Fragility fractures: the clinical pathway.

The clinical management of fragility fracture is simple but complex at the same time. Patients are different from one another, and advancing age increases the prevalence of comorbidities and conditions that can impair bone quality and healing, while increasing the risk of falls and fractures. Keeping in mind some principles and key points can help identify patients at risk, thus following an ideal path for the identification, treatment and prevention of fragility fractures.

The clinical significance of wrist fracture in osteoporosis.

Wrist fracture is the most common fragility fracture in perimenopausal and young postmenopausal women in USA and Northern Europe. Recent studies based on high-resolution imaging have shown microarchitectural deterioration of trabecular bone even in premenopausal women presenting with a wrist fracture. These fractures increase the risk of subsequent fractures, especially in the first 7 years.

The collum femoris preserving stem: early results.

Femoral neck preserving stems have been developed to take advantage of the biomechanical properties of the femoral neck, and to optimise femoral anchorage and load distribution. The aim of this study was to report the clinical and radiological results in a group of 126 patients (150 hips), operated on for a total hip arthroplasty with the CFP stem. Clinical evaluation considered Harris Hip Score (HHS), thigh pain, Charnley classification, peri- and post-operative complications.

The DePuy Proxima hip: a short stem for total hip arthroplasty. Early experience and technical considerations.

The rationale for short stems in cementless total hip arthroplasty (THA) is proximal load transfer and absence of distal fixation resulting in preserved femoral bone stock and avoidance of thigh pain. We report a consecutive series of 65 THAs inserted mainly for osteoarthritis with the DePuy Proxima hip, a short, anatomic implant with a pronounced lateral flare. Patients were assessed preoperatively and postoperatively at 3, 6 and 12 months and annually thereafter, using the Harris Hip Score (HHS), the Oxford Hip Score (OHS) and standard radiographs.