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A recent study from Imperial College London focused on predicting the risk of periprosthetic femoral fracture (PPFF) after total hip arthroplasty (THA). The study, based on 154,519 primary elective THAs, identified factors such as patient age, obesity, and implant design that increase the risk of revision and reoperation due to PPFF. Machine-learning models were developed to forecast the risk of PPFF necessitating secondary surgery, with the Lasso regression and Gradient Boosting Machine models showing promising results. Further research is needed to validate the algorithm and assess its clinical applicability. [Extracted from the article]

Researchers at Chosun University Hospital in South Korea have published a study on treating fragile periprosthetic femoral fractures using a novel approach involving sandwiched strut allografts and controlled bone crushing with cable fixation. The study focused on a 73-year-old female with low bone mineral density who underwent surgical fixation with successful outcomes. The research suggests that this approach could be an effective alternative to long-stem revision surgery for patients with highly fragile bones, providing immediate mechanical stability. [Extracted from the article]

A recent study conducted at Keimyung University Dongsan Hospital in South Korea focused on the fixation failure rates of cephalomedullary nail fixation in patients with low-energy basicervical femoral fractures. The study found that extramedullary reduction had a lower rate of fixation failure compared to anatomical reduction. While the sample size was limited, the results suggest that extramedullary reduction may be a promising alternative for treating this challenging type of fracture. For more information, readers can refer to the original article published in Medicina. [Extracted from the article]

Researchers from Zuyderland Medical Center in Heerlen, Netherlands, have developed a model called ZHISLE to predict mortality risk in elderly patients undergoing surgery for proximal femoral fractures. The model, validated internally and compared to existing scores, showed good predictive power with a 16.8% mortality rate within 183 days post-surgery. The research suggests that the ZHISLE model could help identify patients who may benefit from alternative treatment options or a conservative approach. This study has been peer-reviewed and offers valuable insights for healthcare professionals managing elderly patients with femoral fractures. [Extracted from the article]

Researchers from Makati Medical Center conducted a study on interprosthetic joint motion in bipolar partial hip arthroplasty for femoral fractures. The study found that the interprosthetic joint remained mobile in 75% of patients even after one year post-operation. Adding hip adduction measurements provided additional information on total joint motion, with the inner head articulation contributing more to the motion. The research was published in the Philippine Journal of Orthopaedics and can be accessed for free online. [Extracted from the article]

Researchers at Universitas Ahmad Dahlan conducted a study on femoral fractures, finding that the risk of these fractures increases with age, especially in cases of proximal femoral fractures. The study used a cross-sectional research design with a total of 101 samples from medical records, concluding that proximal femur fractures most commonly occurred in individuals over 40 years old. The research highlighted a significant relationship between age and sex with the incidence of proximal femoral fractures at PKU Muhammadiyah Hospital in Yogyakarta. [Extracted from the article]

A patent has been issued for a hip broach with an embedded sensor and a feedback broach system by AOD Holdings LLC. The device is intended for use in orthopedic hip replacement surgery to provide real-time feedback on the forces applied during the procedure. This innovation aims to prevent femoral fractures and ensure proper fitting of prosthetic components into the bone, potentially improving patient outcomes. [Extracted from the article]

Researchers at the Bulgarian Academy of Sciences conducted a study on the impact of torsion on the corrosion resistance of nanotubular anodized spiral plates used for femoral fracture fixation. The research found that torsion significantly altered the implant's surface properties, affecting its electrochemical behavior and corrosion resistance. These findings offer valuable insights for designing more durable biomedical implants. The study was supported by the National Science Fund of Bulgaria and has been peer-reviewed. [Extracted from the article]

Researchers at St Vincent's Hospital Melbourne have reported on the role of vascularised fibula grafts in the surgical management of radiation-induced midshaft femoral fractures. The study focused on a case of a 40-year-old male with a history of left quadriceps clear cell sarcoma who presented with a displaced oblique pathological fracture of his left femoral shaft. The patient underwent surgical intervention with a modified onlay free vascularised fibular grafting, resulting in complete union at the fracture site one year post-revision. The research suggests that vascularised fibula grafts should be considered for treating non-union of mid-shaft femoral fractures due to their ability to promote healing and bone union in irradiated bone. [Extracted from the article]

Researchers from Kerman University of Medical Sciences conducted a randomized clinical trial comparing ultrasound-guided femoral nerve block (FNB) and ultrasound-guided fascia iliaca compartment block (FICB) for femoral fractures in the emergency department. The study found that both FNB and FICB were effective in reducing pain, but FNB provided more pain relief and reduced the need for supplemental fentanyl. The research suggests that alternative methods to manage pain caused by femoral fractures should be further investigated to minimize adverse side effects associated with opioid use. [Extracted from the article]

Researchers from Agri Ibrahim Cecen University conducted a study on patients with intertrochanteric femoral fractures treated with proximal femoral nail fixation. The study examined criteria such as osteoporosis, fracture type, implant position, fracture reduction, and radiographic union, and their impact on clinical outcomes. The research concluded that satisfactory results can be achieved with proximal femoral nail fixation in treating intertrochanteric femoral fractures. The study was published in BMC Musculoskeletal Disorders in 2024. [Extracted from the article]

A recent study conducted at the Royal Infirmary of Edinburgh compared outcomes of subtrochanteric femoral fracture fixation using different nail devices. The research found that the dual lag screw design of the INTERTAN nail was associated with a lower risk of mechanical failure compared to the single lag screw design of the Gamma3 nail. This study provides valuable insights for treating older patients with specific types of femoral fractures. [Extracted from the article]

Researchers at the American University of Beirut Medical Centre conducted a study on the prevalence of incomplete atypical femoral fractures (AFFs) in patients who have undergone long-term anti-resorptive therapy. By using single energy X-rays to perform full-length femur imaging, they identified 18 out of 948 patients with findings in the spectrum of AFF. The study highlights the importance of early detection to prevent complete fractures and reduce the burden on patients. Further research is needed to assess the efficacy and cost-effectiveness of using single energy femur imaging to prevent adverse outcomes in patients. [Extracted from the article]

A patent application has been submitted for a bone fracture repair structure, system, and method of use by inventor Marc J. Philippon, with MJP Innovations Inc. as the assignee. The application addresses the need for a device and method to reinforce and repair femoral fractures, particularly in cases of osteoporosis and diseased trabeculae. The invention involves a hollow rod, deployment element, drawing device, and bone plate to stabilize and repair femoral fractures, offering potential advancements in treatment options. [Extracted from the article]