The patient was a 25yearold man who was currently enrolled in a military basictraining program. Paru dans le numero n164 mai 2007 article consulte 4022 fois. Pdf musculoskeletal disorders and treatment diaphyseal. Diaphyseal femur fractures associated with bisphosphonate. It is a fracture of femoral diaphysis occurring between 5cm distal to lesser trochanter and 5cm proximal to adductor tubercle. The incidence of subtrochanteric femoral fractures has increased significantly during recent decades, and this tendency will probably continue in the near future owing to the considerable increase in the life expectancy leading to an increasing geriatric population. Diagnosis of proximal femoral insufficiency fractures in.
Based on the outcomes being investigated, a randomized trial is not necessary or possible. The pediatric orthopedic surgeon will assess your child in order to determine the optimal treatment method. Maitrise orthopedique articles fracture femorale sur. Treatment of trochanteric and subtrochanteric hip fractures. Coronal fractures of the articular surface of distal humerus. The dysesthetic pain can vary from a burning sensation to sharp pain in the distal femoral nerve or more often in the sapheneous nerve territory. Fracture of the lateral femoral condyle journal of. Over a 10year period, 417 patients underwent imn of a diaphyseal femur fracture otaao 32ac. Wittig and nirmal tejwani pseudopathologic fracture of the neck of the femur.
Usually occur in young men after high energy trauma and elderly women even after a low energy fall. Original article is proximal femoral nail antirotation. The management of paediatric diaphyseal femoral fractures. Coronal and axial t1weighted spinecho sequences trte, 80015 and t2weighted fast spinspinecho 4,00054 with fat suppression are performed in all studies. To compare the functional and radiological results of diaphyseal femur fractures in children between the use of esin elastic stable intramedullary nail versus lcp locking compression plates. As per the law relating to information storage and personal integrity, you have the right to oppose art 26 of that law, access art 34 of that law and rectify art 36 of that law your personal data. Ppt fracture of shaft of femur powerpoint presentation. All potential risks will be explained and discussed with you when the consultant asks you to sign the consent. Acknowledgements the first part of this thesis is based on the intertan study, initiated late 2006 and started february 2008. Elevation of the femur in tha through a direct anterior. Femoral anteversion is an inward twisting of the thigh bone, also known as the femur the bone that is located between the hip and the knee. Surgical management of fracture of distal end of femur in. A retrospective study of 100 cases of fracture shaft femur.
Listing a study does not mean it has been evaluated by the u. Intramedullary nailing intramedullary nailing imn is the goldstandard in treating patients with femoral shaft fractures figs 1 and 2. This will include the effect of education, work status, smoking, technique of nailing, alignment, motion. Download fulltext pdf epidemiology of diaphyseal femoral fracture article pdf available in acta orthopaedica scandinavica 575. Distal femoral stress fracture in military basic trainees. The role of nerve exploration in supracondylar humerus. Pseudopathologic fracture of the neck of the femur. Osteosynthese dalignement et montage combine chez le chien. Retrograde nailing for distal femur fractures in the elderly. Fractures du femur et traumatismes du genou medicine key. Open reduction and internal fixation was a poor prognostic factor of nonunion in these fractures. Functional outcome in our series at the latest follow up rom 110 is noted in 10.
Common classification systems are introduced with regard to their clinical feasibility and relevance. Mri findings of femoral diaphyseal stress injuries in athletes. Numerous studies have attempted to define the bony architecture of the proximal femur in terms of human function 6, 8, 24. Diaphyseal femoral intramedullary nailing 17 international journal of scienti. Femoral shaft fractures in emergency medicine differential. Case report open access management of a femoral diaphyseal fracture in a patient with klippeltrenaunayweber syndrome. Patients with osteosarcoma of the distal femur have traditionally been treated with a high aboveknee amputation or hip disarticulation. Femoral and tibial diaphyseal crosssectional geometry in pleistocene homo abstract reassessment of pleistocene homo femoral and tibial diaphyseal crosssectional properties indicates that there was a variably significant decrease in relative cortical area through the pleistocene, especially in. The pdf of the article you requested follows this cover page. According to wolfs law, the anatomical form corresponds to mechanical stress patterns realised within the bone. Morphological analysis of the proximal femur using. The effect of other variables will be evaluated by a regression analysis. Is 2 cm2 the correct threshold size to dictate articular. Humeral shaft pseudoarthrosis treated with bone autograft.
