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Consolidation of a femoral neck Fracture in Sickle Cell Disease Patient after Surgical Abstention: A Beneficial and Favorable Outcome

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Surgical Science 2024年第7期15卷 438-443页

作者： Marc Leroy Guifo Albert Desiré Atangana Fouda Faustin Atemkeng Tsatedem Emini Ngono Mengale Ntang Ulrich Bisay Souhe Ginette Kalla Faculty of Medicine and Biomedical Sciences University of Yaound 1 Yaound Cameroon Faculty of Medicine and Pharmaceutical Sciences University of Dschang Dschang Cameroon Faculty of Medicine and Pharmaceutical Sciences University of Ebolowa Ebolowa Cameroon

femoral neck fracture is classically a traumatic pathology in the elderly but it can also occur in young people during a road traffic accident or occasionally when the femoral neck has been weakened by a pathological process. In sickle cell patients, the hip is often subjected to aseptic necrosis. The authors report the case of the child NL, aged 5 years and 4 months in whom a fracture of the femoral neck classified Delbet 3 was found as well as his sickle cell status discovered and in whom treatment by surgical abstention was carried out with a favorable evolution. This association of factors of the femoral head necrosis or nonunion is unusual and confirms the osteogenetic potential of a child. However, monitoring is necessary because other anomalies may reveal themselves.

关键词： Sickle Cell Disease Fracture femoral neck Osteomyelitis

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Revisiting Pauwels' classification of femoral neck fractures

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World Journal of Orthopedics 2021年第11期12卷 811-815页

作者： Sumon Nandi Orthopaedic Surgery Department University of Maryland School of MedicineBaltimoreMD 21201United States

Pauwels’femoral neck fracture classification is based on the biomechanical principle that shear stress and varus force increase along more vertically oriented fractures,resulting in higher risk of fracture displacement and ultimately *** principle continues to guide construct selection for femoral neck fracture internal fixation and is the foundation for treating non-union with valgus ***,with poor inter-and intra-rater reliability,dated treatment recommendations,and unreliable prognostic value,the Pauwels classification cannot be directly applied in its entirety to the management of femoral neck fractures in modern practice.

关键词： Pauwels Fracture femoral neck Internal fixation Arthroplasty

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Nonvascularized fibula graft by a periosteum-preserving technique in the treatment of femoral neck's tumor-like lesions in pediatric patients before epiphyseal closure

Nonvascularized fibula graft by a periosteum-preserving tech...

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第二十四届中国中西医结合骨伤科学术年会

作者： Shanchao Luo Tongmeng Jiamg Jinmin Zhao Yulin Orthopedics Hospital of Chinese and Western Medicine Department of Orthopaedics Trauma and Hand Surgery The First Affiliated Hospital of Guangxi Medical University Guangxi Engineering Center in Biomedical Materials for Tissue and Organ Regeneration The First Affiliated Hospital of Guangxi Medical University Collaborative Innovation Center of Guangxi Biological Medicine The First Affiliated Hospital of Guangxi Medical University Guangxi Key Laboratory of Regenerative Medicine The First Affiliated Hospital of Guangxi Medical University

Purpose The aim of this study is to determine the safety and efficacy of free nonvascularized fibula graft by a periosteum-preserving technique in the treatment of the femoral neck’s tumor-like lesions before epiphyseal closure in young *** and Methods Sixteen pediatric patients before epiphyseal closure were treated with free nonvascularized fibula autograft by a periosteumpreserving technique after resections of tumor-like lesions in the femoral neck between Aug.2012 and *** the patients were given supplementary skeletal traction through supracondyle of femur for 4 weeks to 6 weeks after the *** data were *** clinical and radiological outcome were evaluated during the *** Mean follow-up of all the patients after primary surgery was 24months,ranged 7 months to 54 *** the patients could walk with partial weight-bearing 4 weeks after surgery,and full weight-bearing was permitted after a mean of 8 *** of the complications was occurred in the post-operative *** union was attained in all the 16 patients at a mean of two *** the patients did not suffer from complications in the donor site of strut cortical fibula,such as infection,incision pain,nerve damage,vascular injury,ankle instability,tibial stress fracture,and so *** donor site of strut cortical fibula showed good regeneration in all *** hip score was significantly improved from 65%to 95%(Pfemoral neck before epiphyseal closure in pediatric patients.

关键词： Free nonvasc ularized fibula autograft femoral neck Tumor-like lesions Epiphyseal closure

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