RATIONALE Pipkin III fracture, which is characterized by high risk of avascular necrosis of the femoral head, is extremely rare. It is more difficult to treat and has a worse prognosis when accompanied with severe acetabular fractures. Few studies show that both Pipkin type III femoral head fracture-dislocation and complicated acetabular fracture presented in one patient. PATIENT CONCERNS A 3...

treated for carcinoma of the anal canal with a combination of chemotherapy, radiotherapy and surgery. Three years later he presented with a 5-month history of severe left hip pain and a 2-month history of severe right hip pain. He required the assistance of a cane for walking. Clinical concerns included fracture and metastatic disease. A plain film of the pelvis showed diffuse osteopenia. A tec...

The growing number of femoral neck fractures will have a large impact on health economics of developed countries in the coming decades. Great numbers of patients are already hospitalised yearly due to femoral neck fractures. These numbers are expected to augment importantly in the future years as the life expectancy and osteoporosis incidence increase in the ageing population. In the past, cons...

OBJECTIVE To evaluate the personal, fracture, treatment and complication characteristics among patients with pediatric femoral shaft fractures attended at the pediatric orthopedic service of the Joana de Gusmão Children's Hospital. METHODS This was a retrospective cross-sectional study on a population consisting of patients with femoral shaft fractures, aged between birth and 14 years and 11 ...

Summary A case of simultaneous bilateral scapula fractures and a femoral neck fracture of the right hip suffered during hypocalcemic convulsions in a 19-year-old male is presented. The medical history, the treatment, and his latest follow-up are reported. The treatment approaches of such fractures in renal osteodystrophy patients are discussed. Case report A case of simultaneous bilateral scapu...

Plain radiographs show only two dimensions of a three-dimensional object. On anteroposterior and lateral radiographs an implant may appear to be safely within the head of the femur although surface penetration has occurred. We have attempted to identify this complication in the treatment of fractures of the femoral neck and have analysed the position of a screw or pin in the femoral head and ne...

Background: Femoral neck fracture causes disability if not treated properly and high-energy fractures usually have increased complication rates. Does closed reduction and internal fixation of femoral neck high energy fractures have increased complication rates? Methods: We used closed reduction and internal fixation using 3 cannulated cancellous screws. There were 67 patients (39 male, 28 femal...

The treatment of basicervical femoral fractures remains controversial. The aim of this study was to examine the efficacy of intramedullary nail use in the surgical treatment of basicervical fractures. In total, 28 patients with basicervical fractures treated with proximal femoral nails were examined retrospectively. Fracture healing was observed in all patients, who were followed at least for 6...

OBJECTIVE To study the mortality and morbidity associated with proximal femoral fractures with reference to fracture type (intracapsular and extracapsular). DESIGN Consecutive prospective study with 12 month follow ups. SETTING Two British trauma receiving centres. PATIENTS 1000 consecutive acute proximal femoral fractures (fractured necks of femur) in 972 patients. RESULTS Significantl...

OBJECTIVE To evaluate the indications, epidemiology, associated lesions, complications and prognosis among children with unstable femoral diaphysis fractures who were treated with titanium elastic intramedullary nails. METHOD This was a retrospective analysis on 24 patients aged 5-12 years with unstable femoral diaphysis fractures who underwent surgical treatment with elastic titanium intrame...