibiotic was also administered. The fracture was reduced by longitudinal traction on fracture table and the limb was placed in neutral or slight adduction to facilitate nail insertion through the greater trochanter ; P <0.05 was considered statistically signicant. Results: At the end of ve months, all except three patients could mobilise independently; statistically there was signicant difference (P<0.05). Based on Harris Hip score obtained 3 patients outcome was excellent, 18 patients were good and 4 patients had fair outcome. Conclusion: Minimal exposure, better stability and early mobilization are the advantages with PFN. Fractures united in all cases and postoperative functional outcome was satisfactory. PFN could be a preferred implant of choice in treating subtrochanteric fractures especially in elderly.

scholarly journals Functional outcome of Subtrochanteric Fractures of femur fixed with Dynamic Condylar Screw (DCS).

2020 ◽  
Vol 27 (02) ◽  
pp. 225-229
Author(s):  
Masroor Ahmed ◽  
Ghulam Hussain ◽  
Mukesh Kumar ◽  
Nida - ◽  
Rukhsana Hamid
Keyword(s):  
Functional Outcome ◽  
Road Traffic ◽  
Subtrochanteric Fracture ◽  
Female Ratio ◽  
Subtrochanteric Fractures ◽  
Femur Fractures ◽  
Dynamic Condylar Screw ◽  
Quasi Experimental ◽  
Subtrochanteric Femur Fractures ◽  
Male To Female

Objectives: To determine functional outcome of Subtrochanteric femur fractures fixed with dynamic condylar screw. Study Design: Single group quasi experimental study. Setting: Orthopedic Surgery, creek general hospital, united medical and dental college and KVSS SITE hospital Karachi. Period: 15th February 2015 to 30th November 2016. Material & Methods: All the patients with Type 32A (A1, A2 and A3) subtrochanteric fractures of femur presenting within two weeks of injury were included in the study. Functional outcome was assessed by modified Schatzker and Lambert Criteria. Results: 79 patients with closed subtrochanteric fractures were included in study. The mean age of the patients was 41.2±12.98 years, mean duration of fracture was 4.58±1.25 days. Male to female ratio was 2.04 to 1, 42(53.16%) were injured in road traffic accident and 37(46.84%) were due to fall, right side were effected in 40.51% cases and left side effected in 59.49% cases. Acceptable functional outcome achieved in 82.28% (65/79) of cases. Conclusion: We conclude that open reduction and internal fixation are the best procedure to treat difficult fractures like subtrochanteric fractures and to avoid complications like implant failure, nonunion, and mal-union. In our study we attained satisfactory results by the use of dynamic condylar screw in patients with subtrochanteric fracture of femur.

The Management of Pediatric Subtrochanteric Femur Fractures With a Statically Locked Intramedullary Nail

2015 ◽  
Vol 29 (1) ◽  
pp. e7-e11 ◽  
Author(s):  
José A. Herrera-Soto ◽  
Robert Meuret ◽  
Jonathan H. Phillips ◽  
Daniel J. Vogel
Keyword(s):  
Intramedullary Nail ◽  
Femur Fractures ◽  
Subtrochanteric Femur Fractures

scholarly journals The Influence of Assisted Fixation on Pain Relief for Subtrochanteric Femur Fractures in Children

2020 ◽  
Author(s):  
Jin Li ◽  
Wenqi Liu ◽  
Yiyuan Chen ◽  
Yan Zhou ◽  
Jiaxin Liang ◽  
...  
Keyword(s):  
Postoperative Pain ◽  
Pain Level ◽  
Spica Casting ◽  
Femur Fractures ◽  
Fractures In Children ◽  
Vas Scores ◽  
Subtrochanteric Femur Fractures ◽  
Skin Traction ◽  
Postoperative Pain Level

Abstract Background : Subtrochanteric femur fractures of children usually recover slower than the intertrochanteric femur fracture and tends to increas the rate of deformity. The difference among treatment options in postoperative pain level should be considered as a crucial factor while tailoring patients’ therapeutic schedules, but has not been paid enough attention to. This study aimed to evaluate and compare the postoperative pain level of hip spica casting, abduction brace and skin traction as assisted fixation to operative interventions. Methods Forty-seven children with subtrochanteric femur fractures on one side were admitted and divided into three groups according to the different assisted fixation they received. Operating time, intraoperative blood loss, follow-up time, postoperative fixation time, days in hospital, time to union, Harris scores, CHEOPS scores (before treatment, after treatment and at the last follow-up time) and VAS scores (before treatment, after treatment and at the last follow-up time) were collected. Results No significant difference of demographic characteristics data was found between the three groups before treatment(P > 0.05). After treatment and at the last follow-up time, the CHEOPS scores and the VAS scores of the three groups were all significantly lower than before(P > 0.05). But there is still no difference between the three groups(P > 0.05). Conclusion Hip spica casting, skin traction and abduction brace have the same ability to relieve the pain of subtrochanteric femur fractures in children.

Osteosynthesis of Per- to Subtrochanteric Femur Fractures with the PLATON Nail: Early Results

2005 ◽  
Vol 13 (4) ◽  
pp. 219-227
Author(s):  
T. Pavlidis ◽  
P. Enns ◽  
U. Horas ◽  
A. Kruckemeyer ◽  
C. Meyer ◽  
...  
Keyword(s):  
Femur Fractures ◽  
Early Results ◽  
Subtrochanteric Femur Fractures

Mechanical Comparison of Plates Used in the Treatment of Unstable Subtrochanteric Femur Fractures

1999 ◽  
Vol 13 (8) ◽  
pp. 534-538 ◽  
Author(s):  
Douglas W. Lundy ◽  
Jorge I. Acevedo ◽  
Timothy M. Ganey ◽  
John A. Ogden ◽  
William C. Hutton
Keyword(s):  
Femur Fractures ◽  
Subtrochanteric Femur Fractures
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