Challenging ipsilateral hip and segmental diaphyseal femur fractures

Published Date: 19th July 2016

Publication Authors: Matar HE, El-Hosh S, Attar FG

​

Description

Patients with hip fractures very rarely have hip osteoarthritis (OA), with published data suggesting an inverse relationship between hip fractures and hip OA. In fact, hip OA is found to be protective against intracapsular fractures but increases the risk for extracapsular fractures. This is related, in part, to the restricted motion, especially rotation, abduction/adduction and flexion contractures of osteoarthritic hips, that alters the dissipation of mechanical forces generated by the fall. This leads, in turn, to increased joint reactive forces being transmitted through the femoral neck leading to increased bone density and the formation of buttressing of the medial femoral calcar.

Matar, HE; El-Hosh, S; Attar, FG. (2016). Challenging ipsilateral hip and segmental diaphyseal femur fractures with a severely osteoarthritic hip joint: lessons learnt​ . BMJ Case Reports. Published online 5th January

« Back