Kind Of Fracture Research Articles

Comparative Study between Dynamic Hip Screw (DHS) with Lateral Stabilizing Plate versus Proximal Femoral Nail (PFN) in Fixation of Unstable Intertrochanteric Fractures. A Systematic Review & Meta-Analysis

Abstract Background Intertrochanteric fractures are one of the elementary orthopaedic clinical problems accounting for 7% of osteoporotic fracture. These kind of fractures usually caused by low-energy trauma such as a fall from standing height with several risk factors including; increasing age, female gender, osteoporosis, a history of falls, and gait abnormalities. Usually intertrochanteric fracture is classified according to its stability. Fracture stability is dependent on the status of the posteromedial cortex. Stable fractures are commonly simple fractures which are less affected by vertical stress during one-leg standing. Unstable intertrochanteric fracture has decreased ability to resist stress due to affection of Posteromedial or Lateral femoral cortex. Patients and Methods Asystematic review & Meta analysis was design with a careful consideration of the Cochrane Handbook for Systematic Reviews of Interventions. We also will follow The Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines during the design of our study. Population: Patients with unstable Intertrochanteric fractures, intervention: Dynamic hip screws (DHS) with lateral stabilizing plate(TSP), comparator: Proximal Femur Nail, outcome parameters: Functional and radiological, study design: Clinical trials whether randomized or nonrandomized prospective or retrospective cohort, case control studies. Results Use of TSP with DHS can give good results in unstable inter trochanteric fractures. As compared to DHS with TSP, PFN is technically more demanding surgery and in our meta analysis and systematic review study we found complication rate of PFN to be higher as compared to DHS with TSP. Addition of TSP to DHS gives good lateral wall buttress which prevent excessive medialization of shaft and gives comparable result to PFN which is considered as better implant in unstable fractures. Conclusion The current systematic review indicated that there is no statistically significant difference between patients operated with Dynamic Hip Screw with Trochanteric lateral Stabilization Plate and Proximal Femoral Nail.

Evaluating the functional outcomes of tibia and ipsilateral femur fracture, which are floating knee injuries, in adults

Background: High velocity trauma leads to ipsilateral femur and tibia fractures. Despite being very uncommon, they have a significant morbidity rate. Combinations of diaphyseal, metaphyseal, and complicated intra-articular fractures may be present in this kind of injury. Objectives were to assess the functional success of adult patients with ipsilateral femur and tibia fractures treated with various methods. Methods: The 30 adult patients with floating knee injuries underwent surgical treatment as part of the prospective research at the department of orthopedics, govt. medical college, and affiliated group of institutions in Kota. A combination of implants, such as an intra-medullary nail, locking plates, screws, or external fixators, were used to treat both femur and tibia fractures. Results: Karlstrom-Olerud criteria were used for the final evaluation. In our study, five patients (16.6%) had excellent outcomes, ten (33.3%) had good results, seven (23.3%), had acceptable results, and eight (26.6%) had poor results. Conclusions: When the fracture is diaphysis and it is treated with intra-medullary nails for both the femur and the tibia, the results are excellent. In this way, the age of the patient, the kind of fracture, the methods of fracture fixation, and the functional result were all taken into account.

Comparison And Analysis of Treatment Strategies for Radius Fractures: Internal Fixation Surgery Versus External Plaster Fixation Treatment

One of the most frequent forms of fractures is the radius fracture. This kind of fracture would have a significant negative impact on people's lives. There has been ongoing debate regarding the treatment options for radius fractures. This article conducts a comparative analysis of two treatment approaches for radius fractures: internal fixation surgery and non-surgical external plaster fixation treatment. This article provides a comprehensive elucidation and analysis of the principles, actual treatment outcomes, and various factors associated with these two treatment approaches. It separately outlines the treatment principles and real-world results for each of the two treatment methods, concluding with a summary and comparison. When viewed from a singular perspective, both treatment approaches demonstrate reasonable and excellent treatment outcomes. However, when these two approaches are compared, this article finds that surgical internal fixation typically outperforms non-surgical cast external fixation in a broader range of evaluations.

Current Management and Volar Locking Plate Fixation with Bone Cement Augmentation for Elderly Distal Radius Fractures-An Updated Narrative Review.

