Functional evaluation of partial hip arthroplasty in patients with hip fractures

The goal of this study was to evaluate the functional results of partial hip arthroplasty in hip fractures. The mortality, morbidity, and functional statuses were investigated. Patients operated with partial hip arthroplasty for the hip fractures between January 3, 2001, and January 30, 2010, were evaluated retrospectively. The Oxford hip score was carried out, and the results were analyzed.A total of 82 of 130 patients who were operated with partial hip arthroplasty for hip fractures reached Fatih University Hospital [new name of Turgut Ozal University]. The mean follow-up time was 37.76 months and the mean age of the 82 patients was 78.99. Of the total number of patients, 25 were men and 57 were women. A total of 49 patients were alive and 33 were dead. The mean postoperative survival of these patients was 31.1 months. The mean total score of the Oxford hip score was 50.17. There was no effect of operation age, sex, hypertension, diabetes mellitus, renal diseases, dementia, and chronic obstructive lung disease on the Oxford hip score. Survival was not affected by the result of the Oxford hip score. The total Oxford hip score was less in patients who had heart disease, but it was not significant statistically. Embolus affected the hip score negatively. Partial hip arthroplasty takes a big place in the treatment of hip fractures, and it is a successful treatment choice in functional evaluation. New investigations are needed to compare the functional results of partial hip arthroplasty with other treatments

Knee Joint Pain May Be an Indicator for a Hip Joint Problem in Children: A Case Report

Knee joint pain is one of the most common complaints related to the skeletal system encountered by paediatricians. Knee joint pain generally occurs as the result of hypermobility and growing pains, though disorders manifesting as arthritis/arthralgia and orthopaedic problems should be considered in the differential diagnosis. A thorough and careful physical examination and laboratory and radiological findings are of importance for an accurate diagnosis. Although treatment should be based on the aetiology of the knee pain, non-steroid anti-inflammatory drugs can be used to alleviate the pain. A 7-year-old male patient presented with recurring pain in the left knee. Physical examination of the patient, laboratory tests, and radiological examination of the knee joint were normal; roentgenograms performed for a presumed hip joint problem revealed a focal cortical defect on the left femoral head and an increased effusion in the left hip joint space compared with the right counterpart. With this case report, we would like to highlight that paediatric health and diseases specialists (paediatricians) should consider hip joint pathologies when patients present with knee pain, particularly knee pain with an unidentified aetiology.

Bilateral Transverse (Bowdler) Fibular Spurs with Hypophosphatasia in an Adolescent Girl

Hypophosphatasia is a clinically heterogeneous inheritable disorder characterized by defective bone mineralization and the deficiency of serum and tissue liver/bone/kidney alkaline phosphatase activities. Due to the mineralization defect of the bones, various skeletal findings can be radiologically observed in hypophosphatasia. Bowing and Bowdler spurs of long bones are the characteristic findings. The Bowdler spurs reported on in the previous pertinent literature were observed in the perinatal aged patients and these lesions have rarely involved adolescents. We herein report on a 14-year-old girl with fibular Bowdler spurs.