Abstract：
INTRODUCTION:Bisphosphonate therapy has been associated with the development of atypical femoral fractures. The most common sites of bisphosphonate-associated fractures are at the subtrochanteric region followed by the femoral shaft. This retrospective study hypothesizes that increasing anterolateral femoral bow is associated with more distal diaphyseal fractures. Awareness of this relationship is essential in the pre-operative planning and successful surgical management of these fractures. MATERIALS AND METHODS:We retrospectively reviewed twenty-one atypical subtrochanteric and femoral diaphyseal fractures and stress reactions within a 5-year period at our institution. Radiographs were assessed by two independent investigators for the degree of anterior and lateral femoral bow, and how distal the fracture was from the lesser trochanter. The relationship between the fracture position or stress reaction and degree of anterior and lateral bowing was analysed. RESULTS:There was a statistically significant linear relationship between anterior and lateral femoral bowing, and the fracture position along the diaphysis (correlation coefficient 0.63 (p = 0.002) and 0.684 (p = 0.001), respectively). Inter-observer reliability was highly correlated (Kappa value >0.8). CONCLUSION:In atypical femoral fractures associated with bisphosphonate use, more distal diaphyseal fractures occurred with a higher degree of anterior and lateral femoral bow.
journal_name
Arch Orthop Trauma Surgjournal_title
Archives of orthopaedic and trauma surgeryauthors
Soh HH,Chua IT,Kwek EBdoi
10.1007/s00402-015-2297-4subject
Has Abstractpub_date
2015-11-01 00:00:00pages
1485-90issue
11eissn
0936-8051issn
1434-3916pii
10.1007/s00402-015-2297-4journal_volume
135pub_type
杂志文章abstract：:From 1985 to 1995, 417 patients with dislocated medial femoral neck fractures (Garden III-IV) were treated with hemiarthroplasty using a Biolox ceramic head. The average patient age at the time of operation was 81.5 years. A total of 140 survivors was available for follow-up examination with a mean prosthesis longevit...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s004020050469
更新日期：2000-01-01 00:00:00
abstract：:Osteoid osteoma is a benign bone tumor that rarely localizes in the hand or the carpal bones. We report two cases of osteoid osteoma localized in two different carpal bones. Unremitting wrist pain was a major clinical symptom. Surgical treatment including excision of the nidus was dramatically curative. In young patie...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s004020000152
更新日期：2001-01-01 00:00:00
abstract：INTRODUCTION:Improved soft tissue tendon graft mechanical properties have led to their increased use for anterior cruciate ligament (ACL) reconstruction. Because they do not have an osseous component; however, there are greater concerns regarding tibial graft slippage during early postoperative rehabilitation and activ...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-011-1374-6
更新日期：2012-03-01 00:00:00
abstract：BACKGROUND:The shoulder is the joint most prone to dislocating in the human body and accounts for 45% of all dislocations. In addition to ruptures of the soft tissue and bony injuries, lesions to vascular structures as well as the brachial plexus and its corresponding nerves might occur. With an incidence of up to 65%,...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章,多中心研究
doi：10.1007/s00402-020-03348-z
更新日期：2020-09-01 00:00:00
abstract：BACKGROUND:This study evaluated the incidence, amount, morphology and clinical significance of bone tunnel widening (TW) at a mean 5-year period after anterior cruciate ligament reconstruction (ACLR) with a transtibial drilling technique. METHODS:Fifty-nine patients undergoing primary ACLR using quadrupled hamstring a...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-012-1596-2
更新日期：2012-11-01 00:00:00
abstract：INTRODUCTION:Approximately 10-15% of all fractures of long bones heal with delay, prolonged immobilization and repetitive operative interventions. Despite intense investigations, the pathomechanism of impaired healing of skeletal tissue remains unclear. An important role in the pathomechanism of mal-union of close frac...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-010-1171-7
更新日期：2011-02-01 00:00:00
abstract：INTRODUCTION:The treatment of extremely severe and rigid spinal deformities was a great surgical challenge. Pulmonary impairment often occurred, which increased the challenges to already daunting surgical approaches. The present study was performed to evaluate the safety and efficacy of posterior-only surgical correcti...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-020-03720-z
更新日期：2021-01-23 00:00:00
