Application of a medial buttress plate may prevent many treatment failures seen after fixation of vertical femoral neck fractures in young adults

Medical Hypotheses
Hassan Mir, Cory Collinge

Abstract

Femoral neck fractures in young adults with normal bone are mostly vertically oriented and may have variable amounts of comminution, which result from shearing forces during high-energy trauma. These factors play a role in the high rate of complications after this injury, including nonunion, malunion, failure of fixation, and avascular necrosis. These problems often occur together and inter-relate, for example, nonunion or malunion frequently result from fixation failure and varus collapse of the femoral head after reconstruction. The orthopaedic surgeon's goals of obtaining and maintaining anatomic reduction until bony union have been addressed by a number of surgical approaches and fixation constructs, however, complications are still common and no consensus exists on how these problematic fractures may be best treated. For optimal treatment of vertical femoral neck fractures, anatomic reduction must be achieved and fixation must be able to resist the high shear forces across the fracture with hip motion, weight-bearing, and muscle tone. Buttress plate fixation is a common method for stabilizing fractures that require resistance to shear forces and stands as one of the basic principles of fracture care. This technique has not...Continue Reading

References

Jan 1, 1992·Injury·M Sadat-Ali, A Ahlberg
Jun 1, 1987·Clinical Orthopaedics and Related Research·S Holmberg, N Dalen
Oct 1, 1986·The Journal of Trauma·D K DedrickR E Burney
Jun 1, 1982·Acta Orthopaedica Scandinavica·C H ZetterbergG B Andersson
Jan 1, 1993·Journal of Orthopaedic Trauma·C A HolmesW C Hayes
Jul 1, 1997·The Orthopedic Clinics of North America·K D Plancher, J D Donshik
Apr 17, 1999·Journal of Orthopaedic Trauma·J I KauffmanK J Koval
Aug 30, 2000·The Journal of Bone and Joint Surgery. British Volume·E GautierR Ganz
Oct 24, 2003·Archives of Orthopaedic and Trauma Surgery·G KrischakG Suger
Apr 22, 2006·Archives of Orthopaedic and Trauma Surgery·Patrick KrastmanInger B Schipper
Sep 1, 2007·Journal of Orthopaedic Trauma·Robert B Molnar, M L Chip Routt
Sep 7, 2007·Journal of Orthopaedic Trauma·Arash AminianBradley R Merk
Oct 30, 2007·Acta Orthopaedica·Kristian Bjørgul, Olav Reikerås
Aug 5, 2008·The Journal of Bone and Joint Surgery. American Volume·Frank LiporaceGeorge J Haidukewych
Jan 13, 2010·The Journal of Trauma·Roy I DavidovitchMark S Vrahas
May 27, 2010·Journal of Orthopaedic Trauma·James A BlairUNKNOWN Skeletal Trauma Research Consortium (STReC)
Jan 20, 2011·Journal of Orthopaedic Trauma·Philip J Glassner, Nirmal C Tejwani
Sep 3, 2011·Journal of Orthopaedic Trauma·Hassan R MirGeorge Haidukewych
Jan 10, 2012·Journal of Orthopaedic Trauma·Hassan R Mir, Eric G Meinberg

❮ Previous
Next ❯

Citations

Oct 22, 2015·Orthopedics·Ye YeDavid J Hak
Mar 11, 2016·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Cyril MauffreyDavid Hak
Aug 9, 2015·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Sean BlakeJames Shaer
May 8, 2018·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Wayne HoskinsXavier L Griffin
Dec 13, 2018·Journal of Orthopaedic Trauma·Suman MeddaEben A Carroll
Dec 13, 2018·Journal of Orthopaedic Trauma·Daniel S Chan
Mar 27, 2019·Orthopedics·David J StocktonGerard P Slobogean
Feb 15, 2020·The Journal of International Medical Research·Gang WangHuilin Yang
Jun 2, 2020·The Bone & Joint Journal·T A CoughlinB J Ollivere
Dec 19, 2018·Journal of Orthopaedic Trauma·Sara M PutnamChristopher M McAndrew
Jul 9, 2020·Journal of Orthopaedic Trauma·Doron Keshet, Mitchell Bernstein
Jan 4, 2021·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Anderson FreitasVincenzo Giordano
Jul 27, 2021·Indian Journal of Orthopaedics·Anderson FreitasAntonio Carlos Shimano
Aug 12, 2021·Bone & Joint Open·Jeremy F KubikDavid L Helfet
Jul 5, 2021·Orthopaedics & Traumatology, Surgery & Research : OTSR·Marcin CeynowaTomasz Mazurek

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

© 2022 Meta ULC. All rights reserved