Primary Internal Fixation of Femoral Neck Fractures

Pankovich, Arsen M.

doi:10.1001/archsurg.1975.01360070020003

Cited by 25 publications

(7 citation statements)

References 18 publications

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“…The results of earlier studies suggested that in humans the femoral neck lacks functional periosteum within the hip joint, (15,16) and BMD and cross‐sectional moment of inertia of the femoral neck obviously decline after the menopause (28,29) . However, it is important to realize that the presence, role, and the function of the periosteum at the femoral neck could be different at different age period, as suggested by Ferretti et al (30) Recently, Bagi et al (19) found that there is periosteum and some new bone formation at the femoral neck in an elderly woman.…”

Section: Discussionmentioning

confidence: 99%

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Alteration in the Mechanical Competence and Structural Properties in the Femoral Neck and Vertebrae of Ovariectomized Rats

Peng¹,

Tuukkanen²,

Zhang³

et al. 1999

Journal of Bone and Mineral Research

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The structural and mechanical properties of bone in the femoral neck and various other sites were investigated in intact (INT), sham-operated (Sham), and ovariectomized (OVX) rats. Six weeks after operation, the maximal load and energy absorption of the femoral neck were significantly lower in the OVX than in the INT or Sham groups, being 73.2 ± 1.4 (SE) N, 86.3 ± 4.1 N, and 87.1 ± 3.2 N, respectively (p < 0.01) for load. The total cross-sectional area of the femoral neck did not change after OVX, but the marrow cavity area was enlarged, leading to a reduced bone area (including both cortical and trabecular bone) (p < 0.01). Histomorphometric analysis showed that new bone formation could not be detected at the periosteum of the femoral neck below the femoral head, but at the endocortical surfaces the double tetracycline labeling revealed an increased mineral apposition rate (MAR) and bone formation rate (BFR) in OVX animals (p < 0.001). In contrast, MAR and BFR were significantly increased in both periosteal and endocortical surfaces of the tibia, humerus, and femoral shaft, thus preventing a decrease in cortical bone area.

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Section: Discussionmentioning

confidence: 99%

“…It has been suggested that the absence of functional periosteum on the human femoral neck may be an important factor influencing its strength (14‐17) . Bagi et al (18,19) reported that the rat has periosteum on the femoral neck, and they also showed bone formation at the femoral neck which further increased after OVX.…”

Section: Introductionmentioning

confidence: 99%

Alteration in the Mechanical Competence and Structural Properties in the Femoral Neck and Vertebrae of Ovariectomized Rats

Peng¹,

Tuukkanen²,

Zhang³

et al. 1999

Journal of Bone and Mineral Research

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“…98 The existence of periosteum at the femoral neck is commonly debated. Early observational 92,96 and histological 10 studies suggest that human femoral neck lacks a periosteum. The absence of callus formation following femoral neck fractures in adults supports these observations.…”

Section: Microscopic Featuresmentioning

confidence: 99%

“…The absence of callus formation following femoral neck fractures in adults supports these observations. 37,41,60,92,122 . Despite these studies there are some opposed observations claiming that the femoral neck periosteal covering exists.…”

Section: Microscopic Featuresmentioning

confidence: 99%

RETRACTED: The periosteum

Augustin¹,

Antabak²,

Davila³

2007

Injury

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“…The existence of periosteum at the femoral neck is commonly debated. Early observational (20,21) and histological (4) studies suggest the human femoral neck lacks a periosteum. The absence of callus formation following femoral neck fractures in adults supports these observations (20,26).…”

Section: Introductionmentioning

confidence: 99%