scholarly journals AB215. SOH21AS265. Hip length preservation with open reduction and fixation with a novel fixed angle device for displaced neck of femur fractures in young adults

2021 ◽  
Vol 5 ◽  
pp. AB215-AB215
Author(s):  
Sean Timothy O’Sullivan ◽  
Annis Maatough ◽  
May Cleary ◽  
Fiachra Rowan
Keyword(s):  
Young Adults ◽  
Open Reduction ◽  
Neck Of Femur ◽  
Fixed Angle ◽  
Femur Fractures ◽  
Fixed Angle Device

scholarly journals Neglected Neck of Femur Fracture Managed by Surgical Hip Dislocation: A Case Report and Literature Review

2021 ◽  
Vol 11 (5) ◽  
Author(s):  
Mohammed S Alshehri ◽  
Mohammed A Alzahrani ◽  
Abdullah A Ghaddaf ◽  
Mohammed S Alomari
Keyword(s):  
Young Adults ◽  
Case Report ◽  
Femoral Neck ◽  
Internal Fixation ◽  
Open Reduction ◽  
Military Training ◽  
Hip Dislocation ◽  
Surgical Hip Dislocation ◽  
Neck Of Femur ◽  
Neck Fracture

Introduction: Femoral neck fractures (FNFs) in young adults are relatively uncommon emergency that requires early diagnosis and management possible to prevents joint complications. Case Report: A 24-year-old male presented with a right hip pain for 3 months after a heavy physical exercise during military training. The imaging exhibited a transcervical FNF with displacement and a potential of avascular necrosis (AVN). The patient was managed by Open reduction and internal fixation through surgical hip dislocation (SHD) and bone grafting from the right iliac bone. The patient returned to his full military services 14 weeks following the surgery and was followed for 3 years without any symptomatic or functional problems. Conclusion: SHD could be one of the surgical options hired in the management of late presentations of FNFs in young adults with high suspicion of AVN. Keywords: Femoral neck fracture, open reduction and internal fixation, surgical hip dislocation.

Results of fixed-angle device fixation (dynamic hip screw) in femoral neck fractures in young adults

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Fady Kamal Beder ◽  
Ahmed Goda El-Hamalawy ◽  
Khaled F.M. Abdel-Kader ◽  
Mohamed A. Abdelmoneim
Keyword(s):  
Young Adults ◽  
Femoral Neck ◽  
Femoral Neck Fractures ◽  
Dynamic Hip Screw ◽  
Fixed Angle ◽  
Hip Screw ◽  
Fixed Angle Device

scholarly journals Correction to: Hemiarthroplasty for neck of femur fractures: to cement or not? A systematic review of literature and meta-analysis

2019 ◽  
Vol 29 (8) ◽  
pp. 1835-1836
Author(s):  
Prasoon Kumar ◽  
Rajesh Kumar Rajnish ◽  
Deepak Neradi ◽  
Vishal Kumar ◽  
Saurabh Agarwal ◽  
...  
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Review Of Literature ◽  
Neck Of Femur ◽  
Femur Fractures

scholarly journals Can Adding BMP2 Improve Outcomes in Patients Undergoing the SUPERhip Procedure?

Children ◽  
2021 ◽  
Vol 8 (6) ◽  
pp. 495
Author(s):  
Dror Paley ◽  
Claire E. Shannon ◽  
Monica Nogueira ◽  
Catharina Chiari ◽  
Matthew Harris
Keyword(s):  
Femoral Neck ◽  
Internal Fixation ◽  
Varus Deformity ◽  
Drill Hole ◽  
Late Complications ◽  
Coxa Vara ◽  
Fixed Angle ◽  
Extremity Reconstruction ◽  
Delayed Ossification ◽  
Fixed Angle Device

