Articles: femoral-fractures-epidemiology.
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Acta ortopédica mexicana · Jan 2015
[Prevalence of hip, femur and knee fractures at the High Specialty Medical Unit, Hospital de Traumatología y Ortopedia "Lomas Verdes", Instituto Mexicano del Seguro Social].
Lower limb fractures are more frequent among older patients with osteopenia after a low energy fall and/or among young patients who sustain a high energy trauma. The prevalence of hip, femur and knee fractures at the High Specialty Medical Unit, Hospital de Traumatología y Ortopedia "Lomas Verdes" is unknown. ⋯ The prevalence of lower limb fractures at our hospital corresponds to what has been reported internationally.
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The incidence of total knee arthroplasty (TKA) is increasing, as are periprosthetic supracondylar femoral fractures. Treatment is complex and may involve the use of a retrograde intramedullary femoral nail, and it is essential to know the nail will fit through the femoral prosthesis in line with the intramedullary canal. ⋯ A comprehensive data set lists manufacturer, model, size, minimal intercondylar notch distance and position. This will be of practical use when planning the operative management of periprosthetic supracondylar femoral fractures.
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Clin. Orthop. Relat. Res. · Mar 2014
High-energy femur fractures increase morbidity but not mortality in elderly patients.
Trauma centers are projected to have an increase in the number of elderly patients with high-energy femur fractures. Greater morbidity and mortality have been observed in these patients. Further clarification regarding the impact of high-energy femur fractures is necessary in this population. ⋯ Level III, therapeutic study. See the Instructions for Authors for a complete description of levels of evidence.
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Mayo Clinic proceedings · Jan 2014
Myocardial infarction risk among patients with fractures receiving bisphosphonates.
To determine if bisphosphonates are associated with reduced risk of acute myocardial infarction (AMI). ⋯ Our observations in this study conflict with our hypothesis that bisphosphonates have antiatherogenic effects. These findings may alter the risk-benefit ratio of bisphosphonate use for treatment of osteoporosis, especially in elderly men. However, further analysis and confirmation of these findings by prospective clinical trials is required.
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Multicenter Study Clinical Trial
[Experiences with a helical femoral nail (LFN®). A multicenter study].
Antegrade intramedullary nailing is the method of choice in most femoral shaft fractures. The trochanteric entry portal of classic femoral nails is in close proximity to the piriformis tendon, the gluteus minimus tendon, the obturator tendons, and the medial femoral circumflex artery. Nail insertion lateral to the tip of the greater trochanter may be more favorable but needs the use of a helical implant. ⋯ The results obtained in this study during 1 year do not provide evidence for an advantage of the LFN over conventional antegrade femoral nails.