OBJECTIVE To compare the fixation stability in the femoral head with sliding hip screw versus helical blade designs for unstable, intertrochanteric hip fractures. METHODS A simulated, unstable intertrochanteric hip fracture was created in six pairs of cadaveric femurs. One of each pair was treated using an intramedullary nail with a sliding hip screw (ITST) for femoral head fixation and the o...

This prospective multicentre study was undertaken to determine whether the timing of the post-operative administration of bisphosphonate affects fracture healing and the rate of complication following an intertrochanteric fracture. Between August 2008 and December 2009, 90 patients with an intertrochanteric fracture who underwent internal fixation were randomised to three groups according to th...

The objective of this study was to evaluate the torsion stiffness of locked and unlocked distal fixation of long cephalomedullary nail constructs, in both a fresh fracture and healed, stable intertrochanteric fracture model. Samples were tested in both internal and external rotation (0±3 Nm) for a duration of 10 cycles. Each femur was tested without instrumentation (intact femur), with instrume...

Even if the intertrochanteric fracture under an arthrodesis hip is rare and the optimal surgical treatment is controversial, we consider that treating this kind of fracture with a locked plate was a success.

Background: Both intramedullary nails and sliding hip screws are used with good results in the treatment of intertrochanteric and subtrochanteric fractures. The aim of our study was to assess whether use of the TRIGEN INTERTAN nail, as compared with a sliding hip screw, resulted in less postoperative pain, improved functional mobility, and reduced surgical complication rates for patients with a...

Background: Intertrochanteric Femur fracture is common in elderly patient with co-morbidity Aims & Objectives: Clinico-radiological evaluation of results of Ender’s nail and cannulated cancellous screw fixation in case of intertrochanteric fracture of femur in elderly patient with preexisting comorbid condition, and functional recovery in those patients. Results: The patients mainly belong to e...

PURPOSE To investigate the potential correlation between two different types of hip fractures and serum calcium levels. METHODS We consecutively studied 101 cases of femoral neck fracture and 95 cases of femoral inter- trochanteric fracture between January 2011 and December 2013. Fasting blood samples were taken and serum calcium measurements were performed respectively in three periods: the ...

The aim of this study is to compare the effects of proximal femoral nail antirotation (PFNA) and dynamic hip screw (DHS) in the treatment of intertrochanteric fractures in order to investigate the significance of internal fixation in the treatment of intertrochanteric fractures in the elderly. One hundred and eight patients admitted with intertrochanteric fractures and treated with PFNA and DHS...

BACKGROUND The standard radiographic series for evaluation of a suspected hip fracture in most centers includes an anteroposterior (AP) radiograph of the pelvis, as well AP and cross-table lateral views of the hip. The natural femoral neck anteversion, as well as the fracture deformity, however, may make accurate fracture classification difficult. We have noted that inexperienced physicians som...

Hip arthroplasty after open reduction and internal fixation of the proximal femur presents a challenge to reconstructive surgeons. Bony defects, fracture malunion, and non-union increase the risk of complications, including intraoperative fracture, unrecognized perforation, and trochanteric non-union. The authors describe a novel surgical technique using conversion hemiarthroplasty and valgus o...