abstract：:A case of radial nerve injury associated with a transverse fracture of the middle third of the humerus is reported. The radial nerve was found to be completely severed at the fracture site. Early exploration of the nerve and internal fixation of the fracture gave a satisfactory result. ...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s004020050369
更新日期：1999-01-01 00:00:00
abstract：:In the period 1969-1991, 46 extensor indicis proprius tendon transfers were performed for functional loss of extensor pollicis longus. The long-term function of the thumb was reviewed in 22 patients with an average follow-up of 7 years. Based on Geldmacher's evaluation scheme for assessment of the results of extensor ...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/BF00426181
更新日期：1994-01-01 00:00:00
abstract：:We report the results of 238 consecutive patients who underwent in total 261 acromioplasties because of chronic rotator cuff impingement. The procedure was performed either in conventional open technique (80) or arthroscopically (181). Two years (1-10) after the operation 68% of the patients treated with the open tech...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s004020100259
更新日期：2001-05-01 00:00:00
abstract：:From 1984 to 1991 20 multiple trauma patients with pelvic fractures and retroperitoneal bleeding from pelvic vessels underwent angiographic localization and embolization of massively bleeding arterial vessels. Nine patients survived (multiple trauma index grade III, Hanover polytrauma index), three patients with very ...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/BF00420059
更新日期：1992-01-01 00:00:00
abstract：PURPOSE:In the present study, we aimed to evaluate the impact of two-dimensional multi-planar computed tomography (2D-MP-CT) scans and three-dimensional surface rendering computed tomography reconstruction (3D-SR-CT) on the inter- and intra-observer reliability of four commonly used classification systems for tibial pi...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-019-03259-8
更新日期：2020-02-01 00:00:00
abstract：PURPOSE:Retrospective analysis of the clinical efficacy and feasibility of patients with thoracolumbar spinal tuberculosis with psoas abscesses treated by one-stage posterior transforaminal lumbar debridement, interbody fusion, posterior instrumentation, and postural drainage. METHOD:A total of 18 patients with thorac...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-013-1722-9
更新日期：2013-06-01 00:00:00
abstract：:Complete transection of the median nerve associated with minimally displaced fractures of forearm bones is described in a 20-year-old woman. An end-to-end epineural repair was performed. There was good sensory and motor recovery of the median nerve in the hand. ...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s004020100292
更新日期：2001-10-01 00:00:00
abstract：BACKGROUND:The aim of this study was to prospectively investigate the adherence to the American College of Cardiology (ACC) and the American Heart Association guidelines for perioperative assessment of patients with hip fracture in daily clinical practice and how this might affect outcome. METHODS:This prospective coh...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-019-03270-z
更新日期：2020-01-01 00:00:00
abstract：INTRODUCTION:Infection associated with prosthesis used after tumor resection is a common and serious complication. The purpose of the current retrospective study was to describe the course of infection in patients with a tumor endoprosthesis and the determination of risk factors associated with failed limb salvage. MA...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-005-0009-1
更新日期：2006-07-01 00:00:00
abstract：INTRODUCTION:Varisation osteotomies on the distal femur are an established treatment method for valgus osteoarthritis of the knee in younger patients. Osteotomy can be done in a lateral open-wedge or medial closed-wedge manner. METHOD:We retrospectively studied 14 patients treated by the lateral open-wedge technique, ...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-010-1193-1
更新日期：2011-06-01 00:00:00
abstract：INTRODUCTION:The goal of this study was to provide an insight into the clinical results after modular short-stem shoulder arthroplasty for various indications. MATERIALS AND METHODS:A consecutive cohort study of 76 patients followed up for 23-55 (mean 31.4) months. 23 anatomical (TSA), 32 reverse (RSA) and 21 hemi-pro...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-020-03529-w
更新日期：2020-10-06 00:00:00
abstract：:In revision total knee arthroplasty, osteotomy of the tibial tubercle provided satisfactory exposure to extract the broken tibial metal tray with rigidly fixed stem easily and safely. Three patients (three knees) underwent this osteotomy and were followed for a minimum of 2 years (range 2 years and 2 months to 2 years...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/BF00433999
