scholarly journals Unusual Bilateral Rim Fracture in Femoroacetabular Impingement

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Claudio Rafols ◽  
Juan Edo Monckeberg ◽  
Jorge Numair
Keyword(s):  
Internal Fixation ◽  
Femoroacetabular Impingement ◽  
High Probability ◽  
Complete Resection ◽  
Cannulated Screws ◽  
Hip Instability ◽  
Arthroscopic Procedure ◽  
Bilateral Case ◽  
Cam Resection ◽  
Acetabular Rim

This is a report of one case of bilateral acetabular rim fracture in association with femoroacetabular impingement (FAI), which was treated with a hip arthroscopic procedure, performing a partial resection, a labral reinsertion, and a subsequential internal fixation with cannulated screws. Up to date, there are in the literature only two reports of rim fracture and “os acetabuli” in association with FAI. In the case we present, the pincer and cam resection were performed without complications; the technique used was published previously. With this technique the head of the screw lays hidden by the reattached labrum. We removed partially the fractured rim fragment and the internal fixation of the remaining portion was achieved with a screw. In the event of a complete resection of the fragment, it would have ended with a LCE angle of 18° and a high probability of hip instability. We believe that this bilateral case helps establish the efficacy and reproducibility of the technique described by Larson.

scholarly journals Foot Progression Angle Walking Test- An Effective Dynamic Test for the Diagnosis of Femoroacetabular Impingement and Hip Instability

2015 ◽  
Vol 3 (7_suppl2) ◽  
pp. 2325967115S0014
Author(s):  
Anil S. Ranawat ◽  
Caroline Park ◽  
Thomas Licatesi ◽  
Brian J. Rebolledo ◽  
James Satalich
Keyword(s):  
Femoroacetabular Impingement ◽  
Dynamic Test ◽  
Hip Instability ◽  
Walking Test ◽  
Foot Progression Angle ◽  
Effective Dynamic

216 Fix or Replace: Is Internal Fixation Still A Viable Option in The Elderly with Un-Displaced Intracapsular Femoral Neck Fractures?

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
R Morris ◽  
A Krishna ◽  
H Hamid ◽  
M Chawda ◽  
H Mumtaz
Keyword(s):  
Femoral Neck ◽  
Internal Fixation ◽  
Revision Surgery ◽  
Retrospective Review ◽  
The Elderly ◽  
Femoral Neck Fractures ◽  
Type I ◽  
Cannulated Screws ◽  
Viable Option ◽  
Displaced Femoral Neck Fractures

Abstract Aim The treatment of impacted or un-displaced femoral neck fractures in the elderly osteoporotic patient is still largely debated, with arthroplasty versus internal fixation two surgical options1. Our aim was to retrospectively review patients over the age of 80 with un-displaced intracapsular hip fractures who had undergone internal fixation and assess their rate of mortality and revision surgery. Method We conducted a retrospective review of all patients with femoral neck fractures over a 4-year period between January 2015 to December 2018. We refined this to only patients over the age of 80 with un-displaced intracapsular femoral neck fractures fixed with cannulated screws. We noted their mental and mobility status, their follow-up attendance over 3 years, their mortality and rate of revision surgery. Results There were a total of 1232 femoral neck fractures in a 4-year period. Of these, 37 were >80 with un-displaced intracapsular femoral neck fractures, with 23 fixed with cannulated screws and 14 with a Dynamic Hip Screw. Mean age – 85, M:F (1:4.75). All patients were either Garden Classification Type I or II. 4% had cognitive impairment. All patients were independently mobile. 83% were followed up for 3 years, with 1 patient (4%) undergoing revision surgery 3 years following cannulated screw fixation. The 30-day mortality rate was 5%. Conclusions The treatment choice for un-displaced intracapsular femoral neck fractures in the elderly remains debateable. Our retrospective review shows that the rate of re-operation is low in patients who have undergone fixation with cannulated screws and so this remains a viable option.

scholarly journals Differences in Acetabular Rim Thickness in Patients with Unilateral Symptomatic Pincer-Type Femoroacetabular Impingement

2016 ◽  
Vol 4 (7_suppl4) ◽  
pp. 2325967116S0014
Author(s):  
Alexander E. Weber ◽  
Benjamin Kuhns ◽  
Gregory Cvetanovich ◽  
Nozomu Inoue ◽  
Shane Jay Nho
Keyword(s):  
Femoroacetabular Impingement ◽  
Acetabular Rim

scholarly journals Arthroscopic Acetabular Rim Resection in the Treatment of Femoroacetabular Impingement

2013 ◽  
Vol 2 (4) ◽  
pp. e327-e331 ◽  
Author(s):  
Roxanne M. Chow ◽  
Aaron J. Krych ◽  
Bruce A. Levy
Keyword(s):  
Femoroacetabular Impingement ◽  
Acetabular Rim

scholarly journals Tibiocalcameal arthrodesis as a surgical option for Charcot ankle deformity

2019 ◽  
Vol 6 (1) ◽  
pp. 13-24
Author(s):  
V. N. Obolenskiy ◽  
V. G. Protsko
Keyword(s):  
Internal Fixation ◽  
Risk Groups ◽  
Cannulated Screws ◽  
Septic Complications ◽  
Tibiocalcaneal Arthrodesis ◽  
Rehabilitation Period ◽  
Stage D ◽  
Surgical Option ◽  
Observation Period

