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Fractures: Bone Repair

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...

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Method and Instrumented Fixture for Femoral Fracture Testing in a Sideways Fall-on-the-Hip Position

Method and Instrumented Fixture for Femoral Fracture Testing in a Sideways Fall-on-the-Hip Position

Published on: August 17, 2017

Hot Topics in Biomechanics: Hip Fracture Fixation.

Steven A Olson¹, Geoffrey Schemitsch, Michael Morwood

¹*Department of Orthopaedic Surgery, Duke University Health System, Durham, NC; †Division of Orthopaedic Surgery, Department of Surgery, St. Michael's Hospital, Toronto, ON, Canada; ‡University of Toronto, Toronto, ON, Canada; §InnoVision, Inc, Memphis, TN; and ‖Department of Orthopaedics, University of Miami, MBI for Biomechanics, Mount Sinai Medical Center, Miami Beach, FL.

Journal of Orthopaedic Trauma

|November 20, 2015

Summary

Geriatric hip fractures, particularly intertrochanteric femur fractures, are rising. New implants offering rotational stability show promise but require further investigation for optimal patient care.

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Published on: April 11, 2012

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Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects

Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects

Published on: April 11, 2012

Area of Science:

Orthopedic surgery
Geriatric trauma
Biomedical engineering

Background:

Geriatric hip fractures are increasing with an aging population.
Intertrochanteric femur fractures represent a significant portion of these injuries.
Current treatments like plate fixation and sliding hip screws are standard.

Purpose of the Study:

To evaluate the potential benefits of novel implant designs for intertrochanteric femur fractures.
To address the need for improved evidence regarding rotational stability in fracture fixation.
To inform clinical decisions regarding cost-effective and high-value treatment options.

Main Methods:

Review of current literature on intertrochanteric femur fracture fixation.
Analysis of preliminary data on implants providing rotational stability.
Identification of areas requiring further clinical investigation and data collection.

Main Results:

Existing treatments like sliding hip screws and plate fixation are widely used.
Emerging data suggests implants enhancing rotational stability may offer advantages.
Further rigorous investigation is necessary to confirm these preliminary findings.

Conclusions:

Improved evidence is needed to validate the benefits of new implant designs for intertrochanteric fractures.
Cost, quality, and value considerations necessitate better data for treatment selection.
Clinicians require robust data to guide optimal therapeutic strategies for geriatric hip fracture patients.