Bone-Plastic Reconstruction of Proximal Femur in Patients with Femoral Neck Fractures and Pseudarthroses

2009 ◽  
Vol 16 (4) ◽  
pp. 23-28
Author(s):  
Valentina Afanas'evna Kopysova ◽  
V A Kaplun ◽  
V Z Gorodilov ◽  
A A Kutkov ◽  
I V Kaplun ◽  
...  
Keyword(s):  
Femoral Neck ◽  
Proximal Femur ◽  
Dynamic Compression ◽  
Femoral Neck Fractures ◽  
Treatment Technique ◽  
Intervention Efficacy ◽  
Rehabilitation Potential ◽  
Choice Of Treatment ◽  
Bone Fragments ◽  
Reconstructive Plastic

Rehabilitation potential of medializing valgus osteotomy with formation of bone lock by Konforti-Ivanov and reconstructive bone-plastic operation by Luck was studied in 122 patients with femoral neck fractures and pseudarthroses. The guarantee of surgical intervention efficacy is differentiated approach to the choice of treatment technique with due regard for the peculiarities of proximal femur injuries, stable functional osteosynthesis in combination with dynamic compression of bone fragments by tightening bows with shape memory effect. Good treatment results with long lasting functional effect achieved in 104 (89.7%) patients allowed to recommend using organ saving reconstructive plastic operations as an alternative to joint replacement in patients without presence of coxarthrosis and pathologic femoral head transformation.

scholarly journals Treatment of Proximal Femur Fractures on the Background of Osteoporosis

2004 ◽  
Vol 11 (1) ◽  
pp. 27-31 ◽  
Author(s):  
A F Lazarev ◽  
E I Solod ◽  
A O Ragozin ◽  
M G Kakabadze ◽  
A F Lazarev ◽  
...  
Keyword(s):  
Femoral Neck ◽  
Proximal Femur ◽  
Femoral Neck Fractures ◽  
Mineral Density ◽  
Stable Fixation ◽  
Fracture Characteristics ◽  
Proximal Femur Fractures ◽  
Femur Fractures ◽  
Choice Of Treatment ◽  
Density Evaluation

Analysis of treatment of 526 patients with proximal femur fractures (362 patients with femoral neck fractures and 164 patients with trochanteric zone fractures) was performed. Patients' age ranged from 34 to 92 (mean 67). Algorithm of differentiated choice of operative tactics depending on fracture characteristics and injury term was presented. Low invasive osteosynthesis of femoral neck with bundle of stressed V-shaped pins was suggested. Theoretical and practical ground of that technique was given. Stress within fixative-bone system created after osteosynthesis by V-shaped pins, provided stable fixation even in marked osteoporosis. The importance of bone mineral density evaluation for the choice of treatment tactics as well as the necessity of medicamental correction of the disturbed bone remodeling after surgical treatment was noted.

Ideal screw positions for multiple screw fixation in femoral neck fractures – Study of proximal femur morphology in a Japanese population

2018 ◽  
Vol 23 (3) ◽  
pp. 521-524 ◽  
Author(s):  
Yuta Nakanishi ◽  
Takafumi Hiranaka ◽  
Masahiro Shirahama ◽  
Masafumi Uesugi ◽  
Kenjiro Okimura ◽  
...  
Keyword(s):  
Femoral Neck ◽  
Proximal Femur ◽  
Japanese Population ◽  
Screw Fixation ◽  
Femoral Neck Fractures

scholarly journals Dynamic compression locking system versus multiple cannulated compression screw for the treatment of femoral neck fractures: a comparative study

2020 ◽  
Author(s):  
Ya-Ping Xiao ◽  
Ming-Jian Bei ◽  
Tao Ji ◽  
Yong-Jun Peng ◽  
Bing Ma ◽  
...  
Keyword(s):  
Femoral Neck ◽  
Fracture Healing ◽  
Healing Rate ◽  
Dynamic Compression ◽  
Weight Bearing ◽  
Operation Time ◽  
Healing Time ◽  
Femoral Neck Fractures ◽  
Incision Length ◽  
Harris Score