Object. To assess the effectivity and safety of different tibiocalcaneal arthrodesis types in treatment of patients with Charcot ankle deformity depending on disease severity. Materials and methods. We have analyzed the outcomes after treatment of 16 patients with diabetic neuropathic ankle arthropathy (Charcot ankle) at the stage of septic complications in bones of ankle and subtalar joints. The observation period was more than 1 [1–3] year. Ilizarov fixator for TCA was used in 8 cases; internal fixation with cannulated screws was applied in 8 cases.Results. In the early periods (up to 1 month from the operation) no complications were revealed. Complications in later terms developed in 4 patients: three with internal fixation and one with external.Conclusion. In our opinion, when choosing foot fixation tactics for heel-tibial arthrodesis, risk groups should be considered stage D according to Rogers classification and stage 3 according to Wagner classification, and after resection of bones in these patients external fixation is preferable. In the remaining stages, internal fixation is advisable because of the patient's higher quality of life and shortening of the rehabilitation period.

scholarly journals Joint preservation surgery: a priority to be thought of in selective hip osteoarthritis

2020 ◽  
Vol 6 (2) ◽  
pp. 404
Author(s):  
Subramaian Kanthalu Narayanan ◽  
Rajesh Sellappan
Keyword(s):  
Total Hip Replacement ◽  
Femoroacetabular Impingement ◽  
Hip Replacement ◽  
Severe Pain ◽  
Hip Osteoarthritis ◽  
Total Hip ◽  
Joint Preservation ◽  
Arthroscopic Excision ◽  
Oxford Hip Score ◽  
Acetabular Rim

<p class="abstract">Femoroacetabular impingement (FAI) is one of the causes of hip arthritis. If FAI diagnosed earlier and treated properly, arthritis of hip and eventual total hip replacement (THR) can be potentially avoided. We report 48 yr male who presented with left hip severe pain, limp, restricted movements and unable do daily day activities. He is diagnosed to have pincer type of lesion in the acetabular rim and we did arthroscopic excision of the protruding fragment. The patient now has a pain free joint and able to squat and sit cross leg. His pre-operative oxford hip score was 30 which improved to 54. </p>

scholarly journals The Probability of and Risk Factors for Femoral Neck Shortening and Internal Fixation Failure After Femoral Neck Fracture Treatment Using Cannulated Screws Combined With a Medial Buttress Plate

2021 ◽  
Author(s):  
Jinglei Xu ◽  
Xue Bai ◽  
Chenyang Xu ◽  
Xianzhong Ma
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Femoral Neck ◽  
Internal Fixation ◽  
Femoral Neck Fracture ◽  
Fracture Site ◽  
Cannulated Screws ◽  
Fixation Failure ◽  
Neck Fracture ◽  
Buttress Plate

Abstract Background: A range of postoperative complications make femoral neck fracture difficult to treat. Femoral neck shortening and internal fixation failure are two most prevalent complications associated with many surgical strategies. This study evaluates the probability of and risk factors for these complications after the treatment of femoral neck fracture using cannulated screws combined with a medial buttress plate.Methods: Data of 70 patients with femoral neck fractures treated using cannulated screws combined with a medial buttress plate in our hospital between March 2016 and March 2019 were retrospectively analyzed, and 40 patients who were followed up for more than 3 months were enrolled in the study. We evaluated the probability of postoperative femoral neck shortening and internal fixation failure and conducted multivariate logistic regression analysis to determine risk factors.Results: All 40 patients had Garden III/IV or Pauwels II/III fractures. Of these patients, 11 had femoral neck shortening greater than 5 mm and 8 had fracture nonunion or screw cutout requiring reoperation. There were no differences in age, sex, fracture site, Pauwels classification, and reduction quality between the shortening and non-shortening groups; however, there were significant differences in screw quality. Similarly, there were no differences in age, sex, Pauwels classification, reduction quality, and screw quality between the fixation failure and non-failure groups, but there were significant differences in fracture site and shortening. According to the multivariate analyses, screw quality was an independent risk factor for femoral neck shortening (odds ratio [OR]: 8.58; 95% confidence interval [CI]: 1.35–50.57; P=0.022), and femoral neck shortening was an independent risk factor for internal fixation failure (OR: 11.82; 95% CI: 1.66–84.36; P=0.014).Conclusions: Femoral neck fracture treatment using cannulated screws combined with a medial buttress plate led to a femoral neck shortening rate lower than that of other internal fixation methods and an internal fixation failure rate lower than or equivalent to that of other internal fixation methods. The quality of cannulated screws is a risk factor for postoperative shortening of the femoral neck, and femoral neck shortening is a risk factor for postoperative internal fixation failure.

Acetabular Rim Disorders/Pincer-type Femoroacetabular Impingement and Hip Arthroscopy

2020 ◽  
Vol 29 (1) ◽  
pp. 35-43
Author(s):  
Christopher M. Larson ◽  
Robert F. LaPrade ◽  
Edward R. Floyd ◽  
Rebecca S. McGaver ◽  
Asheesh Bedi
Keyword(s):  
Femoroacetabular Impingement ◽  
Hip Arthroscopy ◽  
Acetabular Rim
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