OWL: Orthopedic Topics/Trauma/Femur

Avoiding Missed Femoral Neck Fractures

Tournetta et al — 2005-09-05 23:19:51 GMT

OTA paper 2004: Improvement by Using a Standard Protocol in Cases of Femoral Shaft Fractures:
The purpose of this study was to describe a program of quality improvement and a subsequent protocol that have resulted in a reduction of missed femoral neck fractures in patients with femoral shaft fractures

Comprehensive Classification of Fractures of Long Bones

Not Available — 2002-01-31 23:19:51 GMT

AONA posting of the AO Classification of Long Bone Fractures

1999 Results Of Treatment Of 111 Patients With Nonunion Of Femoral Shaft Fractures

Bereddjiklian et al — 2006-04-10 23:19:51 GMT

P. K. Beredjiklian, M.D., R. J. Naranja, M.D., R. B. Heppenstall, M.D., C. T. Brighton, M.D., Ph.D., and J. L. Esterhai, M.D.
Abstract: The purpose of this study is to report our experience with the treatment of femoral shaft fracture nonunion and to define poor prognostic indicators in the treatment of this complication. The records and available radiographs of 111 patients treated for nonunion of the femoral shaft in our institution were retrospectively reviewed. The mean duration of follow-up after establishment of nonunion was 62 months. The following factors were found to have an adverse effect on nonunion healing (p < 0.05): (1) advanced patient age; (2) presence of osteomyelitis; (3) presence of synovial pseudarthrosis; (4) duration of nonunion; (5) treatment with flexible intramedullary devices; (6) treatment with compression plating; (7) poor bone stock; (8) malalignment in the anteroposterior plane of more than 10 degrees; and (9) malalignment in the lateral plane of more than 20 degrees. (Full Text article)

A Critical Analysis of the Eccentric Starting Point for Trochanteric Intramedullary Femoral Nailing

Ostrum et al — 2005-09-05 23:19:51 GMT

OTA Poster 2004
The purpose of this study was to look at specific trochanteric entry sites to examine whether there is a "perfect" universal starting point. In addition, we examined the insertion angle, the trochanteric angle, the proximal bend, and the radius of curvature of four commonly used implants. Three different starting points were employed.

A New Biological Method Of Internal Fixation Of The Femur

Milorad Mitkovic — 2006-04-13 23:19:51 GMT

Mitkovic 2001 Facta Universitatis Vol. 8, No 1, 2001 pp. 50 - 53 Abstract -> Full Text
New internal fixator that provides fixation while application can be performed by minimally invasive method with no contact between the implant and bone fragment in fracture area. The device is selfdynamisible.

A Prospective Comparison of Antegrade and Retrograde Femoral Intramedullary Nailing

Ostrum et al — 2005-09-04 23:19:51 GMT

OTA Paper 1998 Robert F. Ostrum, MD; Animesh Agarwal, MD; Ronald Lakatos, MD; Attila Poka, MD
The purpose of this study was to prospectively and critically examine a consecutive series of femur fractures treated with either antegrade or retrograde intramedullary nailing.

A Prospective Evaluation of Hip Abductor Function after Femur Fracture and Antegrade Nailing

Archdeacon et al — 2005-09-05 23:19:51 GMT

OTA Paper 2004 Archdeacon et al
The purpose of this study was to prospectively analyze hip abductor function at two discrete time points after a femur fracture treated with intramedullary nailing.

A Prospective RCT Comparing Reamed versus Unreamed Intramedullary Nailing of Femoral Shaft Fractures

DeGroote et al — 2005-09-04 23:19:51 GMT

OTA paper 1998 Randomized Clinical Trial: The objective of this clinical trial was to determine if the type of intramedullary nail fixation (IMN) in acute femoral shaft fractures affects pulmonary function.

Accelerated Bone Healing in Patients with Femoral Fracture and Head Injury

Mushtaq et al — 2005-09-05 23:19:51 GMT

OTA paper 2004: We investigated whether the presence of head injury is associated with accelerated bone healing in patients with femoral shaft fractures.

Anterograde vs Retrograde Femoral Nailing

Tournetta et al — 2005-09-05 23:19:51 GMT

OTA paper 2004: A Prospective Randomized Evaluation: Purpose: We compared anterograde with retrograde nailing of isolated femoral shaft fractures.
Conclusions: Anterograde and retrograde nailing are both acceptable treatments for femoral shaft fractures.

Comminuted Lower-Extremity Fractures Secondary to Trauma

Not Available — 2005-09-04 23:19:51 GMT

Reports from Medscape Orthopaedics and Sports Medicine 1999
Ipsilateral femoral neck and shaft fractures
Fracture Healing in Tibia Fractures With an Associated Vascular Injury
The Treatment of Lisfranc Injuries
Open Fractures of the Patella: Long-term Functional Outcome

Controversies with Fracture Management

C.W. Oliver — 2005-09-04 23:19:51 GMT

Medscape Conference Coverage from American Academy of Orthopaedic Surgeons Annual Meeting Day 4 - Saturday, March 18. Overview of the controveries of intramedullary nailing in femoral shaft fractures and severe open tibial fractures.

Conversion of External Fixation to Intramedullary Nailing for Femoral Shaft Fractures in Polytrauma

Nowotarski et al — 2005-09-04 23:19:51 GMT

OTA Paper 1998:
Purpose: To evaluate the safety and efficacy of this two-stage treatment, we retrospectively reviewed the records of 63 polytrauma patients with 69 femoral fractures treated with conversion of external fixation to IM nailing from 1989 to 1997 at our institution.

Damage Control in Femoral Shaft Fractures

Pape et al — 2005-09-05 23:19:51 GMT

OTA Paper 2004: Risk of Local Infection?
We aimed to determine the rate of wound infection after use of DCO procedures and primary IMN for femoral fracture stabilization in severely injured patients.
Conclusion: The results of this study demonstrate that infection rates after DCO for femoral fractures are not significantly different than those observed after primary IMN.

Distal Femoral Physeal Fractures Wheeless

C.R.Wheeless — 2002-02-04 23:19:51 GMT

- account for approx 5% of all physeal fractures;
- displacement in sagittal plane is assoc with Neuro/Vascular injury in popliteal fossa and instability on closed reduction;
- common mechanism is hyperextension causing anterior displacement of epiphysis;
- displacement in coronal plane is not assoc with other injuries, & joint may be stable after closed reduction.
Wheeless' Textbook of Orthopaedics