scholarly journals Risk factors for intramedullary nail breakage in proximal femoral fractures: a 10-year retrospective review

2017 ◽  
Vol 99 (2) ◽  
pp. 145-150 ◽  
Author(s):  
NA Johnson ◽  
C Uzoigwe ◽  
M Venkatesan ◽  
V Burgula ◽  
A Kulkarni ◽  
...  
Keyword(s):  
Risk Factors ◽  
Pathological Fracture ◽  
Treatment Options ◽  
Young Patients ◽  
Femoral Fractures ◽  
Subtrochanteric Fracture ◽  
Proximal Femur Fracture ◽  
Bony Union ◽  
Proximal Femoral Fractures ◽  
Asa Score

INTRODUCTION Intramedullary nailing is a common treatment for proximal femoral fractures. Fracture of the nail is a rare but devastating complication that exposes often frail patients to complex revision surgery. We investigated which risk factors predict nail failure. METHODS We reviewed all cases of nail breakage seen over a 10-year period in a single busy trauma unit; 22 nail fractures were seen in 19 patients. Comparison was made with a group of 209 consecutive patients who underwent intramedullary fixation of a proximal femur fracture with no nail breakage over a 2-year period. RESULTS In the fractured nail group, mean age was 70.4 years (range 55–88 years).The mean time to fracture was 10 months (range 2.5–23 months). Logistical regression was used to show that low American Society of Anesthesiologists (ASA) score, subtrochanteric fracture and pathological fracture were independent risk factors for nail fracture. CONCLUSIONS Young patients with a low ASA score are at highest risk of nail breakage. We advise close follow-up of patients with these risk factors until bony union has been achieved. In addition, there may be merit in considering other treatment options, such as proximal femoral replacement, especially for those with pathological fracture with a good prognosis.

scholarly journals Delirium after hip hemiarthroplasty for proximal femoral fractures in elderly patients: risk factors and clinical outcomes

2019 ◽  
Vol Volume 14 ◽  
pp. 427-435 ◽  
Author(s):  
Louis de Jong ◽  
Veronique van Rijckevorsel ◽  
Jelle W. Raats ◽  
Taco M.A.L. Klem ◽  
Tjallingius M. Kuijper ◽  
...  
Keyword(s):  
Risk Factors ◽  
Elderly Patients ◽  
Clinical Outcomes ◽  
Femoral Fractures ◽  
Proximal Femoral Fractures ◽  
Hip Hemiarthroplasty

Minimally Invasive Management of Unstable Proximal Femoral Extracapsular Fractures using Reverse LISS Femoral Locking Plates

2009 ◽  
Vol 19 (2) ◽  
pp. 141-147 ◽  
Author(s):  
Ufuk Ozkaya ◽  
Fuat Bilgili ◽  
Ayhan Kilic ◽  
Atilla Sancar Parmaksizoglu ◽  
Yavuz Kabukcuoglu
Keyword(s):  
Treatment Options ◽  
Femoral Fractures ◽  
Deep Infection ◽  
Harris Hip Score ◽  
Proximal Femoral Fractures ◽  
Medical Problems ◽  
Secondary Procedures ◽  
The Mean ◽  
Invasive Management

The efficacy of the reverse Less Invasive Plating System in the management of unstable proximal femoral extracapsular fractures was retrospectively evaluated. Twenty-seven patients with complex proximal femoral fractures were identified. There were three open fractures. The mean age was 71 years (range; 65–79). The mean follow up was 24 months (range; 15–32). The main outcome measures were union, union time, requirement for secondary procedures, development of deep infection, pain, and functional impairment. Nonunion was observed in one patient. The average Harris hip score at the last assessment was 73 points (range 58–85). The outcome was adversely affected by concomitant medical problems, anatomical reduction and fixation of the plate. The use of this plate in the management of proximal femoral fractures of all types may be a safe and alternative method to other treatment options.

Risk factors for cut-out of double lag screw fixation in proximal femoral fractures

Injury ◽  
2017 ◽  
Vol 48 (2) ◽  
pp. 414-418 ◽  
Author(s):  
Kadir Buyukdogan ◽  
Omur Caglar ◽  
Samet Isik ◽  
Mazhar Tokgozoglu ◽  
Bulent Atilla
Keyword(s):  
Risk Factors ◽  
Screw Fixation ◽  
Femoral Fractures ◽  
Proximal Femoral Fractures ◽  
Lag Screw

scholarly journals Functional outcomes of reverse distal femoral locking plate in the extra capsular fractures of proximal femur

2019 ◽  
Vol 5 (3) ◽  
pp. 417
Author(s):  
Jaspreet Singh ◽  
Harpal Singh Selhi ◽  
Rahul Gupta ◽  
Gurleen Kaur
Keyword(s):  
Proximal Femur ◽  
Functional Outcomes ◽  
Locking Plate ◽  
Femoral Fractures ◽  
Delayed Union ◽  
Bony Union ◽  
Proximal Femoral Fractures ◽  
Superficial Infection ◽  
Non Union ◽  
Wound Breakdown

<p class="abstract"><strong>Background:</strong> The optimal management of unstable proximal femoral fractures is controversial. In this prospective study, the functional outcomes of reverse distal femoral locking plate for the treatment of comminuted unstable proximal femoral fractures were assessed. Objectives were<strong> </strong>to study the functional outcomes of reverse locking plate in extra-capsular fractures of the proximal femur, with respect to quality of reduction, time to bony union, mobility achieved, complications of the procedure, secondary procedures performed (if any) and delayed complications like implant breakage, delayed union, non-union.</p><p class="abstract"><strong>Methods:</strong> 17 patients with unstable proximal femoral fractures were assessed and managed with reverse distal femur plates, and evaluated with X-ray, physical examination, Palmer and Parker mobility score.<strong></strong></p><p class="abstract"><strong>Results:</strong> Union was achieved in all the patients, with average time to union 6.43±1.18 months (range 3-12 months). There was one loosening of implant and wound breakdown, which was managed conservatively. One case of loosening of proximal screws was there, but the fracture united in 9 months with some varus angulation. Superficial infection occurred in one patient, which healed after debridement and IV antibiotics.</p><p class="abstract"><strong>Conclusions:</strong> Taking into consideration the simple surgical technique, good healing rate and minimum complications, it is strongly recommended to use reverse locked distal femoral plates for the management of proximal femoral fractures and further in lean patients, sum-muscular MIPPO should be attempted.</p>

scholarly journals Risk Factors Related to Type of Proximal Femoral Fractures.

1998 ◽  
Vol 47 (3) ◽  
pp. 835-837
Author(s):  
Tatsuhiko Nakamura ◽  
Takafumi Takata
Keyword(s):  
Risk Factors ◽  
Femoral Fractures ◽  
Proximal Femoral Fractures
Sign in / Sign up

Export Citation Format

Share Document