Abstract Background: Femoral neck fractures are one of the problems in orthopedic treatment. The prognosis is uncertain. Currently, there is no one internal fixation for the treatment of femoral neck fractures that shows superiority over other internal fixations. Therefore, the internal fixation system needs to be further explored. The aim of this study was to compare clinical outcomes of femoral neck dynamic compression locking system （DCLS）and multiple cannulated compression screws（MCCS） in the treatment of femoral neck fractures.Methods: A prospective analysis of 54 cases of femoral neck fractures treated with either a DCLS (n=28) or MCCS (n=26) was conducted between December 2015 and November 2017 in authors’ hospitals. The perioperative and postoperative parameters of the two groups were recorded and evaluated.Results: Fifty-four patients were followed up for 24-47 months. The etiology was caused by a fall. There was no significant difference in follow-up time, operation time, incision length, surgical blood loss, the incidence of perioperative and postoperative healing complications, and mobility in the two groups (P> 0.05). The Harris score, fracture healing time, femoral neck shortening, partial weight-bearing time and complete weight-bearing time were significantly better in the DCLS group than in the MCCS group (P< 0.05). The fracture healing rate in the DCLS group was higher than that in the MCCS group.Conclusion: The DCLS and MCCS might be equally effective in terms of operation time, incision length, surgical blood loss, the incidence of perioperative and postoperative healing complications, and mobility in the treatment of femoral neck fractures. However, the DCLS is superior to the MCCS in Harris score, fracture healing time, femoral neck shortening, weight-bearing time and fracture healing rate. So, DCLS deserves further study.

scholarly journals Subcapital Femoral Neck Fracture following Successful Trochanteric Fracture Treatment with a Dynamic Hip Screw: A Report of Five Cases

2007 ◽  
Vol 15 (2) ◽  
pp. 238-241 ◽  
Author(s):  
YT Lung ◽  
WL Kam ◽  
YF Leung ◽  
OM Chung ◽  
YL Wai
Keyword(s):  
Femoral Neck ◽  
Femoral Neck Fracture ◽  
Dynamic Compression ◽  
Trochanteric Fracture ◽  
Femoral Neck Fractures ◽  
Fracture Treatment ◽  
Trochanteric Fractures ◽  
Neck Fracture ◽  
Hip Screw ◽  
Type Of Fracture

A subcapital femoral neck fracture complicating a healed trochanteric fracture is rare. Such cases are managed in a rather heterogeneous manner, i.e. there exists a mixture of cases treated by either fixed angle devices or dynamic compression screws. We describe 5 patients who developed subcapital femoral neck fractures after healed trochanteric fractures treated with dynamic compression screws. The subjects' clinical data, operative records, and radiographs have been studied retrospectively and the literature reviewed. The risk factors for such a complication include being of advanced age, female, osteoporotic, and having a small femoral head and neck, and a basicervical type of fracture.

scholarly journals Fractures of the proximal femur in the elderly in a sub-Saharan country

2020 ◽  
Vol 7 (1) ◽  
pp. 19
Author(s):  
Ferdinand N. Mebouinz ◽  
Joseph D. Diouf ◽  
Jean C. Sane ◽  
Souleymane Diao ◽  
Amadou Kasse ◽  
...  
Keyword(s):  
Femoral Neck ◽  
Internal Fixation ◽  
Proximal Femur ◽  
The Elderly ◽  
Gamma Nail ◽  
Femoral Neck Fractures ◽  
Sub Saharan Africa ◽  
Proximal Femur Fracture ◽  
Pertrochanteric Fractures ◽  
Sub Saharan

<p class="abstract"><strong>Background:</strong> The aim of this study was to describe the epidemiological, radiographic and therapeutic profile of the fractures of the proximal femur in the elderly in a sub-Saharan country.</p><p class="abstract"><strong>Methods:</strong> A retrospective longitudinal study was carried out at the orthopedic trauma department of Idrissa Pouye Hospital in Senegal. Sixty-six patients recruited were aged at least 90 years; and treated for proximal femur fracture between 2008 and 2017.<strong></strong></p><p class="abstract"><strong>Results:</strong> The median age of the patients was 91 years (90-107). Females represented 54.5%. The fracture was located in the right 65.2%. Femoral neck fractures were 53% predominant with 94.3% type IV according to Garden’s classification. Concerning the 31 patients with a pertrochanteric fractures, 61.3% were stable and 38.7% unstable. The time taken for seeking hospital care was an average of 5.8±9.7 days. All patients had a preoperative anesthesic score less than 4 according to the American society of anesthesiologists (ASA). The therapeutic indication was functional in 15.1% of cases, surgical by internal fixation in 39.2% and by arthroplasty in 45.7% of cases. Pertrochanteric fractures were managed by a dynamic hip screw (DHS) in 68.2% and by gamma nail in 18.2%. Femoral neck fractures were managed by Moore's arthroplasty in 93.3% and by bipolar hip prothesis (BHP) in 6.7%.</p><p class="abstract"><strong>Conclusions:</strong> Fractures of the proximal femur represent a growing problem in sub-Saharan Africa. For patients above 90 years, the management remains essentially surgical by internal fixation in pertrochanteric fractures or by arthroplasty in cervical fractures.</p>

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