Failures in the treatment of fractures of the femoral neck are caused by several factors. Some of these, such as avascular necrosis of the femoral head, cannot be avoided. Other factors, such as inaccurate reduction or imperfect fixation, can be partly controlled. The possibility has long been considered that the nail itself and the disturbance caused by its introduction might damage the blood ...

Impingement by prominence at the femoral head-neck junction on the anterior acetabular rim may cause early osteoarthritis. Our aim was to develop a simple method to describe concavity at this junction, and then to test it by its ability to distinguish quantitatively a group of patients with clinical evidence of impingement from asymptomatic individuals who had normal hips on examination. MR sca...

We quantified differences in trabecular volumetric bone mineral density (BMD) of the femoral head between patients with proximal femoral fractures and healthy subjects in the control group by using quantitative computed tomography (QCT) with the purpose of providing guidance for the choice of head screw in the intramedullary nail fixation. Participants suffering from intertrochanteric fractures...

Garden type I fractures include incomplete fractures and impacted fractures. With advances in scientific technology and medical treatment, certain deficiencies of the Garden classification have become apparent. The authors hypothesized that the incidence of incomplete femoral neck fractures was low and that impacted femoral neck fractures were not undisplaced and stable fractures. A new method ...

A Salter innominate osteotomy is used to treat acetabular dysplasia, but reports of its effects on the position of the femoral head are few and conflicting. Lateral shift would increase the resultant forces acting on the joint and be detrimental. We studied 15 Salter innominate osteotomies and demonstrated that a correctly performed osteotomy does not significantly alter the distance from the c...

The Pavlik harness was used in the treatment of complete congenital dislocation of one or both hips in a series of infants, on either an outpatient or an inpatient basis. The results in the two groups were compared. For the children treated as outpatients the incidence of avascular necrosis of the femoral head was 7.2 per cent and for the group treated as inpatients the rate was 28 per cent. Ap...

In spite of extensive accounts describing the blood supply to the femoral head, the prediction of avascular necrosis is elusive. Current opinion emphasises the contributions of the superior retinacular artery but may not explain the clinical outcome in many situations, including intramedullary nailing of the femur and resurfacing of the hip. We considered that significant additional contributio...

The distribution of hyaline cartilage in the sagittal plane of the normal human femoral head was examined. 28 specimens from persons aged 10 to 68 years subject to post-mortem examination in a teaching hospital were anatomically orientated and x-rayed in a lateromedial projection. An optical technique was used to measure the cartilage thickness from the x-ray films thus produced. Measurements w...

Avascular necrosis (AVN) of the femoral head is a disease that affects younger patients (age range usually from 15 to 50 years), and which leads to debilitating arthritis often requiring total hip arthroplasty (THA) for disabling pain. However, neuromuscular diseases, such as, cerebral palsy and poliomyelitis, are a concern in patients with THA, because dislocation frequently occurs after surge...

In vivo linear penetration in total hip arthroplasty (THA) exhibits similar values for 28mm and 32mm femoral head diameter with considerable variations between and within the studies. It indicates factors other than femoral head diameter influence polyethylene wear. This study is intended to test the effect of patient׳s individual geometry of musculoskeletal system, acetabular cup orientation, ...