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Academic literature on the topic 'Femoral column fracture'
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Journal articles on the topic "Femoral column fracture"
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Kanchanomai, Chaosuan, Panurungsit Muanjan, and Vajara Phiphobmongkol. "Stiffness and Endurance of a Locking Compression Plate Fixed on Fractured Femur." Journal of Applied Biomechanics 26, no. 1 (2010): 10–16. http://dx.doi.org/10.1123/jab.26.1.10.
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The effects of locking screw position (long column fixation—long distance between the nearest screws to the fracture—and short column fixation—short distance between the nearest screws to the fracture) and fracture gap size (1-mm and 8-mm transverse fracture gap) on stiffness and fatigue of fractured femur fixed with a locking compression plate (LCP) were biomechanically evaluated. The stiffness of 1-mm fracture gap models and that of intact femoral model were in the range of 270–284 N/mm, while those of 8-mm fracture gap models were significantly lower (155–170 N/mm). After 1,000,000 cycles of loading, no fracture of LCP of 1-mm fracture gap models fixed in either long column or short column fashions occurred. On the other hand, the complete fractures of LCPs of 8-mm fracture gap models fixed in long column and short column fashions occurred after 51,500 and 42,000 cycles of loading, respectively. These results suggest that the full weight loading may be allowed for the patient with 1-mm transverse femoral fracture fixed with an LCP. On the other hand, the full load of walking should be avoided for the patient with 8-mm transverse femoral fracture fixed with an LCP before adequate healing.
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Gupta, Ravi, and Ashwani Soni. "Iliofemoral Approach to Acetabulum." Trauma International 3, no. 1 (2017): 14–16. http://dx.doi.org/10.13107/ti.2017.v03i01.038.
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Surgical approach to acetabulum fractures depend on the type of fracture and fracture displacement along with surgical preference of the surgeon. Ilio-femoral approach is one of the most important approaches for acetabular fractures. It allows access to anterior column as well as anterior wall fractures. This symposium article details the surgical technique as well as indications and shortcomings of this approach. Keywords: Ilio-femoral appraoch, acetabulum fractures, anterior column fractures.
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Erwin, Erwin, Deni Noviana, Dany Umbu, and Tri Isyani Tungga Dewi. "Management Femoral Fracture in Cats using Intramedullary Pin and Wires Fixation." International Journal of Tropical Veterinary and Biomedical Research 3, no. 2 (2018): 32–35. http://dx.doi.org/10.21157/ijtvbr.v3i2.12333.
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On April 2016, Veterinary Teaching Hospital, Faculty of Veterinary Medicine, Bogor Agricultural University (VTH FKH IPB) received 4 cases of femoral fractures in cats caused by trauma. Two cats suffered oblique diaphysis fracture femoral, one cat suffered comminuted diaphysis fracture femoral, and one cat suffered epiphyseal fracture femoral (column femoral and trochanter major). All cats were treated by open surgery using intramedullary pins (Steinmann) and cerclage wires (Kirschner). Fracture recovery went without complication and all cats were able to move their feet one week after surgery.
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Noorisa, Riswanda, Dwi Apriliwati, Abdul Aziz, and Sulis Bayusentono. "THE CHARACTERISTIC OF PATIENTS WITH FEMORAL FRACTURE IN DEPARTMENT OF ORTHOPAEDIC AND TRAUMATOLOGY RSUD DR. SOETOMO SURABAYA 2013 – 2016." (JOINTS) Journal Orthopaedi and Traumatology Surabaya 6, no. 1 (2019): 1. http://dx.doi.org/10.20473/joints.v6i1.2017.1-11.
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Fracture is a neuromuscular damage due to tissue trauma or discontinue of bones. Fractures of the lower limbs due to accidents have the highest prevalence among other fractures in Indonesia. The aim of this study is to determine the characteristic of patients with femoral fracture in Department of Orthopedic RSUD Dr. Soetomo Surabaya.This research is retrospective observational. We analyzed medical records of all stay in patient in Department of Traumatic and Orthopedic RSUD Dr. Soetomo Surabaya during 1 January 2013 – 31 December 2016. Of the 972 enumerated, 112 subjects with femoral fracture were analyzed for study. The observed variable of patients’ profile include: sex, age, cause of fracture, type of wound, location of fracture, place of accident, time of accident.Our observational study during three years has concluded several findings as following. The most common cases of fracture is occurred at the age 15 – 24 with 40 cases (36%). Most of the cases is dominated by male gender (72%). Traffic accident (92%) is the major cause of fracture, which mostly occurred on the street (92%) at 06:01 A.M. until 12:00 A.M (28%). Closed wound (71%) is commonly found in femoral fracture. The most common type of femoral fracture has a closed wound (71%) and located in column of femur (46%). The most common cases of femoral fracture are occurred on male at the productive age due to traffic accident injury.