Distal radius fractures (DRFs) are the most common among all kinds of fractures with an increase in incidence due to the rapidly expanded size of the elderly population in the past decades. Both non-surgical and surgical treatments can be applied for this common injury. Nowadays, more and more elderly patients with DRFs undergo surgical treatments to restore pre-injury activity levels faster. However, optimal treatment for geriatric DRFs is still debated, and careful evaluation and selection of patients are warranted considering clinical and functional outcomes, and complications following surgical treatments. Furthermore, osteoporosis is a predominant factor in elderly DRFs mostly deriving from a low-energy trauma, so many treatment modalities are developed to enhance better bone healing. Among various options for bone augmentation, bone cement is one of the most widely used measures. Bone cement such as calcium phosphate theoretically improves fracture stability and healing, but whether the elderly patients with DRFs can significantly benefit from surgical fixation with bone cement augmentation (BCA) remains controversial. Hence, in the present review, the latest literature regarding current concepts of management and evidence about volar locking plate fixation (VLPF) with BCA for elderly DRFs was searched in MEDLINE, Embase, Cochrane Central Register of Controlled Trials, and Web of Science; out of >1000 articles, full texts of 48 and 6 articles were then examined and analyzed separately for management and VLPF with BCA for elderly DRFs. We aim to provide the readers with updates concerning the above issues.

A Study on Outcomes of Surgical Treatment of Depressed Skull Fractures

Introduction: Trauma is a significant issue in both industrialized and developing nations. A significant risk factor for death in the young population is head injury Objective: To assess the outcomes of surgical treatment of depressed skull fractures Methodology: The current study was prospective study was done at Neurosurgery department of Khyber teaching Hospital Peshawar. The study duration was one years from March 2022 to March 2023. Causes of the depressed skull fracture, time since the injury, the kind of fracture, the location of the fracture, the reason for the fracture, the clinical state, and the CT scan results were noted. All patients had CT scans. DSF greater than 5 mm, disfiguring cosmetic fractures, and sinus fractures were surgically treated. The whole set of data was examined using SPSS 23.00. Results: In our study, totally 80 patients were enrolled. The male patients in our study were 58 (72.5%) whereas female patients were 22 (27.5%). In the outcomes based on GCS, completely recovered patients were 58 (72.5%) patients, 11 (13.75%) were moderately disabled, 8(10%) severely disabled whereas 2(2.5%) patients were demised. Conclusion: Trauma from depressed fractures is common in neurosurgical wards. One of the most important variables influencing outcome prediction is the neurologic state as indicated by the Glasgow coma scale. About two-thirds of patients who undergo surgical therapy of depressed skull fractures get successful results while one- third of patients are still classified as having severe disabilities. Complications, including death, are common after a depressed skull fracture. Keywords: Outcome; surgical treatment: depressed skull fractures

Fracture risks and their mechanisms in atopic dermatitis, focusing on receptor activator of nuclear factor kappa-Β ligand.

Recent multiple studies have shown that the long-term consequences of AD include an increased risk of osteoporosis and fracture, especially in hip, pelvic, spinal, and wrist fractures. AD is very common worldwide, and some kinds of fractures, such as hip fractures, are associated with increased mortality, which has a substantial socio-economic impact; however, the precise mechanisms for that remain unclear. Receptor activator of nuclear factor kappa-Β (RANK) ligand (RANKL) and osteoprotegerin (OPG) are members of the tumor necrosis factor ligand and receptor family, members of which also are known as bone biomarkers. Alterations in the RANKL/RANK/OPG system and the balance among these factors (represented by the RANKL/OPG ratio) are central to the pathogenesis of bone loss from osteoporosis, and it is postulated that the potential association between the serum levels of RANKL and OPG, and bone density or fracture. Recently, we demonstrated that serum RANKL/OPG ratio positively correlated with AD severity and suggests fracture risk in older women with AD. This review summarizes and discusses the risk and mechanisms of osteoporotic fracture in AD. RANKL may be involved in the pathogenesis of AD, regarding not only bone abnormality but also inflammation. Although further investigation will be needed to verify the hypotheses, recent findings may provide new insights into AD's pathogenesis and therapeutic targets.

