Evaluation of Austin Moore prosthesis in the femur neck fracture management: Retrospective study

Simultaneous insufficiency fracture of bilateral neck of femur with displacement and coxa vara is very uncommon , and very challenging. Osteomalacia is a known cause of insufficiency fracture. We present a case of a young female with non traumatic simultaneous bilateral femur neck fracture. On radiological and laboratory investigation fracture was diagnosed as insufficiency fracture due to osteomalacia with coxa vara. Treatment was done by intertrochanteric valgus osteotomy and fixation by dynamic condylar screw with a prebend plate along with oral and parentral vitamin D therapy. On six month follow up both side fractures were well united and patient was able to walk without pain with full weight bearing and with normal gait .Her lab investigations also returned to normal during follow up.

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Left Femur Neck Fracture and Left Eye Esotropia as Initial Clinical Presentations of Gastric Cancer in a 54-Year-Old Female Patient: A Case Report and Review of Literature

Cureus ◽

10.7759/cureus.20645 ◽

2021 ◽

Author(s):

Mohammed S Almasri ◽

Omar N Alfehaid ◽

Ayman Z Azzam ◽

Tarek Amin

Keyword(s):

Gastric Cancer ◽

Case Report ◽

Female Patient ◽

Review Of Literature ◽

Left Femur ◽

Femur Neck ◽

Clinical Presentations ◽

Femur Neck Fracture ◽

Neck Fracture

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Functional Review of the Hemiarthroplasty Vs, Total Joint Replacement in the Femur Neck Fracture

The Journal of the Korean Orthopaedic Association ◽

10.4055/jkoa.1982.17.3.464 ◽

1982 ◽

Vol 17 (3) ◽

pp. 464

Author(s):

Young Min Kim ◽

Sang Hoon Lee ◽

Song Choi

Keyword(s):

Joint Replacement ◽

Total Joint Replacement ◽

Femur Neck ◽

Femur Neck Fracture ◽

Neck Fracture

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The Sequential Change of Isotope Uptake Ratio in Femur Neck Fracture

The Journal of the Korean Orthopaedic Association ◽

10.4055/jkoa.1987.22.2.425 ◽

1987 ◽

Vol 22 (2) ◽

pp. 425

Author(s):

Key Yong Kim ◽

Yung Tae Kim ◽

Hyung Ku Yoon ◽

Sam Joo Kwon

Keyword(s):

Uptake Ratio ◽

Femur Neck ◽

Sequential Change ◽

Femur Neck Fracture ◽

Neck Fracture

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Treatment of Femur Neck Fracture in Children with Osteogenesis Imperfecta

JBJS Case Connector ◽

10.2106/jbjs.cc.18.00449 ◽

2019 ◽

Vol 9 (4) ◽

pp. e0449-e0449 ◽

Cited By ~ 1

Author(s):

Mina W. Morcos ◽

Reggie C. Hamdy ◽

Francois Fassier ◽

Neil Saran

Keyword(s):

Osteogenesis Imperfecta ◽

Femur Neck ◽

Femur Neck Fracture ◽

Neck Fracture

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A Clinical Analysis Femur Neck Fracture in Elderly Patients

Yeungnam University Journal of Medicine ◽

10.12701/yujm.1985.2.1.11 ◽

1985 ◽

Vol 2 (1) ◽

pp. 11

Author(s):

Joo Chul Ihn ◽

Myun Hwan Ahn ◽

Jae Sung Seo

Keyword(s):

Elderly Patients ◽

Clinical Analysis ◽

Femur Neck ◽

Femur Neck Fracture ◽

Neck Fracture

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Multiple screw fixation versus cementless bipolar hemiarthroplasty for femur neck fracture using a nationwide hip fracture registry

Scientific Reports ◽

10.1038/s41598-021-01046-3 ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Jin-Woo Kim ◽

Kyung-Soon Park ◽

Young-Kyun Lee ◽

Ji Wan Kim ◽

Yong-Chan Ha ◽

...