更新日期：1997-01-01 00:00:00
abstract：:Fractures of the posterior wall of the acetabulum form a special group in acetabular fractures. This study aims to evaluate the results in the management of such fractures. Thirty-two patients with fractures of posterior wall of acetabulum were reviewed retrospectively. The follow-up period was 7 (range 3-10) years. T...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/BF00439052
更新日期：1996-01-01 00:00:00
abstract：PURPOSE AND OBJECTIVE:Bone resection regarding adequate surgical margins is the treatment of choice for malignant bone tumors. In the case of metastasis-related complications, so-called skeletal-related events, it is highly important to achieve pain relief and a stable joint situation to re-mobilize the patients immedi...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章,评审
doi：10.1007/s00402-016-2584-8
更新日期：2017-02-01 00:00:00
abstract：:Percutaneous lumbar discectomy has gained growing interest during recent years as an alternative to open surgery for protrusions and non-sequestrated subligamentous intervertebral disc herniations. As a less invasive method it competes with chemonucleolysis. At least two modifications are known to date: automated perc...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/BF00453143
更新日期：1990-01-01 00:00:00
abstract：:We report here a case of colocutaneous fistula drained from the retroperitoneal space mimicking a cold abscess of the psoas muscle. A 60-year-old diabetic woman with a 6-year history of a chronic draining sinus over her right thigh had been treated intermittently with antibiotics. At presentation, she had no systemic ...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s004020050050
更新日期：2000-01-01 00:00:00
abstract：INTRODUCTION:Restoring the joint line (JL) in primary as well as revision total knee arthroplasty (TKA) influences clinical results as well as long-term survival rates. Whereas studies agree about the negative effect of JL alteration, the reference system of choice is unclear. The purpose of the present study was to ev...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-014-1953-4
更新日期：2014-04-01 00:00:00
abstract：INTRODUCTION:Several reports indicated that interleukin-6 (IL-6) and tumor necrosis factor alpha (TNF- alpha) play important regulatory roles in bone remodeling and homeostasis. In addition, receptor activator of nuclear factor-kappaB ligand (RANKL) and osteoprotegerin (OPG) have been shown to be important regulators o...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-008-0632-8
更新日期：2009-05-01 00:00:00
abstract：BACKGROUND:Trochanteric osteotomies (TO) facilitate exposure and "true hip reconstruction" in complex primary and revision total hip arthroplasty (THA). However, non-union represents a clinically relevant complication. The purpose of the present study was to identify risk factors for trochanteric non-union. METHODS:Al...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-011-1457-4
更新日期：2012-05-01 00:00:00
abstract：BACKGROUND:With ankle arthritis often affecting young patients, joint-sparing treatments instead of total joint replacement should be considered. Only a few implants were specially developed for supramalleolar osteotomies (SMOT). This study was performed to analyse the stability of different implants and their appropri...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-018-2981-2
更新日期：2018-10-01 00:00:00
abstract：INTRODUCTION:The purpose of the study was to determine the surgical outcomes of intramedullary nailing in diaphyseal atypical femoral fractures (AFFs) and to evaluate the clinical outcomes of nail entry modification technique. MATERIALS AND METHODS:We retrospectively reviewed diaphyseal AFFs treated with IMN at nine i...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-017-2764-1
更新日期：2017-11-01 00:00:00
abstract：INTRODUCTION:Fractures of the radial head and associated elbow instability can be treated with operation with radial head prosthesis. In this study, we evaluate function 1-7 years after implantation and also function after removal of five prostheses. MATERIAL AND METHODS:Eighteen patients with radial head fracture and...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-005-0032-2
更新日期：2006-04-01 00:00:00
abstract：:Local biomechanical factors in the etiology of vertebral compression fractures are reviewed. The vertebral body is particularly vulnerable to compression fracture when its bone mineral density (BMD) falls with age. However, the risk of fracture, and the type of fracture produced, does not depend simply on BMD. Equally...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章,评审
doi：10.1007/s00402-011-1355-9
更新日期：2011-12-01 00:00:00