A spectral element time domain (SETD) method based on poroelastic linear slip conditions for 3D wave propagation in fractured porous media

In this study, we present a spectral element time domain (SETD) method for the simulation of wave propagation in fractured porous media. To avoid volumetric meshing of the extremely thin-layer fractures, we incorporate the fractures into spectral element model by treating them as geometrical interfaces, where the interaction between solid deformation and pore fluid flow is described by the poroelastic linear-slip conditions across the fractures. For different kinds of fractures (i.e. permeable, open, and impermeable), the explicit time schemes are presented for solving the stress tensor and fluid pressure over the fracture surfaces, which are subsequently implemented into the SETD framework to involve both elastic scattering and wave-induced fluid flow (WIFF) effects. Through various numerical examples, the proposed algorithm is shown to be able to accurately and effectively simulate and characterize the wave propagation in 3D porous media containing discrete and intersecting fractures with different permeabilities.

Short-segment fixation and transpedicular bone grafting for the treatment of thoracolumbar spine fracture.

Thoracolumbar fracture is one of the most common fractures of spine. And short-segment posterior fixation including the fractured vertebra (SSPFI) is usually used for the surgical treatment of it. However, the outcomes of SSPFI for different types of thoracolumbar fractures are not clear, and whether it is necessary to perform transpedicular bone grafting is still controversial. This study was conducted to determine the clinical efficacy of SSPFI for the treatment of different types of single-level thoracolumbar fracture, and make clear what kind of fractures need transpedicular bone grafting during the surgery. Patients with single-level thoracolumbar fracture undergoing SSPFI surgery between January 2013 and June 2020 were included in this study. The operative duration, intraoperative blood loss, anterior vertebral height ratio (AVHR) and anterior vertebral height compressive ratio (AVHC) of the fractured vertebra, local kyphotic Cobb angle (LKA), vertebral wedge angle (VWA) and correction loss during follow up period were recorded. Outcomes between unilateral and bilateral pedicle screw fixation for fractured vertebra, between SSPFI with and without transpedicular bone grafting (TBG), and among different compressive degrees of fractured vertebrae were compared, respectively. A total of 161 patients were included in this study. All the patients were followed up, and the mean follow-upped duration was 25.2 ± 3.1 months (6-52 months). At the final follow-up, the AVHR was greater, and the LKA and VWA were smaller in patients with bilateral fixation (6-screw fixation) than those with unilateral fixation (5-screw fixation) of AO type A3/A4 fractures (P < 0.001). The correction loss of AVHR, LKA and VWA in fractured vertebra were significantly great when preoperative AVHC was >50% (P < 0.05). For patients with AVHC >50%, the correction loss in patients with TBG were less than those without TBG at the final follow-up (P < 0.05). SSPFI using bilateral fixation was more effective than unilateral fixation in maintaining the fractured vertebral height for AO type A3/A4 fractures. For patients with AVHC >50%, the loss of correction was more obvious and it can be decreased by transpedicular bone grafting.

Management of posterior column tibial plateau fracture via a posterior approach

Background: Posterior tibial plateau fracture (PTPF) is a relatively uncommon injury. This kind of fracture appears confusing on initial radiographs because of the small displacement, so it is a special injury pattern. Aim and objectives: the aim of the study was to evaluate the safety and efficacy via a posterior approach in the posterior shearing tibial plateau fracture. Subjects and methods: The study was prospective study carried out in the Department of Orthopaedic surgery, Al-azhar university Hospital in Damietta. This study had been carried out on 24 patients. Results: there is statistically significant difference between immediate post-operative reduction and other post-operative reduction after 6 weeks, 3 months and 5 months. Conclusion: Posterior tibial plateau fracture is relatively rare in tibial plateau fractures. Our study highlights the importance of posterior tibial plateau fracture which was deemed unimportant in the past. Our results highlight the importance of fixation of PTPF and achieving an early and satisfactory functional outcome.

Treatment Algorithm of Periprosthetic Femoral Fracturens.

