Management of Hip Arthroplasty for Intertrochanteric Fractures Under the Treatment Concept of Periprosthetic Fractures.

Objective: Intertrochanteric fractures (IF) in the elderly are often complicated by osteoporosis and high rates of fixation failure. Current treatment options have limitations in providing both stable fixation and early mobilization in this fragile population. This study aimed to introduce and evaluate a novel approach, the periprosthetic femoral fracture treatment concept (PFFtc), as a surgical strategy to guide hip arthroplasty in elderly IF patients.

Food insecurity and muscle health: exploring the role of protein, vitamin D, and calcium intake in low muscle mass.

Background: Empirical evidence concerning the association between household food insecurity and objectively quantified low muscle mass, together with the nutritional mechanisms underlying this link, remains limited. The present study aimed to examine the relation between food insecurity and the odds of low muscle mass in a nationally representative sample of U.S.

Association between knee osteoarthritis and foot deformities: epidemiological analysis of hallux valgus and flatfoot.

Objective: To investigate the association between knee osteoarthritis (KOA) and the presence of hallux valgus and flat feet.

Method: This retrospective study analyzed KOA patients from January 2022 to March 2024, investigating the correlation between KOA and hallux valgus and flatfoot. The diagnosis of KOA and assessment of its symptoms were conducted using the diagnostic criteria and grading system established by the American College of Rheumatology, specifically the Kellgren-Lawrence (K-L) grading system and measurement of the femorotibial angle (FTA).

When 'good' cholesterol goes awry: Cross-sectional association of high HDL-C with prevalent sarcopenia in U.S. adults.

Background: Sarcopenia-the progressive loss of muscle mass and function-is linked to metabolic dysregulation. Although high-density lipoprotein cholesterol (HDL-C) is usually protective, emerging data suggest a "U-shaped" association with adverse outcomes. We examined the relation between HDL-C and sarcopenia and evaluated mediation by neutrophil-to-lymphocyte ratio (NLR) and homeostasis model assessment of insulin resistance (HOMA-IR).

Comparative analysis of five obesity-related indicators for predicting infertility in U.S. adults.

Objective: Infertility is increasingly prevalent worldwide, emerging as a significant endocrine disorder of global concern. This study sought to explore associations between infertility and five distinct obesity-related metrics: body roundness index (BRI), relative fat mass (RFM), body mass index (BMI), lipid accumulation product (LAP), and waist circumference (WC). Evaluated and compared the predictive performance of these indicators in screening for infertility additionally.

Risk factors for periprosthetic femoral fractures following hip arthroplasty: a systematic review and meta-analysis.

Introduction: Periprosthetic femoral fracture (PPFF) is a serious complication following hip arthroplasty. The objective of this study was to determine the risk factors for PPFF following hip arthroplasty from existing studies.

Methods: A comprehensive systematic search was performed in 4 databases: Pubmed, Embase, Web of Science, and Cochrane Library.

Fluoroscopic visualization in ankle surgery: Evaluating the effects of lateral malleolus fixation order.

Ankle fractures, particularly those involving the lateral and posterior malleolus, are complex injuries requiring careful surgical management. This study investigates how the sequence of lateral malleolus fixation affects the intraoperative visualization of the posterior malleolus fracture during fluoroscopy. A retrospective and prospective approach was used, comparing outcomes in patients who underwent surgery for combined lateral and posterior malleolar fractures.

Surgical Outcomes of Olecranon Osteotomy Approach Combined With Submerged Kirschner Wires and Plate Fixation for Duckerley IIIB Distal Humeral Coronal Shear Fractures.

Objective: Duckerley type IIIB distal humerus fractures are rare and complex injuries that pose significant challenges in both diagnosis and treatment. Currently, no consensus exists on the fixation method, with existing approaches often struggling to handle small fragments and associated with issues like elbow instability. The purpose of this study is to evaluate the surgical outcomes of submerged Kirschner wires combined with plate or submerged screw fixation technique for the treatment of Duckerley type IIIB distal humerus fractures.

Relationship Between Body Mass Index and Low Skeletal Muscle Mass in Adults Based on NHANES 2011-2018.

Sarcopenia, a syndrome characterized by declining muscle mass and function, is associated with various adverse health outcomes. While body mass index (BMI) is a fundamental health indicator, its relationship with sarcopenia is complex and remains inadequately explored. Low BMI has been linked to muscle loss, but the role of other demographic and clinical factors in this relationship is unclear.

The History of Classification Systems for Periprosthetic Femoral Fractures: A Literature Review.

Periprosthetic femoral fractures (PPFFs) following total hip arthroplasty (THA) present a significant clinical challenge due to their increasing incidence with an aging population and evolving surgical practices. Historically, classifications were primarily based on anatomical fracture location, the stability of the implant, and bone quality surrounding the implant. We critically analyzed 25 classification systems, highlighting the emergence and adaptations of key systems such as the Vancouver classification system (VCS) and the Unified classification system (UCS), which are lauded for their simplicity and effectiveness yet require further refinement.

Surgical treatment of specific Unified Classification System B fractures: potentially destabilising lesser trochanter periprosthetic fractures.

To investigate the clinical effects of specific Unified Classification System B (UCS B)-lesser trochanter periprosthetic fractures and determine whether they occur only with non-cemented stems. A retrospective analysis of 28 patients with specific UCS B2 fractures who underwent two surgical treatments, longer stem revision and internal fixation (LSRIF) and open reduction and internal fixation (ORIF), was performed. The patients were assessed at 1, 3, 6, 12, and 24 months and annually thereafter.

Reverse traction with Kirschner wires and bilateral external fixation device combined with minimally invasive plate oseoynthesis technique for tibial plateau fractures of type Schatzker V and VI.

Purpose: Complex bicondylar tibial plateau fracture (TPF) has always been a tricky problem for surgeons. We created a novel external device used intraoperatively consisting of Kirschner wires, and combined with minimally invasive plate oseoynthesis (MIPO) technique to treat complex bicondylar TPFs, and the clinical effect and feasibility were further evaluated.

Methods: From March 2016 to February 2021, 49 cases (29 males and 20 females) were identified as bicondylar TPF, the mean age 47.

Early surgical treatment of closed reduction and internal fixation for a 30-day old intertrochanteric fracture with hemiplegia after acute stroke: A case report.

Rationale: Currently, there are no clear guidelines to determine whether and when to perform surgical hip repair in patients with acute stroke and hip fracture.

Patient Concerns: In this case report, we report a case of 75-year-old woman admitted with left hip pain and limited mobility for 1 month.

Diagnoses: Patient had a history of acute cerebral infarction 42 days ago, and diagnosed with a left intertrochanteric fracture at another hospital 30 days ago.

An Innovative Model of ISS-Based Multiple Fractures and Gastrointestinal Dysfunction Related to c-Kit Protein Expression on Interstitial Cells of Cajal.

Objective: Gastrointestinal dysfunction seriously affects the prognosis and quality of life of patients with multiple fractures. However, experimental evidence of this relationship is lacking. Here we describe a newly developed mouse model of postoperative gastrointestinal dysfunction after multiple fractures.