Congenital femoral deficiency (CFD) Paley type 1b is characterized by severe bony deformity of the upper femur, extra-articular contractures of the hip, and, delayed ossification of the femoral neck and/or subtrochanteric region. The Systematic Utilitarian Procedure for Extremity Reconstruction of the hip (SUPERhip) procedure for the correction of CFD deformities was developed in 1997. Initially, a non-fixed angle device (rush rod) was used for fixation. Late complications of persistent delayed ossification and recurrent varus deformity occurred. In order to reduce and treat such complications, fixation with a fixed angle device and the off-label use of BMP2 to induce ossification of the un-ossified femoral neck were employed. The purpose of this study is to determine if the use of a fixed angle device, and, BMP2 inserted into a drill hole in the cartilage of the femoral neck, decreases the incidence of these late complications. We retrospectively reviewed 72 SUPERhip procedures performed for Paley type 1b CFD between 1997 and 2012. Due to recurrent varus or persistent delayed ossification of the femoral neck, 34 revision SUPERhip procedures were performed. In total, 106 SUPERhip procedures were studied. Sixty-eight SUPERhips were performed using internal fixation without BMP2, while 38 SUPERhips were performed with both internal fixation and the addition of BMP2. Forty-one were performed using non-fixed angle internal fixation while 65 had fixed angle internal fixation. Fixed angle devices significantly reduced the incidence of recurrent varus compared with non-fixed angle devices. Inserting BMP2 in the femoral neck significantly reduced the incidence of persistent delayed ossification. Using only a fixed angle device but no BMP2 did not reduce the incidence of delayed ossification. The combination of both a fixed angle device and BMP2 reduced the incidence of recurrent coxa vara and persistent delayed ossification of the femoral neck. The SUPERhip procedure corrects the pathoanatomy of the proximal femur in CFD Paley type 1b but is associated with a very high risk of recurrence of coxa vara and persistence of femoral neck delayed ossification, unless, a fixed angle internal fixation device is used to prevent recurrent coxa vara and BMP2 is used to induce ossification of the femoral neck.

scholarly journals Impact of COVID-19 pandemic on hip fractures: the central London experience COVID-related urgent geriatric hip trauma (COUGH) study COVERT ( COVid Emergency-Related Trauma and orthopaedics) collaborative

2021 ◽  
Author(s):  
Chang Park ◽  
Kapil Sugand ◽  
Arash Aframian ◽  
Catrin Morgan ◽  
Nadia Pakroo ◽  
...  
Keyword(s):  
Best Practice ◽  
Neck Of Femur ◽  
Health Crisis ◽  
Femur Fractures ◽  
Time Period ◽  
Vulnerable Patients ◽  
Significant Difference ◽  
Usual Residence ◽  
Hip Trauma ◽  
The Impact

Abstract Introduction COVID-19 has been recognized as the unprecedented global health crisis in modern times. The purpose of this study was to assess the impact of COVID-19 on treatment of neck of femur fractures (NOFF) against the current guidelines and meeting best practice key performance indicators (KPIs) according to the National Hip Fracture Database (NHFD) in two large central London hospitals. Materials and methods A multi-center, longitudinal, retrospective, observational study of NOFF patients was performed for the first ‘golden’ month following the lockdown measures introduced in mid-March 2020. This was compared to the same time period in 2019. Results A total of 78 cases were observed. NOFFs accounted for 11% more of all acute referrals during the COVID era. There were fewer overall breaches in KPIs in time to theatre in 2020 and also for those awaiting an orthogeriatric review. Time to discharge from the trust during the pandemic was improved by 54% (p < 0.00001) but patients were 51% less likely to return to their usual residence (p = 0.007). The odds ratio was significantly higher for consultant surgeon-led operations and consultant orthogeriatric-led review in the post-COVID era. There was no significant difference in using aerosol-generating anaesthetic procedures or immortality rates between both years. Conclusion The impact of COVID-19 pandemic has not adversely affected the KPIs for the treatment of NOFF patients with significant improvement in numerous care domains. These findings may represent the efforts to ensure that these vulnerable patients are treated promptly to minimize their risks from the coronavirus.

scholarly journals Management of Simultaneous Bilateral Neck of Femur Fractures in an Elderly Patient

2013 ◽  
Vol 4 (3) ◽  
pp. 71-73 ◽  
Author(s):  
Niall P. McGoldrick ◽  
Michael K. Dodds ◽  
Connor Green ◽  
Keith Synnott
Keyword(s):  
Elderly Patient ◽  
Neck Of Femur ◽  
Femur Fractures

scholarly journals Analysis of total hip arthroplasty for displaced intracapsular neck of femur fractures in a tertiary referral trauma centre

Injury Extra ◽  
2012 ◽  
Vol 43 (10) ◽  
pp. 105
Author(s):  
Z. Gamie ◽  
J. Neale ◽  
D. Shields ◽  
J. Claydon ◽  
S. Hazarika ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Trauma Centre ◽  
Tertiary Referral ◽  
Neck Of Femur ◽  
Total Hip ◽  
Femur Fractures

scholarly journals Impaired cognitive function and its effect on the management of pain in neck of femur fractures

2014 ◽  
Vol 12 ◽  
pp. S63-S64
Author(s):  
Dilan Pathmajothy ◽  
James Bowyer ◽  
Thomas Knapper ◽  
David Clarke
Keyword(s):  
Cognitive Function ◽  
Neck Of Femur ◽  
Impaired Cognitive Function ◽  
Femur Fractures
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