Constellation of ipsilateral posterior hip dislocation, intertrochantericand proximal tibial fracture with popliteal artery injury is rare. Management of this presentation is challenging. A motor vehicle accident victim presented with these injuries, but without any initial signs of vascular compromise. Popliteal artery injury was diagnosed intra-operatively and repaired. This was followed by e...

We describe a case in which a woman with a history of gastric bypass surgery and malabsorption syndrome sustained an intertrochanteric fracture after a fall from standing. The patient underwent surgical fixation two weeks after the injury. The radiologic appearance and pathophysiology of this event are discussed.

A case of arterial rupture of the profunda femoris arterial branches, following dynamic hip screw (DHS) fixation for an intertrochanteric femoral fracture, is presented. Bleeding is controlled by coil embolization, but, later on, the patient underwent orthopedic material removal due to an infection of a large femoral hematoma.

OBJECTIVE PATIENTs with secondary hyperparathyroidism caused by chronic kidney disease (CKD) develop secondary osteoporosis, which increases fracture risk. We report a case of insufficiency fractures complicated by secondary osteoporosis caused by chronic renal failure and gastrectomy. PATIENT A 78-year-old man with a medical history of nephrotic syndrome and gastric cancer experienced an occ...

BACKGROUND Lag screw position is very important in the treatment of intertrochanteric femoral fracture to prevent complications such as screw cut-out. Current studies recommend central or inferior placement of the lag screw on the anteroposterior radiograph, and central placement on the lateral radiographs. These reports are based on radiographic evaluation, but few studies have investigated th...

In osteoporotic hip fractures, fracture collapse is deliberately allowed by commonly used implants to improve dynamic contact and healing. The muscle lever arm is, however, compromised by shortening. We evaluated a cohort of 361 patients with AO/OTA 31.A1 or 31.A2 intertrochanteric fracture treated by the dynamic hip screw (DHS) who had a minimal follow-up of 3 months and an average follow-up o...

OBJECTIVES Evaluation of patients with a second hip fracture, which means a fracture of the contralateral hip. DESIGN Retrospective database analysis. SETTINGS Academic teaching hospital. PATIENTS All patients who were admitted for their second hip fractures between November 1999 and September 2001 and had their first hip fracture treated in our institution. INTERVENTION In this study, ...

BACKGROUND Sliding hip screws (SHSs) and intramedullary (IM) nails are well-documented implants for simple two-part intertrochanteric fractures; however, there is no consensus regarding which type of implant is better. QUESTIONS/PURPOSES We asked whether patients with simple two-part intertrochanteric fractures treated with IM nailing had (1) a lower reoperation rate and (2) less pain and bet...

Introduction: Peritrochanteric fractures comprise of fractures of trochanter, subtrochanteric region and basi-cervical fractures and are the commonest fractures encountered. Patients with unstable intertrochanteric fractures need immediate mobilization to avoid serious complications. Material and Methods: 43 patients with unstable intertrochanteric fractures were randomized and operated using t...

BACKGROUND Proximal femoral geometry may be a risk factor of osteoporotic hip fractures. However, there existed great differences among studies depending on race, sex and age of subjects. The purpose of the present study is to analyze proximal femoral geometry and bone mineral density (BMD) in the osteoporotic hip fracture patients. Furthermore, we investigated proximal femoral geometric parame...