A special focus is put on osteoporosis and its implications for treatment. Study comparing the advantages of proximal femoral nail over. Org volume 89a number 1 january 2007 exchange nailing of ununited fractures turns to normal or supranormal levels within days after medullary reaming16,2022. Distal femoral resection with endoprosthetic reconstruction. Babst department of trauma surgery, cantonal hospital lucerne, lucerne, switzerland summary this paper describes current treatment strategies of distal femoral fractures as well as their evidence based rationale. Femur treated by closed intramedullary nailing shafique ahmad, shoaib ahmad, abbas bajwa, pervaiz iqbal, sohail y ousaf department of orthopaedic surgery, shaikh zayed medical complex, lahore summary a retrospective study was pe,formed to evaluate longterm functional and radiological. For intramedullary fixation of proximal femoral fractures. Reduction techniques for diaphyseal femur fractures.
The management of isolated femoral neck fractures in the young is geared towards head preservation and has the well. American college of emergency physicians, american college of sports medicine, california medical association. However, with the discovery of skeletal radiology near the end of the 19th century came an understanding of the forces acting on fractured bones and a change in the treatment of such injuries. N2 functional bracing of humeral diaphyseal fractures was conceived after initial experiences with a similar method was used in the management of diaphyseal tibial fractures. This may be representative of lower energy injury pattern and supportive of the above postulate. Fracture of shaft of femur 1 fracture of shaft of femur 2. Koh and tet sen howe introduction epidemiology of femoral fractures in the elderly classification and mechanism of injury associated injuries diagnosis assessment and preparation for surgery treatment intramedullary nailing in elderly femoral shaft fractures plating in elderly femoral shaft fractures conclusion references. Before the 1900s, diaphyseal femur fractures were treated with various types of splinting. These fractures are almost exclusively seen in those older than 12 years of age. He was evaluated by a physical therapist in a directaccess capacity for a chief complaint of right knee pain and swelling after his knee buckled and gave way during a training exercise on an obstacle course. Distal femur fracture fixation by lcp 2 year experience. Aug 11, 2015 humeral shaft pseudoarthrosis treated with bone autograft versus platelet rich plasma the safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Femoral anteversion causes the childs knees and feet to turn inward, or have what is also known as a pigeontoed appearance. Zhang independently checked the titles and abstracts of all articles.
Diagnosis and management of an apparent mechanical. Femoral and tibial diaphyseal crosssectional geometry in. Femoral or tibial diaphyseal replacement sarcoma uk. Case report innovative method of traction in a bilateral diaphyseal femur fracture in a polytrauma belowknee amputee stefan mitrasinovic,1 georgios kiziridis,1 shauni wellekens,2 charline roslee,1 and syed neshat anjum1 1department of orthopaedics, southampton general hospital, tremona road, southampton, uk 2university college london medical school, gower street, london, uk. The shortening is best approached by manual traction or with a distractor. T1 funktionelle behandlung bei humerusschaftfrakturen. Previous authors have applied engineering concepts to this analysis, suggesting the presence of both compressive and tensile forces within. The periosteum reacts to the increased blood flow by forming new bone16, which in turn aids in heal ing of the nonunion figs.
Current concepts in fractures of the distal femur soucasny pohled na zlomeniny dolniho konce stehenni kosti b. Indications for nonoperative and operative treatment humeral shaft 1. Intertrochanteric fractures network metaanalysis 22995 int j clin exp med 2016. Retrograde nailing for distal femur fractures in the elderly jasdeep giddie, seif sawalha, and martyn parker department of orthopaedics, peterborough and stamford hospital nhs foundation trust, peterborough city hospital, bretton gate, pe3 9gz peterborough, uk received 10 july 2015, accepted 2 november 2015, published online 1 december 2015. Femoral or tibial diaphyseal replacement the information given in this section is a general guide and individual cases should be discussed with your rehabilitation team. Mr findings of femoral diaphyseal stress injuries ajr. In cases of extensive frag mentation, restoration of anatomy may be extremely dif. Paru dans le numero n227 octobre 20 article consulte 9481 fois. Associated injuries, diaphysis, femur, fracture, treatment dintroduction. When using the direct anterior approach in tha, view of and access to the acetabulum seem equal to those for any other surgical approaches 10, whereas a more demanding task is preparation of the femur 10. Femur fracture femur fracture were hip and femur fracture specialists providing the broadest portfolio of bestinclass products and services, unparalleled expertise, and the most expansive resources in the industry. Sciwora spinal cord injury without radiological abnormalities.
Download fulltext pdf diaphysis fracture of femur with implant failure of the short femoral nail article pdf available june 2012 with 114 reads. Intramedullary nailing of diaphyseal femur fractures. The survey intends to assist therapeutic decisionmaking, which should. Innovative method of traction in a bilateral diaphyseal. It is typically detected when the child is 4 years to 6 years old. Research article injuries associated with femoral shaft. Fractures diaphyse diaphysaires fermees et ouvertes blog du. Cette fracture diaphysaire os cortical des deux os ne doit pas etre consideree. Com is registrered at the cnil, declaration n 1286925.
