OBJECTIVE To investigate the mid- and long-term clinical results of trochanteric flip osteotomy for treating Pipkin type I and II femoral head fractures. METHODS We retrospectively reviewed twenty-three patients (aged 23-72 years with a mean of 44.1 years, including 15 male and 8 female patients) with femoral head fractures and posterior hip dislocation. The fracture was classified according ...

PURPOSE Complete visualization of certain acetabular fractures of posterior wall or column with cranial extension involving superior dome from standard surgical exposures is a challenge. Osteotomy of the greater trochanter has been used to enhance fracture visualization, especially the dome, in posterior and lateral exposures of the acetabulum. It also decreases the need for excessive muscle re...

BACKGROUND Many studies that analyzed bone mineral density (BMD) and skeletal factors of hip fractures were based on uncalibrated radiographs or dual-energy xray absorptiometry (DXA). QUESTIONS/PURPOSES Spatial accuracy in measuring BMD and morphologic features of the femur with DXA is limited. This study investigated differences in BMD and morphologic features of the femur between two types ...

Objective: To evaluate the functional outcomes of patient having Unstable Inter-trochanteric fracture with or not sub-trochanteric extension treated by long PFN without augmentation. Materials and Methods: In our institute, a prospective study 24 patients who underwent surgical intervention for inter-trochanteric fractures using alone along augmentation studied their mechanism injury, sex preva...

Healing of fractures is different for each bone and bone turnover markers may reflect the fracture healing process. The purpose of this study was to determine the characteristic changes in bone turnover markers during the fracture healing process. The subjects were consecutive patients with femoral neck or trochanteric fracture who underwent surgery and achieved bone union. There were a total o...

We used a trochanteric slide osteotomy (TSO) in 94 consecutive revision total hip arthroplasties (90 with replacement of both the cup and stem). This technique proved to be adequate for removing the components, with few complications (two minor fractures), and for implanting acetabular allografts (18%) and reinforcement devices (23%). Trochanteric union was obtained in most patients (96%), even...

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...

INTRODUCTION Modular femoral implants have become a regular feature of revision hip surgery. However, for a primary hip arthroplasty, such as a femoral neck fracture case, the implant of choice is a standard femoral component, while compelling literature evidence have made osteosynthesis the standard procedure for the vast majority of trochanteric fractures. CASE PRESENTATION We present the c...