scholarly journals Unstable Fracture Neck of Femur in Young Adults: Management with Cannulated Cancellous Screws Augmented with Medial Buttress Plate

2019 ◽  
Vol 1 (1) ◽  
pp. 1-4
Author(s):  
Vaidyanathan Singaravadivelu ◽  
Ganesan Kartheesan ◽  
Vignesh Sampathkumar
Keyword(s):  
Young Adults ◽  
Unstable Fracture ◽  
Neck Of Femur ◽  
Fracture Neck Of Femur ◽  
Cancellous Screws ◽  
Buttress Plate

Effect of screw neck angle and screw parallelism in fixation of fracture neck of femur by partially threaded cancellous screws

2019 ◽  
Vol 11 (1) ◽  
pp. 11-14
Author(s):  
Lakshya Prateek Rathore ◽  
◽  
Mukand Lal ◽  
Sandeep Kashyap ◽  
◽  
...  
Keyword(s):  
Neck Of Femur ◽  
Fracture Neck Of Femur ◽  
Cancellous Screws

scholarly journals A Convenient Way to do Valgus Osteotomy for Neglected Fracture Neck of Femur

2015 ◽  
Vol 11 (2) ◽  
pp. 147-151
Author(s):  
P Bansal ◽  
V Singhal ◽  
H Lal ◽  
D Mittal ◽  
RK Arya
Keyword(s):  
Young Adults ◽  
Successful Outcome ◽  
Harris Hip Score ◽  
Wedge Osteotomy ◽  
Valgus Osteotomy ◽  
Neck Of Femur ◽  
Fracture Neck Of Femur ◽  
Hip Screw ◽  
Prospective Longitudinal

Background Neglected fracture of neck of femur in young adults is a major problem in developing countries. Existing treatment options varies from osteotomy to various graft techniques (muscle pedicle, vascularized and nonvascularized fibula etc.). There is paucity of literature regarding the use of double angle barrel plate and hip screw in such cases. We conducted a prospective longitudinal observational study with displaced, neglected fracture neck of femur in young adults and compared the results with literature. Objectives The aim of this study was to determine feasibility and effectiveness of 120° double angle barrel plate and hip screw fixation in neglected fracture neck of femur. Effectiveness of fixed 30 degree closed wedge osteotomy in neglected fracture neck of femur. Methods Thirty cases of neglected (more than three weeks) femoral neck fracture (Pauwel II and III) of age 20-60 years were included in the study conducted at Postgraduate Institute Of Medical Education and Research, Dr. Ram Manohar Lohia Hospital, New Delhi, India in year 2004-06. Average age of the patient was 35.4 years (range, 22yrs-55yrs). In all cases internal fixation was done by 120° double angle barrel plate and hip Screw. At the end of follow-up, results were evaluated according to Askin Bryan Criteria and Harris-hip score. Results Union was achieved in 28 of 30 patients. Two patients that went into nonunion were later treated with hemireplacement arthroplasty. According to Askin Bryan Criteria at the end of study, 35% patients had excellent results, 50% patients had good results. Minimum follow-up in our study was 12 months and maximum was five years. Conclusion This study validates the use of double angled screw plate configuration for successful outcome in patients with neglected fracture neck of femur. Valgus osteotomy is also technically easy operation in hands of average trauma surgeon with the use of a fixed angle plate and hip screw.DOI: http://dx.doi.org/10.3126/kumj.v11i2.12491 Kathmandu University Medical Journal Vol.11(2) 2013: 147-151

scholarly journals In vitro biomechanical comparison of various implants in Pauwels type 3 fracture neck femur

2020 ◽  
Vol 6 (5) ◽  
pp. 907
Author(s):  
Birju Manjhi ◽  
S. C. Goel ◽  
Abhijeet Kunwar ◽  
Vakil Singh
Keyword(s):  
Dynamic Hip Screw ◽  
The Other ◽  
Unstable Fracture ◽  
Neck Of Femur ◽  
Comparable Group ◽  
Fracture Neck Of Femur ◽  
Fracture Neck Femur ◽  
Hip Screw ◽  
Type 3

<p class="abstract"><strong>Background:</strong> The objective of this study was to find out the correlation among type of implant, type of fracture and quality of bone in a cadaveric model of unstable fracture neck of femur (Pauwels type 3) fixed with either; proximal femoral nail (PFN), dynamic hip screw (DHS), dynamic hip screw with an anti-rotation screw (DHS and ARS) or cannulated cancellous screws (CCS).</p><p class="abstract"><strong>Methods:</strong> This study was conducted on 24 cadaveric bones (6 in each group) in which unstable fracture neck of femur (Pauwels type 3) were created and fractures in each group were fixed with different implants after creating a comparable group using DEXA scan. These were tested on a cyclic physiological loading machine at 2 cycles per second with a load of 200kg. The test was observed for 10,000 loading cycles or till failure whichever occurred earlier. Subsidence was measured and analyzed.<strong></strong></p><p class="abstract"><strong>Results:</strong> Five specimens in the PFN group, 3 specimens in the DHS and ARS and DHS group completed 10,000 cycles while all the specimens in CCS group failed before 10000 cycles. Mean subsidence of the PFN group was significantly lower than the other groups.</p><p class="abstract"><strong>Conclusions:</strong> PFN constructs were stronger than the other constructs. However, these data must be interpreted as strictly biomechanical, representing only part of the scenario at work in vivo. Nonetheless, the significant findings of increased strength of fixation over the DHS, DHS with ARS and CCS certainly appear to support the use of PFN clinically.</p><p class="abstract"> </p>

Osteoporosis and its treatment

1984 ◽  
Vol 22 (1) ◽  
pp. 1-4
Keyword(s):  
Young Adults ◽  
Unit Volume ◽  
Mineral Content ◽  
Bone Volume ◽  
Economic Consequences ◽  
Minor Trauma ◽  
Fractured Neck Of Femur ◽  
Neck Of Femur ◽  
Treatment And Prevention ◽  
Prevention Of Osteoporosis

The mineral content of bone is greatest in young adults and thereafter decreases with age. Osteoporosis can be defined as a reduction in the amount of bone mineral per unit volume of anatomical bone or skeleton, or more simply as a reduction in bone volume, exceeding the natural decline with age. The process diminishes bone strength but produces no symptoms until a fracture occurs in response to minor trauma - typically of a vertebral body, the proximal end of the femur or the lower forearm. Osteoporosis has major economic consequences: 10% of all orthopaedic beds in Britain are occupied by patients with fractured neck of femur, most of which are associated with osteoporosis.1 This article discusses the diagnosis, causes, treatment and prevention of osteoporosis.

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