Introduction. The ever-expanding indications for total hip arthroplasty are leading to more implants being placed in younger as well as in older patients with high functional demand. Also, prolonged life expectancy is contributing to an overall increment of periprosthetic femoral fractures. The Vancouver classification has been the most used for guiding the surgeon choice since its proposal in 1995. Fractures occurring over a hip femoral implant can be divided into intra-operative and post-operative PFFs, and their treatment depends on factors that may severely affect the outcome: level of fracture, implant stability, quality of bone stock, patients’ functional demand, age and comorbidities, and surgeon expertise. There are many different treatment techniques available which include osteosynthesis and revision surgery or a combination of both. The goals of surgical treatment are patients’ early mobilization, restoration of anatomical alignment and length with a stable prosthesis and maintenance of bone stock. Significance. The aim of this review is to describe the state-of-the-art treatment and outcomes in the management of PFFs. We performed a systematic literature review of studies reporting on the management of PFFs around hip stems and inter-prosthetic fractures identifying 45 manuscripts eligible for the analysis. Conclusions. PFFs present peculiar characteristic that must be considered and special features that must be addressed. Their management is complex due to the extreme variability of stem designs, the possibility of having cemented or uncemented stems, the difficulty in identifying the “real” level of the fracture and the actual stability of the stem. As a result, the definition of a standardized treatment is unlikely, thereby high expertise is fundamental for the surgical management of PPFs, so this kind of fractures should be treated only in specialized centres with both high volume of revision joint arthroplasty and trauma surgery.

Fully 3D Simulation of Hydraulic Fracture Propagation in Naturally Fractured Reservoirs Using Displacement Discontinuity Method

Summary The shape, size, and orientation of natural fractures significantly impact the geometry of hydraulic fractures in unconventional reservoirs, such as shale gas/oil, tight gas, and enhanced geothermal system. The behaviors after the hydraulic fracture encounters natural fractures have been summarized as crossing, diverting, step over, and stopping based on a great number of numerical and experimental analysis with plain strain assumptions. However, under practical situations, the geometries of natural and hydraulic fractures are much more complex than the vertical and rectangular shape assumed by 2D models. The experimental studies on the role of height and inclination of natural fractures have revealed some other phenomena (e.g., bypassing process that the fluid-driven hydraulic fracture propagates up the back side of the natural fracture), which are unable to be captured in 2D. To better describe the intersection behaviors among different kind of fractures, a fully 3D model based on the displacement discontinuity method (DDM) is developed on top of our previous models, which only considered the propagation of hydraulic fractures. A novel crossing criterion to judge whether the hydraulic fracture will cross the cemented natural fracture in 3D is proposed. The successive node snapping scheme is adopted to construct conforming meshes for the evolving intersected curves between hydraulic and natural fracture surfaces, which only alters the location of a small fraction of nodes without changing the nodal connectivity. With this model, the evolution of fracture geometry after the hydraulic fracture intersects with the natural fractures of different toughness, size, orientation, and number is investigated. Because an extra dimension is considered, the fractures are allowed to propagate in more directions, resulting in a series of complex fracture geometries. The dynamic grid evolution method proposed in this work can promote the development of DDM in modeling fully 3D fracture networks in naturally fractured reservoirs.

Epidemiology of pelvic fracture in the emergency room at Dr. Soetomo General Hospital between 2016-2018

ABSTRACT Pelvic fracture is a rare case. The incidence is about 3% to 8% of the whole kind of fractures. The most common cause is high energy trauma and is associated with multi-trauma. The amount of pelvic trauma patients is 63,000 and is associated with increased mortality rates. The scientific data is needed because it is helpful for trauma prevention and management. This research is a descriptive observational study that examines the epidemiology of pelvic trauma. The population was patients with pelvic trauma who came to the ER RSUD Dr. Soetomo in 2016-2018. The total sample was 229 patients. A total of 149 patients (65.1%) were male, and 80 patients (34.9%) were female. Traffic accidents caused 173 patients (76%) cases. Tile A classification was most frequent in 117 patients (51.1%). There were 178 patients (77.7%) who were multi-trauma patients. The most common treatment was pelvic bandage with 95 patients (41.5%). There were 178 multi-trauma patients, 109 patients (61.2%) who underwent emergency surgery for trauma, and 69 patients (38.8%) who did not. The most common cause of pelvic fracture in Dr. Soetomo general hospital during 2016-2018 was trauma with high energy due to traffic accidents. The most common type of pelvic fracture was Tile A. The more severe the pelvic trauma, the treatment should be more aggressive.