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Sethuraman, Saranya A., Ashlyn S. Morse, Javier Z. Guzman, Robert Cristofaro, and David E. Asprinio. "Favorable Outcome Twenty-Two Months after Delbet Type Ib Capital Femoral Transepiphyseal Fracture and Posterior Column Acetabular Fracture in a Fifteen-Year-Old Male." Case Reports in Orthopedics 2022 (April 21, 2022): 1–6. http://dx.doi.org/10.1155/2022/1843367.
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Case. A fifteen-year-old male patient sustained a posteriorly dislocated right capital femoral Delbet type Ib epiphyseal fracture-separation and a right acetabular posterior column fracture after a low-energy trip and fall. The capital femoral epiphysis was closed reduced and fixed with cannulated screws on an urgent basis. He underwent acetabular osteosynthesis via a Kocher-Langenbeck approach two days thereafter. Twenty-two months after injury, he was weight-bearing on the right lower extremity without radiologic evidence of avascular necrosis or clinical evidence of pain or functional deficit. Conclusion. Fracture-separation of the capital femoral epiphysis comprises only 8% of skeletally immature femoral neck fractures in the Delbet and Colonna classification. Prognosis is worse with ipsilateral hip dislocation due to the risk of avascular necrosis from disruption of the medial femoral circumflex artery. Urgent referral to a trauma center and treatment by appropriate specialists enables good long-term results after this uncommon traumatic injury pattern.
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Touet, Amadeo, Yannick Schmiedt, Jessica Köller, et al. "Impact of Patient-Specific Hip Joint Geometry on the Morphology of Acetabular Fractures." Journal of Clinical Medicine 13, no. 23 (2024): 7332. https://doi.org/10.3390/jcm13237332.
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Background: Acetabular fractures continue to pose a major challenge in clinical practice, not least because of the growing geriatric population. While the influence of the force vectors on fracture formation is well established, the impact of anatomical factors on fracture morphology remains poorly understood. The aim of this study was to investigate patient-specific hip joint geometry, identify structural risk factors and correlate these with the resulting fracture patterns. Methods: This retrospective cohort analysis included 226 patients (Mdn age = 58 yrs.) with acetabular fracture categorized by Judet/Letournel and the AO/OTA classification. Computed tomography (CT) datasets of the injured and contralateral sides were analyzed using multiplanar reconstruction. Parameters included modified center-edge (CE) angle (Wiberg), rotation angles (Ullmann and Anda), acetabular sector angle (Anda), true caput-collum-diaphyseal (CCD) angle, femoral head diameter and volume, as well as femoral neck length, circumference, and diameter. In addition, intrarater reliability within a subcohort was assessed for the metric measurements and inter-rater analysis for the classification of the entire sample. Results: The primary analysis showed direct effects of femoral head diameter, femoral neck length and femoral head size on the fracture type according to AO/OTA (type A/B/C), whereby this effect was particularly seen between type A and type C fractures (p = 0.001). Ordinal regression identified femoral head diameter as the only significant predictor (p = 0.02), with a 25% increased likelihood of complex fractures per unit of change. Low-energy trauma doubled the risk of severe fractures. Specific findings include a higher acetabular anteversion in anterior column fractures. Age correlated positively with the cause of injury and fracture type. The inter-rater reliability for fracture classification was excellent, as was the intrarater reliability of the measurements. Conclusions: This study suggests that anatomical factors, particularly proximal femoral geometry, have an impact on acetabular fracture morphology—in addition to factors such as trauma type and patient demographics.
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Mai, Thanh Cong Chien, Thanh Tan Nguyen, Huu Thuyet Nguyen, et al. "INJURED MORPHOLOGY AND SELECT THE CORRESPONDING APPROACH OF POSTERIOR TIBIAL PLATEAU FRACTURES ON COMPUTED TOMOGRAPHY WITH THREE-DIMENSIONAL RECONSTRUCTION." Tạp chí Y Dược học Cần Thơ, no. 8TA (November 25, 2024): 44–50. https://doi.org/10.58490/ctump.2024i8ta.2536.
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Background: Posterior tibial plateau fractures occur when a fall causes the femoral condyle to impact the knee joint while it is in a bent position. This fracture type is not typical among accident cases and normally is relative to high-energy trauma. A computed tomography with a threedimensional knee joint can accurately establish the knee joint performance to evaluate and diagnose articular surface, type of fractures and surgical planning. Objectives: To examine the morphology of posterior tibial plateau fractures using 3D CT scans. To select and determine the appropriate surgical approach for each type of fracture. Materials and methods: This study included 25 cases of posterior tibial plateau fractures, all of which were treated using three-dimensional CT scans at Can Tho University of Medicine and Pharmacy Hospital and Can Tho Central General Hospital from June 2022 to April 2024. Results: Samples in the study comprised 25 patients, out of whom male respondents were 40%, and female respondents were 60%. The average age was 39.84 ± 14.37 with the highest proportion being the age group 16-40 years old (48%). Isolated fractures of the posterolateral column accounted for 4%, isolated fractures of the posteromedial column for 8%, fractures involving the posteromedial and medial columns for 24%, and posterolateral and lateral column fractures for 16%. The most complex fractures, involving all three columns, accounted for the highest rate of 48%. Most patients underwent surgery in the supine position (92%) for the anterolateral, anteromedial, and posteromedial approach, with 2 patients in the prone position for the reverse L-shaped approach. Our choice of surgical approach is relatively consistent with international studies. Conclusions: The research provides many morphological tibial plateau fractures with 3D CT scans to support classifying the posterior tibial plateau fractures and assists the surgeon in selecting the most suitable surgical approach and optimizing bone fixation techniques tailored to each specific fracture type.
