Arthroscopic Reduction and Internal Fixation for Pipkin Type I Femoral Head Fracture: Technical Note

Kekatpure, Aditya; Ahn, Taesoo; Lee, Soong Joon; Jeong, Mi Youn; Chang, Jae Suk; Yoon, Pil Whan

doi:10.1016/j.eats.2016.05.001

Cited by 15 publications

(18 citation statements)

References 15 publications

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“…Many investigators agree that hip arthroscopy is useful in treating the intra-articular lesions (namely, loose bodies, labral tears, chondral lesions) documented in radiological exams after traumatic hip dislocation in order to prevent further complications. 11 , 12 , 13 , 14 Some (Mullis and Dahners) go further to say that a routine hip arthroscopy should be done after traumatic hip dislocation, as intraoperative loose bodies can be found in patients in which standard radiographic studies found no loose bodies and a concentric reduction was obtained. 15 , 16 …”

Section: Discussionmentioning

confidence: 99%

Is It Safe to Perform an Early Arthroscopy After a Traumatic Hip Dislocation With an Associated Pelvic Ring Injury? Report of Our Technique

Geada

Dantas

Mascarenhas

et al. 2018

Arthroscopy Techniques

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Hip arthroscopy is useful in the treatment of several intra-articular pathologies, however, its use in high-energy hip and pelvis injuries raises concerns about fluid extravasion and stability of the pelvic ring. We present our arthroscopic surgical technique (initial access to the peripheral compartment) to remove intra-articular loose bodies and treat associated lesions, as well as our concerns with the technique, in case of a traumatic hip dislocation associated with a contralateral pelvic ring injury.

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Section: Discussionmentioning

confidence: 99%

Is It Safe to Perform an Early Arthroscopy After a Traumatic Hip Dislocation With an Associated Pelvic Ring Injury? Report of Our Technique

Geada

Dantas

Mascarenhas

et al. 2018

Arthroscopy Techniques

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“…Eight articles were included 21,[28][29][30][31][32][33][34] . Of the evaluated articles, five were retrospective case reports (Level V) and three were case series studies (Level IV).…”

Section: Study Settingmentioning

confidence: 99%

Arthroscopy‐Assisted Reduction and Fixation of Femoral Head and Acetabulum Fractures: A Systematic Review of the Literature

Söylemez

Kemah

Poyanlı

2022

Orthopaedic Surgery

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Objective To perform a systematic review to determine the current arthroscopic techniques of the fixation of femoral head and acetabulum fractures and assess the radiological and functional outcomes reported in literature written in English. Methods This review was performed by searching PubMed, Cochrane Library, Scopus, and Web of Science without a filter for time limitation in line with Preferred Reporting Items for Systematic Reviews Protocols (PRISMA‐P) guidelines. Two authors took part in screening and evaluating the literature between December 2020 and January 2021. The terms acetabulum fracture, reduction, fixation, femur head fracture, fracture dislocation of the hip, hip trauma and arthroscopy or arthroscopic, and their combinations were used to search four database engines in the titles and abstracts of the reported papers. Only papers with English titles and abstracts were included. The assessment of the data related to descriptions of the techniques, indications for fracture fixation using arthroscopy, and patient‐related outcomes. Results Perfect agreement was detected between the two reviewers during all steps of the review process (κ = 0.81–1.00). Although a meta‐analysis was planned to be carried out, no randomized controlled study comparing either the radiological or functional results of different surgical techniques was detected in the literature. Nineteen studies were included in the study. Of these, 15 were retrospective case reports and four were case series. Twenty‐seven patients were operated on for acetabulum fractures (18 male/nine female). The mean age was 28.3 years (range, 15–53 years). High‐energy traumas including motor vehicle accidents were the most common reason (81%). The duration of follow‐up was a mean of 32 months (range, 12–68 months). Sixteen patients were operated on for femur fractures (12 male/three female). The mean age was 30.1 years (range, 17–50 years). Motor vehicle accident was the most common trauma (70%). Duration of follow‐up had a mean of 18 months (range, 4–60 months). Patient‐related outcomes were excellent for reported cases in both groups despite the fact that an objective scoring system was not used for most of the cases. Moreover, there was no consensus on surgical indications or the techniques. Conclusions The techniques of arthroscopic‐assisted fixation of acetabulum and femoral head fracture are so heterogeneous that conclusions cannot be made at this time, but there is potential for this method of treatment to become more popular as the devices used in the procedure develop and as exposure to and experience with hip arthroscopy improves. Further descriptions of reduction and fixation techniques and analysis of outcomes of RCTs are needed.

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“…Hip arthroscopy has gained increasing popularity for the management of various hip disorders, in particular femora-acetabular impingement, in recent years. 50 Its role in the management of fractures of the femoral head, however, is largely unexplored, with only a few case reports in the literature and no long-term follow-up results. 51 , 52 In a technical note, Kekatpure et al 50 provided a stepwise description for the arthroscopic reduction and internal fixation of Pipkin type I femoral head fractures.…”

Section: Definitive Treatmentmentioning

confidence: 99%

“… 50 Its role in the management of fractures of the femoral head, however, is largely unexplored, with only a few case reports in the literature and no long-term follow-up results. 51 , 52 In a technical note, Kekatpure et al 50 provided a stepwise description for the arthroscopic reduction and internal fixation of Pipkin type I femoral head fractures. This technique showed acceptable reduction with maintained joint space, and may thus represent an alternative to the usually performed open reduction with the advantages of minimal surgical soft tissue injury and early rehabilitation in posttraumatic cases.…”

Section: Definitive Treatmentmentioning

confidence: 99%

“…This technique showed acceptable reduction with maintained joint space, and may thus represent an alternative to the usually performed open reduction with the advantages of minimal surgical soft tissue injury and early rehabilitation in posttraumatic cases. 50 Nonetheless, it requires reliable and multi-centric follow-up studies to truly evaluate the potential of minimally invasive hip arthroscopy for the treatment of fractures of the femoral head.…”

Section: Definitive Treatmentmentioning

confidence: 99%

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Fractures of the femoral head: a narrative review

et al. 2021

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Fractures of the femoral head are rare injuries, which typically occur after posterior hip dislocation. The Pipkin classification, developed in 1957, is the most commonly used classification scheme to date. The injury is mostly caused by high-energy trauma, such as motor vehicle accidents or falls from a significant height. Emergency treatment consists of urgent closed reduction of the hip joint, followed by non-operative or operative treatment of the femoral head fracture and any associated injuries. There is an ongoing controversy about the suitable surgical approach (anterior vs. posterior) for addressing fractures of the femoral head. Fracture location, degree of displacement, joint congruity and the presence of loose fragments, as well as concomitant injuries are crucial factors in choosing the adequate surgical approach. Long-term complications such as osteonecrosis of the femoral head, posttraumatic osteoarthritis and heterotopic ossification can lead to a relatively poor functional outcome. Cite this article: EFORT Open Rev 2021;6:1122-1131. DOI: 10.1302/2058-5241.6.210034

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Arthroscopic Reduction and Internal Fixation for Pipkin Type I Femoral Head Fracture: Technical Note

Cited by 15 publications

References 15 publications

Is It Safe to Perform an Early Arthroscopy After a Traumatic Hip Dislocation With an Associated Pelvic Ring Injury? Report of Our Technique

Is It Safe to Perform an Early Arthroscopy After a Traumatic Hip Dislocation With an Associated Pelvic Ring Injury? Report of Our Technique

Arthroscopy‐Assisted Reduction and Fixation of Femoral Head and Acetabulum Fractures: A Systematic Review of the Literature

Fractures of the femoral head: a narrative review

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