Hip fractures are the most costly of osteoporotic fractures, but little is known about their epidemiology in the Middle East. Hip fracture patients and controls with osteoarthritis admitted to our institution from 1992 to 2002 were studied. Information on gender, age, type of fracture, comorbid conditions, and medications use was obtained. The mean age for hip fracture patients (n = 274) was 72...

OBJECTIVES To establish the primary determinants of operative radiation use during fixation of proximal femur fractures. DESIGN Retrospective cohort study. SETTING Level I trauma centre. COHORT 205 patients treated surgically for subtrochanteric and intertrochanteric femoral fractures. MAIN OUTCOME MEASURES Fluoroscopy time, dose-area-product (DAP). RESULTS Longer fluoroscopy time was...

Bacground/Aim. Intertrochanteric fractures of the femur are the third most common fractures among all bone fractures. Today in everyday orthopedic practice a number of different methods of treatment of trochanteric fractures of the femur are applied. Despite the improvement in the development of new implants, the percentage of serious complications of the treatment of these fractures remains ve...

BACKGROUND Hip fractures are one of the causes of disability amongst elderly patients. External fixator and skeletal traction are two modes of treatment. OBJECTIVES The aim of this study is to compare two different treatment modes for intertrochanteric fractures in elderly patients. PATIENTS AND METHODS Sixty elderly patients with intertrochanteric fractures were randomized for treatment wi...

Choice of surgical approach in patients under clopidogrel treatment is controversial. Intertrochanteric fractures are common in the elderly, who also suffer from a number of comorbidities.The aim of this study is to assess the prognosis of elderly patients with clopidogrel treatment after surgery for intertrochanteric fracture.This was a cohort study of 238 elderly patients who underwent proxim...

PURPOSE This study was designed to investigate the effect of bisphosphonate administration starting time on bone healing and to identify the best administration time following surgical treatment of osteoporotic intertrochanteric fractures. MATERIALS AND METHODS Two hundreds and eighty four patients (284 hips; 52 males, 232 females) who underwent surgery following osteoporotic intertrochanteri...

BACKGROUND The treatment of unstable intertrochanteric fracture in the elderly patient is still controversial. Traditionally, internal fixation using a dynamic hip screw was of choice. Recently, some authors advocated the use of cemented bipolar arthroplasty or hemiarthroplasty which results in better functional outcome. AIM The aim of this study is to find out which of these treatment option...

Background: The aim of this article is to introduce a novel technique of limited dynamic hip screw (LDHS) in the treatment of intertrochanteric fractures and to evaluate its biomechanical effects. Material/Methods: Based on the principle of providing both dynamic and static pressure to stabilize the fracture, we improved the dynamic hip screw (DHS) and designed the LDHS. Six fresh cadavers were...

BACKGROUND Despite the prominence of hip fractures in orthopedic trauma, the assessment of fracture healing using radiographs remains subjective. The variability in the assessment of fracture healing has important implications for both clinical research and patient care. With little existing literature regarding reliable consensus on hip fracture healing, this study was conducted to determine i...

BACKGROUND This paper introduces a percutaneous reduction technique using one or two Steinman pin(s) to reduce sagittally unstable intertrochanteric fractures. METHODS A fracture was defined as a sagittally unstable intertrochanteric fracture when posterior sagging of a distal fragment and flexion of the proximal fragment worsens after usual maneuvers for a closed reduction. Of 119 intertroch...