Preoperative sizing of hip hemiarthroplasties to accurately estimate head size from non- standardised pelvic radiographs: Can it be done?

Background: Preoperative sizing of implants for hip fracture patients requiring a hemiarthroplasty is difficult due to non-standardised radiographs, absence of sizing marker, variable patient position and body habitus. We investigated whether a simple tool could help predict femoral head size, allowing surgeons to safely proceed with surgery when implant stocks are limited, and to potentially improve theatre efficiency.

Methods: Three independent reviewers measured the maximum width of the contralateral (intact) femoral head using PACS software in 50 cases of intracapsular hip fracture.

Overcoming Anterior Breaches in the Distal Femur During Long Gamma Nailing.

Anterior cortical penetration of distal femora when using long gamma nails is well established. To avoid this complication, using the appropriate entry point, a nail with a smaller radius of curvature, and intraoperative imaging is suggested. Despite this, there are times when the guidewire or the nail can abut or even perforate the anterior cortex.

Deep venous thrombosis in a child: an unusual presentation of an osteochondroma.

Deep vein thrombosis is very uncommon in the pediatric population. We describe an unusual case of deep vein thrombosis caused by a femoral osteochondroma in a 13-year-old adolescent girl with known multiple hereditary exostoses. We discuss the optimum investigations to determine the site of venous obstruction, which is crucial when there are several osteochondromata in the affected limb, which could be implicated in causing the obstruction to venous flow.