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Full-Text Articles in Medicine and Health Sciences
Rigid Nail Fixation For Treatment Of Femur Fractures In Children Aged 6 To 12 Years: A Review, Brielle Payne Plost, David M. Bennett, Andrew W. Parsons, Matthew G. Wharton
Rigid Nail Fixation For Treatment Of Femur Fractures In Children Aged 6 To 12 Years: A Review, Brielle Payne Plost, David M. Bennett, Andrew W. Parsons, Matthew G. Wharton
UNM Orthopaedic Research Journal
Although femoral shaft fractures are common in children, treatment using rigid intramedullary nail fixation remains controversial owing to concerns of avascular necrosis (AVN) and disruption of growth of the proximal femur. We examined studies on AVN complications and proximal femur deformity after rigid nail fixation in children aged 6 to 12 years. Of the 13 studies included, nine had no incidents of AVN or clinically significant proximal femur deformity using a greater trochanter entry point. Four studies showed cases of AVN or proximal femoral deformity in patients treated with intramedullary nails through a starting point at or near the piriformis …
Comparison Of Techniques Used For Application Of Hip Spica Cast To Treat Femoral Shaft Fractures In Children: Long-Term Follow-Up, Selina R. Silva, Elizabeth A. Szalay, Charlotte E. Orr, Brielle Payne Plost, Geneva Tranchida
Comparison Of Techniques Used For Application Of Hip Spica Cast To Treat Femoral Shaft Fractures In Children: Long-Term Follow-Up, Selina R. Silva, Elizabeth A. Szalay, Charlotte E. Orr, Brielle Payne Plost, Geneva Tranchida
UNM Orthopaedic Research Journal
After treatment using hip spica casts, femoral shaft fractures in children can appear well reduced in the operating room. However, the resulting bone length may quickly angulate or shorten. We describe a technique that places a well-molded hip spica cast to help decrease the risk of revision procedures and malunited fractures. We compared results of patients aged 1 to 6 years treated by one pediatric orthopaedic surgeon using the casting technique described (Group A, n = 25) to those treated by other orthopaedic surgeons who did not use the technique (Group B, n = 46). Although not statistically significant, results …
Open Reduction And Internal Fixation For Treating Pertrochanteric Femoral Fracture Below A Hip-Resurfacing Implant In A 65-Year-Old Man: A Case Report, Alex Telis, Christopher R. Hanosh
Open Reduction And Internal Fixation For Treating Pertrochanteric Femoral Fracture Below A Hip-Resurfacing Implant In A 65-Year-Old Man: A Case Report, Alex Telis, Christopher R. Hanosh
UNM Orthopaedic Research Journal
Periprosthetic proximal and pertrochanteric femur fractures around a well fixed hip resurfacing implant present a challenge to orthopaedic surgeons, as they do not allow the most biomechanically favorable fixation constructs in patients with otherwise highdemand levels of physical activity. A 65-year-old man hit a tree while skiing. He presented to our emergency department with a right-sided pertrochanteric fracture of the proximal femur beneath an implant used in prior hip resurfacing. The patient underwent open reduction and internal fixation with intraoperative fluoroscopyassisted manipulation to ensure fixation of the hip resurfacing. At 6-week follow-up, a slight varus collapse at the fracture was …
Periprosthetic Fractures Of The Femur After Total Hip Arthroplasty And Hemiarthroplasty: A Review, Reilly R. Kuehn
Periprosthetic Fractures Of The Femur After Total Hip Arthroplasty And Hemiarthroplasty: A Review, Reilly R. Kuehn
UNM Orthopaedic Research Journal
Periprosthetic fractures of the femur after total hip arthroplasty (THA) and hemiarthroplasty represent relatively uncommon but challenging complications. The incidence of these types of fractures has been rising, owing to an increasing number of hip arthroplasties performed, aging population, and prevalent use of uncemented stems, which may have unsuccessful long-term results compared with use of cemented stems. Method of treatment has been generally based on the Vancouver classification system that describes radiographic characteristics of fractures and stability of the femoral stems in respect to placement in the bone. In particular, the presence of loose stems has often indicated the need …
Predicting Vancouver Types B1 And B2 Periprosthetic Fractures Of The Femur, David M. Bennett, Logan R. Koehler, David J. Margolis, Matthew J. Radelet, Zhenqiang Lu, Tony G. Pedri, Michael M. Decker, Michael D. Miller
Predicting Vancouver Types B1 And B2 Periprosthetic Fractures Of The Femur, David M. Bennett, Logan R. Koehler, David J. Margolis, Matthew J. Radelet, Zhenqiang Lu, Tony G. Pedri, Michael M. Decker, Michael D. Miller
UNM Orthopaedic Research Journal
Background: Periprosthetic fractures of the femur after primary total hip arthroplasty (THA) can be complex and difficult injuries to treat. Because of the increased prevalence of THA, an overall increase is anticipated in the incidence of this complication. Vancouver types B1 and B2 periprosthetic femur fractures (defined as fractures around or just below the stem, with well-fixed and loose femoral stems, respectively) are particularly challenging to accurately classify and thereby treat owing to the difficulty in interpreting stability of stems on initial radiographs. To determine whether the method of stem fixation (ie, cement or press fit) may be a predictor …