Assessment and Management of Panfacial Fractures

Objective: To assess the clinical pattern of presentation of panfacial fractures and its management modalities at Liaquat University Hospital, Hyderabad. Subject and Methods: This analysis comprised 131 individuals with clinical and radiographic findings of concomitant mandibular, maxillary, and zygomatic complex breaks, with or without fractures in the NOE area or frontal bone. A thorough physical checkup and suitable radiology were used to detect individuals with maxillofacial injuries. Any soft tissue or hard tissue damage to the face was assessed. The location of the fracture and the kind of fracture were documented. Closed or open reduction was used to manage the patients. Results: The participant's mean age was 35.289.25 years. Pain was seen in 81 % of cases, facial bulging in 70.2 %, facial asymmetry in 47.1 %, ecchymosis in so much than 51.2 %, ophthalmologic damage in 14 %, malocclusion in 91.7 %, mobility in 44.6 %, and displacement of bordering teeth in 55.4 %, and mid facial flexibility in 33.9 %. Conclusion: Fractures of mandible and Zygomatic complex were the most reported cases among panfacial trauma cases, while pain and malocclusion were the most commonly reported findings after trauma of such type. Keywords: Panfacial fractures, Assessment, Midface fractures, Mandibular fractures, Zygomatic complex fractures, Malocclusion

Lag Screws in Maxillofacial Trauma- A Review

The etiology of mandibular fractures includes mainly assaults and road traffic automobile accidents. Additionally, fall and sports injuries are the foremost common causes for mandibular fractures. Mandibular fractures outnumbered zygomatic and maxillary fractures by a ratio of 6:2:1, respectively. Road traffic accidents is that the most typical etiology, followed by assaults and sport-related injuries. For the management of maxillofacial trauma, the treatment commonly done is open reduction and Internal Fixation using miniplates. Lag screws as compared with plates, have a plus of the necessity of minimum implant material which they also provide maximum stability. The lag screw placement is a simple method of rigid fixation. The choice of the lag screw technique depends on patient factors, kind of fracture, site of fracture, and thus the skill of surgeon. The aim of this review is to assess the efficiency of Lag Screws for the management of maxillofacial trauma.

There is a Correlation between Fragility Fractures of the Pelvis and a Circle-Type Morphology of the True Pelvis, but Not with Pelvic Incidence

Purpose: Osteoporosis is a major risk factor for the development of fragility fractures of the pelvis (FFP). There is a lack of information about the influence of anatomical conditions such as Pelvic Incidence and Pelvic Ratio (DT/DS ratio) on this kind of fractures. Methods: This is a monocentric retrospective analysis. X-ray images of the lumbar spine and pelvis and 3D-MPR CT reconstructions of the pelvis were analysed to determine Pelvic Incidence (PI) and Pelvic Ratio (PR) in 141 fragility fractures of the pelvis. Statistical analyses were performed to examine the correlation between these spinopelvic parameters and fragility fractures of the pelvis. Results: A total of 141 fragility fractures of the pelvis (14 men = 9.93%, 127 women = 90.07%) were analysed. According to the FFP-classification we recognized FFP type 1 fractures in 19.15%, FFP type 2 in 41.13%, FFP type 3 in 8.51% and FFP type 4 fractures in 32.21%. The mean PI was 58.83º. There was no statistical correlation between PI and fracture types (p=0.81). The mean PR was 1.099. 57 patients (40.43%) demonstrated a DT/DS ratio ≤ 1.06, corresponding to a circle-type morphology. 24 patients (17.02%) demonstrated a DT/DS ratio ≥ 1.18, corresponding to an ellipse-type pelvis. A circle-type pelvis is significantly more often associated with fragility fractures of the pelvis than an ellipse-type morphology (p&lt;0.001). Conclusion: The results of our work demonstrate a strong statistical correlation between the circle-type morphology of the pelvis (PR ≤ 1.06) and fragility fractures of the pelvis. There is no statistical correlation between fragility fractures of the pelvis and Pelvic Incidence.

Numerical Simulation for the Flow Characteristics of Shale Oil in Fractured Shale Reservoirs

Compared to conventional reservoirs, shale reservoirs are characterize by the extraordinary low porosity and permeability, which contribute to the large-scale application of the technology of hydraulic fracturing in the development. The flow characteristics of shale oil is quite complicated in the hydraulic and natural fractures and the flow characteristics of shale oil in fractures is vital significant to oilfield development. In this paper, a model is developed to simulate the flow characteristics in fractured shale reservoirs, which fully coupling the geomechanics and fluid flow. Specifically, an embedded discrete fracture model is adopted to characterize the hydraulic fractures and the flow between natural and hydraulic fractures. Correspondingly, the Multiple Interacting Continua model is adopted to characterize the flow between matrix and natural fractures. The influence on production caused by the stress sensitivity of two kinds of fractures is considered. Then, the sequential iterative solution method is adopted to solve the model which coupled the geomechanics and fluid flow, and the finite volume method and the finite element method are applied to solve the fluid-governing equations and geomechanics-governing equations, respectively.