Frequentes, su tout chez ladulte, leu p onostic peut ete aggave pa. Femoral anteversion refers to the orientation of the femoral neck in relation to the femoral condyles at the level of the knee. A read is counted each time someone views a publication summary such as the title, abstract, and list of authors, clicks on a figure, or views or downloads the fulltext. The process of study planning, enrolment and followup of. Attach the thandle 71631172 onto the reducer 71631124 figure 6. Les fractures diaphysaires du tibia sont frequentes chez les enfants. In the case of posterior orientation, the term femoral retroversion is also applied actually describing the intrinsic rotation of the femur over its length from the hip to the. James e keany, md, facep associate medical director, emergency services, mission hospital regional medical center, childrens hospital of orange county at mission james e keany, md, facep is a member of the following medical societies. The natural history of isolated, traumatic, focal chondral defects in the knee is not completely understood. Hippocrates, the father of medicine, also described the treatment of mandible fractures with circumferential dental. Its important to know about because some important structures pass through it, but first ill just talk about the boundaries of the triangle. This is an enhanced pdf from the journal of bone and joint surgery j bone joint surg am. Diaphyseal fractures humerus, femur and tibia orthopaedic trauma for pas and nps ota annual meeting, october 17, 2018 objectives 1.
Rightleft % 5149 compound fracture % 17 multiple fractures % 44 knee osteoarthritis % 5 type of trauma % from standing height 42 fall from. Les fractures longitudinales par insuffisance osseuse sont plus rares. Lciii combine lcii dun cote rotation interne et lesion en rotation externe. Treatment of pediatric diaphyseal femur fractures case study. Femoral shaft fractures are an emergency indication and should be promptly stabilized as delayed stabilization is associated with increased morbidity, particularly in the lungs and a longer hospital stay 9. Treatment of pediatric diaphyseal femur fractures case study introduction isolated pediatric femoral shaft fractures occur at an annual rate of 19 per 100,000 and represent the most frequent pediatric orthopaedic injury requiring hospitalization 12. Femoral anteversion childrens hospital of philadelphia. Okay, so the femoral triangle is this anatomical triangle found in the upper thigh at the junction between the anterior abdominal wall and the muscles of the upper thigh. Recent concept for management of femoral neck fracture. Jul 19, 2009 chaque diaphyse recoit une artere nourriciere qui sanastomose en intramedullaire avec les arteres musculoperiostees transversales. Intramedullary nailing for femur fracture management.
Functional outcome of diaphyseal fractures of femur. Pdf diaphysis fracture of femur with implant failure of. Recent concept for management of femoral neck fracture nonunion in young adults. In this study 100 patients with closed fracture of distal femur were studied. Characteristics and relationship with bisphosphonate treatment. Injuries associated with femoral shaft fractures were very frequent 46. The concept of neurapraxic nerve injury makes most surgeons choose to watch and see the nerve recovery before deciding second surgery if the nerve does not recover. Volume 70, issue 12, december 2003, pages 11121117. Femoral fractures constitute approximately 20% to 25% of all fractures encountered in the dog and cat, and represent 45% of all longbone fractures. Submuscular plating compared with intramedullary nailing.
Further rehabilitation information appropriate to your hospital can be found by clicking the link at the end of this section. Soit le trait est franc et il sagit dune fracture simple. It accounts for only 1% of all elbow fractures and 34% of distal humeral fractures. Subtrochanteric fractures are one of the common fractures encountered in todays orthopaedic practice. Chapitre 12 fractures du femur et traumatismes du genou traduction. The effect of the following variables on dfv and dfl were. Stabilization of fracture fragments using open surgical procedures to place devices, such as plateandscrew, intramedullary rods, wires, and pins and nails to reduce displacement and promote healing.
Diaphyseal femur fractures in osteogenesis imperfecta. To expose the proximal femur and elevate it almost to the skin level to allow for more or. Is 2 cm 2 the correct threshold size to dict ate articular cartilage repair. Of these, 57 patients sustained fractures caused by gunshots and had a postoperative computed tomographic scanogram. Case report management of a femoral diaphyseal fracture in. Download as pptx, pdf, txt or read online from scribd.
972 824 379 1211 630 1180 479 1271 699 1640 1301 516 1512 1441 1252 94 699 286 31 695 1208 62 1582 487 681 179 1038 1386 358 740 355 554 183 161 6 1220 1020 1421 425 534 1098 1272