BACKGROUND Delayed bone union, nonunion or osteonecrosis often occur after femoral neck fractures in young adults. Secondary bone healing requires strong internal fixation, intramedullary pressure reduction and early functional exercise. OBJECTIVE To compare bone healing of femoral neck fractures treated with hollow-bone-graft dynamic hip screws (Hb-DHS) and standard dynamic hip screws (DHS) ...

Fractures of the proximal femur are one of the greatest challenges facing the medical community, constituting a heavy socioeconomic burden worldwide. Controversy exists regarding the optimal treatment for patients with unstable trochanteric proximal femoral fractures. The recognised treatment alternatives are extramedullary fixation usually with a sliding hip screw and intramedullary fixation w...

In March 1999, a 49-year-old woman presented with acute right hip pain and no history of trauma. She had been diagnosed with rapidly progressive glomerulonephritis in 1966 leading to complete renal failure in 1973. Treatment included multiple failed attempts at transplantation and long-term hemodialysis. She was diagnosed with beta-2 microglobulin amyloidosis in 1986. She had a parathyroidectom...

A number of reports regarding atypical fractures of the femur have raised questions concerning the possible correlation between long-term bisphosphonate treatment and the occurrence of insufficiency fractures in the proximal femur. However, clinically, it is often confused whether is it a fatigue fracture because of implant induced stress concentration or a bisphosphonate-related atypical fract...

Introduction. To compare the biomechanical stability of the femur following the removal of proximal femoral nail antirotation (PFNA-II) and dynamic hip screw (DHS). Material and Methods. 56 paired cadaveric femurs were used as experimental and control groups. In the experimental group, PFNA-II and DHS were randomly inserted into femurs on both sides and then removed. Thereafter, compression loa...

INTRODUCTION Sliding hip screw fixation is well established in the treatment of trochanteric fractures of the hip. The X-Bolt Dynamic Hip Plating System builds on the successful design features of the sliding hip screw but differs in the nature of the fixation in the femoral head. A randomised pilot study suggested that the X-bolt Dynamic Hip Plating System might provide similar health-related ...

Introduction: Trochanteric fractures are among the most common injuries necessitating hospital admission. Regardless type of fracture, trochanteric can lead to substantial morbidity and mortality, especially in elderly patients. Surgery has been mainstay treatment for these allow early mobilization patient. Among surgical treatment, dynamic hip screw (DHS) as extramedullary power transmission s...

Abstract Aim To assess operative decision-making for patients with neck of femur fractures. Method 2-year retrospective analysis 150 in a single centre looking at outcomes focusing on complication rates and mortality. Results Mortality stood 6% 1 month 25% year compared to quoted literature (10% 30% year). Surgical varied between fracture pattern choice. Notably, the use cannulated screws displ...

DOI: 10.21276/sjams.2017.5.9.32 Abstract: Intertrochanteric fracture of femur is one of the most common fracture of the hip especially in elderly with osteoporotic bones, usually due to low energy trauma like simple falls. With rise in Osteoporosis and geriatric population the risk of getting intertrochanteric fracture is on rise. Rigid fixation with early mobilization of patients is the standa...