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Wibowo, Arif, and Mohammad Zaim Chilmi. "Modified Stoppa Approach For Concomitant Anterior And Posterior Pelvic Ring Fracture: A case report." Hip and Knee Journal 3, no. 1 (2022): 44–50. http://dx.doi.org/10.46355/hipknee.v3i1.104.
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BACKGROUNDModified Stoppa approach was performed to access the site of anterior column fracture instead of the Ilioinguinal approach to reduce morbidity.CASE SUMMARYA 24-year-old female suffered a serious traffic accident when she was riding a motor cycle collided with a car from the front and fell off when dodged a hole on the road. Then, the patient was beneath a moving car after falling. Several hours after accident at the hospital, she diagnosed as closed pelvic fracture of right superior inferior pubic rami and right sacroiliac joint disruption, closed fracture of right shaft femur. After improvement the condition in the ward, open reduction and internal fixation for the femoral fracture and for the pelvis fracture were performed using a modified stoppa approach to access the fracture site.CONCLUSION Treatment using the modified Stoppa approach was suitable for anterior column fracture, in which pelvic fractures were sufficiently exposed, the fracture was conveniently reduced, less complications occurred, and curative effect was satisfactory.
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Wang, WenTao, Federico Canavese, Zhu Xiong, ShengPing Tang, ShunYou Chen, and ShengHua He. "Management of pediatric femoral neck fractures from classification to surgery: a review of indications based on anatomic and radiographic features of the proximal femur." EFORT Open Reviews 10, no. 3 (2025): 125–40. https://doi.org/10.1530/eor-2024-0129.
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This review focuses on the anatomic and radiographic characteristics of the pediatric proximal femur and the advantages and disadvantages of different protocols for the management of pediatric femoral neck fractures (PFNFs) in terms of fracture classification, reduction methods, reduction quality and fixation methods, with the goal of proposing an optimal treatment protocol for PFNFs to reduce the incidence of postoperative complications. The anatomic and radiographic characteristics of the pediatric proximal femur, including the presence of an active growth plate, an immature femoral calcar, greater trabecular density and plasticity and a relatively immature blood supply are very different from those of the adult proximal femur. Treatment protocols for PFNFs must differ from those for adult femoral neck fractures. PFNFs with posterior translation, and those with comminuted medial-posterior columns, are associated with a higher postoperative complication rate. This review suggests that the degree of damage to the nutrient vessels along the posterior femoral neck and the stability of the medial-posterior column of the femoral neck should be well assessed in patients with PFNFs for both classification and treatment purposes. Anatomic reduction through an anterior approach, placement of a small number of implants in the mid-inferior part of the femoral neck and additional external support are effective in reducing postoperative complications in patients with PFNFs.
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M, Tangguh Satria, and Achari Yazid. "A Rare Case of Femoral Column Fracture in Children with Closed Reduction and Spica Cast: A Case Report." RA JOURNALS OF APPLIED RESAERCH 09, no. 09 (2023): 501–5. https://doi.org/10.5281/zenodo.8370226.
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<strong>Background:</strong> Femoral column fracture is a rare case fracture in children. This is usually caused by high-energy trauma, such as falling from a height, or, in some cases, can also occur due to pathological fractures or repetitive trauma, such as running or jumping. Femoral column fractures can occure several complications, such as avascular necrosis (AVN), coxa vara, malunion, and osteonecrosis. Therefore, appropriate treatment is needed to reduce the risk of complications that may occur. <strong>Case Presentation: </strong>A 15 year old boy came to the emergency room with complaints of pain in base of his right thigh after falling while jumping over a tennis net with focus on his right leg. On examination, vital signs were normal, pain in the right groin had limited range of motion (ROM), and no other injuries or pain were found in his parts of the body. Then treatment was carried out using the closed reduction method and the installation of a spica cast without internal fixation. <strong>Conclusion:</strong> Although there is still a lot of controversy regarding the best time and method for administering therapy, determining the Delbet classification is very helpful as a consideration in choosing treatment and patient prognosis. In this case, treatment was given using close reduction and spica cast techniques with the consideration that anatomical reduction could be achieved.