Keyword(s):

Operation Time ◽

Reoperation Rate ◽

Bipolar Hemiarthroplasty ◽

Systemic Complications ◽

Femur Neck ◽

Femur Neck Fracture ◽

Estimated Blood Loss ◽

Neck Fracture ◽

Group A ◽

Group B

AbstractCementless bipolar hemiarthroplasty (BHA) recently gained popularity as a treatment for femur neck fracture (FNF), but there have been few studies comparing this with multiple screw fixation (MSF) in the elderly population. The purpose of this study is to compare (1) surgery-related parameters, (2) reoperation rate as a local complication, (3) in-hospital systemic complication rate, and (4) mortality rate at 1 year after MSF and cementless BHA in patients with FNF using nationwide data. Six-hundred sixty-six hips (aged ≥ 50 years) extracted from nationwide Hip Fracture Registry were included in this study (133 MSF and 533 cementless BHA). One hundred fifty-six hips were divided into nondisplaced FNF (Group A) and 510 into displaced FNF (Group B). We evaluated (1) surgery-related parameters (anesthesia type, time to surgery, operation time, estimated blood loss and volume of postoperative transfusion), (2) the rate of and reasons for reoperation, (3) the rate and type of in-hospital systemic complications and (4) one-year mortality rate after surgery. In Group A, MSF showed shorter operation time (p = 0.004) and lower incidence of in-hospital systemic complications (p = 0.003). In Group B, cementless BHA demonstrated lower reoperation rate than MSF (p < 0.001). In both Group A and B, cementless BHA was associated with higher estimated blood loss than MSF (p < 0.001). Based on findings in our study, MSF might be a more favorable option for nondisplaced FNF, whereas cementless BHA might be a better one for displaced FNF in patients older than fifty. Nevertheless, our nationwide study also showed that numbers of cementless BHAs were being performed for nondisplaced FNF even in teaching hospitals.

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The correlation of anthropometric parameters and bone mineral density to femur neck fracture risk in elderly population.

The Professional Medical Journal ◽

10.29309/tpmj/2020.27.03.3404 ◽

2020 ◽

Vol 27 (03) ◽

pp. 517-522

Author(s):

Wajid Akbar ◽

Humaira Imtiaz ◽

Usman Ali ◽

Amna Halima

Keyword(s):

Bone Mineral Density ◽

Hip Fracture ◽

Bone Mineral ◽

The Elderly ◽

Mineral Density ◽

Anthropometric Parameters ◽

T Score ◽

Femur Neck ◽

Femur Neck Fracture ◽

Neck Fracture

Hip fracture is the leading cause of morbidity in the geriatric population of Pakistan. The anthropometric parameters and bone mineral density is closely associated with risks of femur fracture on the elderly. Objectives: This study is oriented upon the relation of anthropometric parameters and bone mineral density with femur neck fracture in the elderly. Study Design: Cross sectional study. Setting: Mardan Medical Complex, Mardan, Pakistan. Period: May 2015 to October 2015. Material & Methods: A total of 121 patients both male and female from 50 to 70 years old were included in the study. Thirty patients had a history of hip fractures while 91 patients were age matched controls. Patients below 40 years and above 70 years were excluded as well as patients on long term steroids, or rheumatoid arthritis and bed ridden. Data regarding patient’s age, sex as well as height and weight were recorded. Both height and weight were measured in light clothing without shoes. Weight was measured using an electronic scale and standing height was measured to the nearest centimeter with a stadiometer. Body mass index was calculated as weight (kg)/height (m).2 Bone mineral density was assisted by Quantitative ultrasound (QUS) heel, using WHO T-score. The Anthropometric parameters and bone mineral density of hip fracture cases were then compared with age-matched control groups. For statistical analysis of data, we used SPSS 20. Results: The average age of hip fracture patients were higher than the control. Females with hip fracture found taller, lighter and had low BMI (p=0.003). Bone mineral density of hip fracture cases were significantly lower as compared to T-score of control (p=0.0001). Height correlated significantly with BMI (r=2.68 p=0.005) and with BMD (r=2.56 p=0.005). Weight had significant correlation with BMI (r= 0.488 p=0.0001) and with BMD (r=0.212 p=0.002). Conclusion: The anthropometric parameter, especially body mass Index and bone mineral density seems to be associated with the risk of femur neck fracture.

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