Introduction: The occurrence rate of hip fractures due to osteoporosis is rapidly increasing, representing one of the most serious and urgent social problems. We focused on a computed tomography-based finite element method (CT/FEM) to quantify structural strength, thereby developing a nonlinear CT/FEM to achieve accurate assessment of strength of the proximal femur [1]. The aim of this study wa...

Introduction Traumatic dislocation of the hip with ipsilateral fracture neck femur is a rare injury because of the different mechanism of both these injuries. The management of such injuries is a challenge as the chances of nonunion and avascular necrosis of femoral head are very high with fixation methods. We report a case of obturator dislocation of the hip with ipsilateral fracture neck of t...

We describe a rare case with breakage of gamma nail accompanied by nonunion of the original fracture and a subsequent new fracture in the ipsilateral femur. A 73-year-old woman suffered a subtrochanteric fracture of the femur, and the fracture was fixed with gamma nail at a previous hospital. However, fracture reduction was not adequately achieved and a large gap remained between the fracture f...

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...

Posterior hip dislocation with greater trochanter fracture is an uncommon injury pattern in the acute trauma patient. Frequently associated includes a combination of posterior wall acetabulum, head femur fracture, intertrochanteric and even most severe type combined acetabular fracture. We report 42-year-old man post traumatic bilateral injuries irreducible isolated trochanteric successfully ma...

This study is to identify the characteristics of BMD and the related clinical consequences through a nationwide, consecutive, cross-sectional study. A total of 1,281 postmenopausal women was enrolled nationwide and underwent measurement for BMD using dual energy x-ray absorptiometry. Following the T-spine and L-spine plane radiography, they were evaluated for vertebral fracture by a semi-quanti...

Adequately shaped femoral plate is critical for the fixation of fracture in the pertrochanteric regions. Lateral aspect of greater trochanter is an important region where the proximal femoral plate anchored. However, little is known regarding the morphology of greater trochanter. The objective of this study was to measure main dimensions of greater trochanter and other regions in the proximal e...

Cover Picture: Radiograph at six months after internal fixation of the fracture. The Austin-Moore’s pins had crossed the epiphyseal line at the time of the operation. The fracture line is still visible but the Moore’s pins are still holding the fracture. The avascular necrosis involves the entire femoral head. (Refer to page 205-207) “In its beginning the malady (tuberculosis) is easier to cure...

We studied the morphology of the contralateral femur in 10 patients with subcapital fractures, 10 with trochanteric fractures and 10 with unilateral osteoarthritis. We found that the patients with trochanteric fractures had a significantly shorter femoral neck (4.5 +/- 0.5 cm) than patients with subcapital fractures or osteoarthritis (5.4 +/- 0.4 cm). It may be that this difference in femoral n...