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Periprosthetic femoral fractures (PPFs) are challenging complications following total hip arthroplasty, especially in cases with compromised bone stock. We present 2 cases of Vancouver Type B3 PPF treated with a monoblock cementless long-stem prosthesis, using cement only for distal fixation. This technique provided initial stability, allowing early mobilization and eventual fracture healing with bony ingrowth. Radiographic follow-up demonstrated successful outcomes with no significant complications. Our results support the potential of this method for treating complex PPF cases, offering a solution for patients with inadequate bone quality where standard cementless fixation may be insufficient.
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http://dx.doi.org/10.1016/j.artd.2025.101645 | DOI Listing |
Head Face Med
September 2025
Department of Oral and Maxillofacial Surgery, University Hospital Tübingen, Tübingen, Germany.
Background: The treatment of mandibular angle fractures remains controversial, particularly regarding the method of fixation. The primary aim of this study was to compare surgical outcomes following treatment with 1-plate versus 2-plate fixation across two oral and maxillofacial surgery clinics. The secondary aim was to evaluate associations between patient-, trauma-, and procedure-specific factors with postoperative complications and to identify high-risk patients for secondary osteosynthesis.
View Article and Find Full Text PDFMed Eng Phys
October 2025
Centre for Simulation in Bioengineering, Biomechanics and Biomaterials (CS3B), Department of Mechanical Engineering, School of Engineering of Bauru, São Paulo State University (UNESP), Bauru, São Paulo, Brazil. Electronic address:
This study aimed to evaluate the near-cortical over-drilling technique on the mechanical behaviour of bone-plate constructs in a rabbit transverse femoral fracture. In vitro biomechanical testing and finite element (FE) models were used for analyses. Rabbits' bones (n = 14) were divided into two groups: G1 - without near-cortical over-drilling, and G2 - with near-cortical over-drilling.
View Article and Find Full Text PDFAJNR Am J Neuroradiol
September 2025
From the Department of Otorhinolaryngology Head and Neck Surgery (J.G., Y.L., S.G.) and Department of Radiology (N.X., R.T., H.D.,Z.Y., Z.W., P.Z.), Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Background And Purpose: Isolated congenital middle ear malformation contributes significantly to congenital hearing loss and growth problems. This study aims to compare 0.1 mm isotropic ultra-high-resolution computed tomography and conventional high-resolution computed tomography for assessing isolated congenital middle ear malformation, using surgical exploration as the gold standard.
View Article and Find Full Text PDFJMIR Res Protoc
September 2025
School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Background: Electronic health records (EHRs) have been linked to information overload, which can lead to cognitive fatigue, a precursor to burnout. This can cause health care providers to miss critical information and make clinical errors, leading to delays in care delivery. This challenge is particularly pronounced in medical intensive care units (ICUs), where patients are critically ill and their EHRs contain extensive and complex data.
View Article and Find Full Text PDFJ Neurol Surg A Cent Eur Neurosurg
September 2025
Neurosurgery, InnKlinikum gkU Altötting und Mühldorf, Altötting, Germany.
Purpose: This study aimed to evaluate clinical and radiological outcomes of patients who underwent anterior cervical discectomy and fusion (ACDF) without additional anterior plate fixation.
Methods: A retrospective single-center analysis was conducted. Clinical outcomes were assessed by the Visual Analog Scale (VAS) scores, Neck Disability Index (NDI), and Odom's criteria.