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The prevalence of radiographic trochlear dysplasia in patients with patellar fractures.
BMC Musculoskelet Disord
December 2024
Division of Orthopaedic and Trauma Surgery, University Hospitals of Geneva, 4 Rue Gabrielle-Perret-Gentil, Geneva, CH-1205, Switzerland.
Purpose: Trochlear dysplasia is found in 3.2% (95% confidence interval (CI) 1.2-6.
View Article and Find Full Text PDFOutcomes for Younger Patients with Femoral Neck Fractures.
J Bone Joint Surg Am
December 2024
Edinburgh Orthopaedics, Royal Infirmary of Edinburgh, Edinburgh, Scotland.
Background: There is a paucity of longer-term outcome data in younger adult patients who undergo fixation for an intracapsular hip fracture. The aims of this study were to evaluate the outcomes for young adult patients undergoing intracapsular hip fracture fixation and to assess factors associated with failure and patient-reported outcome measures (PROMs).
Methods: From 2008 to 2018, 112 consecutive patients ≤60 years of age (mean age, 48 years [range, 20 to 60 years]; 54% male) were retrospectively identified as having undergone fixation of an intracapsular hip fracture.
Retrospective paired cohort study comparing internal fixation for undisplaced versus hemiarthroplasty for displaced femoral neck fracture in the elderly.
Injury
October 2024
University Hospital La Princesa, c/ Diego de León 62 28006 Madrid, Spain.
Article Synopsis
- The study compares the effectiveness of internal fixation (IF) and hemiarthroplasty (HA) in treating non-displaced femoral neck fractures in patients over 65, focusing on surgical aggression, mortality, complications, and walking recovery after one year.
- Results indicate that IF leads to lower surgical aggression with shorter surgical times and less need for blood transfusion; however, HA has a significantly higher in-hospital mortality rate.
- Overall, while there are no major differences in long-term mortality or medical complications between the two methods, specific surgical complications vary, with higher rates of dislocations and periprosthetic fractures in HA, and fixation failures in IF.
DDKG: A Dual Domain Knowledge Guidance strategy for localization and diagnosis of non-displaced femoral neck fractures.
Med Image Anal
February 2025
National Institute for Data Science in Health and Medicine, Xiamen University, Xiamen 361005, China; Department of Computer Science at the School of Informatics, Xiamen University, Xiamen 361005, China. Electronic address:
Article Synopsis
- X-ray imaging is essential for diagnosing fractures, including challenges like non-displaced femoral neck fractures (ND-FNF), which can be difficult to identify due to subtle cracks and complex anatomy.
- Current deep learning methods often require manual cropping and annotation of hip locations, leading to increased costs in the diagnostic process.
- The proposed Dual Domain Knowledge Guidance (DDKG) method improves ND-FNF diagnosis by using two modules: SAM focuses on relevant regions in the X-ray image, while SCM leverages information from radiological reports and large language models to enhance visual representation learning, allowing accurate diagnosis from the entire image during inference.
Occult Acetabular Fracture Associated With Periprosthetic Femoral Fracture (Vancouver Type B3) Following Hemiarthroplasty in an Elderly Patient: A Case Report.
Cureus
October 2024
Department of Orthopedic Surgery, Kurume University Medical Center, Kurume, JPN.
With the increase in life expectancy, the number of elderly individuals undergoing hemiarthroplasty and total hip arthroplasty has risen, leading to a higher incidence of implant-related fractures. Diagnosing fractures, especially occult and non-displaced ones, can be challenging even with advanced imaging techniques. This report describes the diagnostic challenges and surgical management of a rare combination of periprosthetic femoral fracture and an ipsilateral acetabular occult non-displaced fracture.
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