SPLIT-TYPE FRACTURES OF THE SPINE: A NEW MINIMALLY INVASIVE PERCUTANEOUS TECHNIQUE

ABSTRACT Objective: This research presents a biomechanical analysis performed in the lumbar spine of a porcine animal model, considering a minimally invasive technique for the treatment of split fractures. Methods: Porcine spines were used to perform compression tests, considering three different approaches. Three groups were defined in order to verify and validate the proposed technique: a control group (1); spines with split fractures (2); and a treatment group (3). For the first group (control), spines were axially compressed until any kind of fracture occurred, in order to verify the strength of the structure. In the second group, split fractures were created to obtain the mechanical failure pattern of the model. In the third group, the split fractures were submitted to the proposed treatment, to verify the resistance achieved. The three groups were compared by means of axial compression tests. Statistical analysis was performed by ANOVA. Results: The control group (intact spine) and the treated split fracture group presented similar results (p&gt;0.05), differing from the results for the untreated split fracture group (p&lt;0.05). Conclusions: The tests performed in order to determine the behavior and strength of the lumbar spine when subjected to axial compression provided positive data for the development of a minimally invasive technique capable of restoring split fractures of the spine. Level of evidence III; Experimental research.

Infant and Child Development: A journal for open, transparent and inclusive science from prenatal through emerging adulthood

<i>Infant and Child Development</i>: A journal for open, transparent and inclusive science from prenatal through emerging adulthood

Neurologically Asymptomatic Lumbar Traumatic Dislocation With Vascular Compression in a Patient With Ankylosing Spondylitis: Case Report.

Ankylosing spondylitis (AS) is associated with high rates of severe thoracolumbar fractures, in many cases with neurological deficits. It is currently a point of debate as to whether the optimal surgical treatment is posterior fixation and fusion or combined approaches. Vascular injuries in this kind of fracture are a challenging issue to solve in the management of these patients. We are reporting the case of a 65-year-old man who presented an L4 traumatic fracture-dislocation. He had a long history of symptomatic AS. No neurological deficits were detected during the initial exploration. During the preoperative work-up, a lumbar spine computed tomography (CT) scan was taken with vascular reconstruction of the abdominal vessels. It confirmed the compression of the abdominal aorta, which had caused more than 90% stenosis. A posterior approach, an open reduction, and fixation with pedicle screws were performed, without hemodynamic or neurological changes. A postoperative angiography demonstrated a complete recovery of the vessel caliber, without contrast leaks. After a 2-year follow-up, the patient was pain free and the CT scan revealed bone fusion. The vascular structures involved in severe thoracolumbar fractures present a dangerous situation that should be considered in the choice of the surgical approach. The posterior approach alone may be a good option in the absence of vascular damage. However, due to risk of vessel rupture during the fracture reduction, vascular surgeons must take part in the surgery. 5. The article provides help for surgeons who have to treat severe fractures in the context of ankylosing spondylitis.

A CROSS SECTIONAL STUDY OF CLINICO-DEMOGRAPHIC PROFILE OF PATIENTS WITH COMPLEX PROXIMAL FEMORAL FRACTURES

Background: Fractures of femoral bone is very commonly seen in geriatric age group but is also getting common in young population up-to some extent. Such kind of fractures are a result of road traffic accidents or any kind of trauma in young and healthy individuals but in geriatric age group, most of them are due to a trivial fall but aggravated by osteoporosis.&#x0D; Aim: To study clinico-demographic profile of patients with complex proximal femoral fractures.&#x0D; Material and Methods: In our study, 40 cases with complex proximal femoral fractures with osteoporosis &amp; communition were examined.&#x0D; Results: Majority of the cases were in the age group of 41-60 years &amp; 61-80 years i.e., 16 patients each (40% each). Most of the patients were male i.e., 24 (60%) and 16 (40%) were female. The commonest mode of injury was road traffic accidents in 20 patients (50%) followed by fall from height in 14 (35%) patients. Both sides were equally affected.&#x0D; Conclusion: The complex proximal femoral fractures were more common in geriatric age and in case of females which could be attributed by underlying osteoporosis which is prevalent more in females.&#x0D; Keywords: road traffic accident, geriatric age group, osteoporosis, proximal femoral fracture.