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Orthopaedic Proceedings
Vol. 94-B, Issue SUPP_XXXVII | Pages 514 - 514
1 Sep 2012
Farag M Ghanem M Prietzel T Von Salis-soglio G
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Aim

In the last years, many short hip stem variants were developed, almost always sharing the principle of metaphyseal and proximal diaphyseal anchorage. In this study, we analyzed the midterm results after implanting short cementless hip stem of ESKA.

Methods

A total of 380 total hip replacements using the ESKA-short cementless stems were performed in a series of 340 patients between November 2002 till May 2008. The clinical and radiological evaluation of the patients was done in September 2008. The mean follow up was 37 months (3–54 months).


The Bone & Joint Journal
Vol. 105-B, Issue 4 | Pages 449 - 454
15 Mar 2023
Zhang C Wang C Duan N Zhou D Ma T

Aims

The aim of this study was to assess the safety and clinical outcome of patients with a femoral shaft fracture and a previous complex post-traumatic femoral malunion who were treated with a clamshell osteotomy and fixation with an intramedullary nail (IMN).

Methods

The study involved a retrospective analysis of 23 patients. All had a previous, operatively managed, femoral shaft fracture with malunion due to hardware failure. They were treated with a clamshell osteotomy between May 2015 and March 2020. The mean age was 42.6 years (26 to 62) and 15 (65.2%) were male. The mean follow-up was 2.3 years (1 to 5). Details from their medical records were analyzed. Clinical outcomes were assessed using the quality of correction of the deformity, functional recovery, the healing time of the fracture, and complications.


Orthopaedic Proceedings
Vol. 95-B, Issue SUPP_16 | Pages 39 - 39
1 Apr 2013
Sawaguchi T Sakagoshi D Shima Y Goldhahn S
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Introduction. When translating the principle of intramedullary nailing for trochanteric femoral fractures to Asian patients, design modifications made to adjust for anatomic differences resulted in an PFNA Asia. The primary endpoint of this study was the rate of complications attributable to fracture fixation. Material and methods. A prospective multicenter case series was performed; 176 patients with a median age of 84 with unstable trochanteric fractures treated with a PFNA Asia were included and followed for one year postoperatively. Complications were reviewed by a complication review board (CRB). Intra- and postoperative fracture fixation complications are presented according to type and incidence proportions (risk). Results. The CRB identified a total of three intraoperative (1.7%) and 14 postoperative fracture fixation complications (8%). Intraoperative complications included a problem with distal locking (1) and poor intraoperative reduction (2). Postoperative fracture fixation problems included significant neck shortening (8), implant breakage (3), cut-outs (2), and one severe loss of reduction. Outcome for most complications was adequate and none were classified as definitely related to the implant design but rather to surgical technique. Discussion & Conclusion. The adaptation of size and geometry to Asian patients leads to a low incidence of intra- and postoperative fracture fixation complications comparable to other studies