Femoral head fractures

Mostafa, Maged Mohamed

doi:10.1007/s002640000209

Cited by 27 publications

(15 citation statements)

References 22 publications

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“…Preservation of oxygenation with the trochanteric flip was similar to that observed with the anterolateral approach, but with less variation during the procedure. Both of these approaches were superior in terms of oxygenation preservation to the posterior approach [8] 1996 Case series / IV 33 OP + NOP Anterior (10) 7 (70%) 1 (10%) Posterior (21) 13 (62%) 2 (11%) Stannard et al [12] 2000 Case series / IV 22 OP S-P (9) 0 1 (11.1%) K-L (12) 0 4 (33.3%) A + P (1) 0 0 Mostafa [9] 2001 Case series / IV 6 OP + NOP Lateral (4) 0 0 Posterior (1) 0 1 Kloen et al [7] 2002 Case series / IV 33 OP + NOP A-L (5) 3 (60%) 0 K-L (9) 4 (44.4%) 1 (11.1%) S-P (7) 2 (28.6%) 0 [TOF 5]* [4 (80%)]* 0 NOP (7) 0 1 (14.3%) Prokop et al [11] 2005 Case series / IV 9 OP K-L (9) 3 (33.3%) 1 (11.1%) Henle et al [6] 2007 Case series / IV 12 OP TOF (12) 4 (33.3%) 2 (16.7%) Solberg et al [15] 2009 Case series / IV 12 OP TOF (12) 4 (33.3%) 1 (8.3%)…”

Section: Discussionmentioning

confidence: 99%

Impact of surgical approach on postoperative heterotopic ossification and avascular necrosis in femoral head fractures: a systematic review

Guo

Tang

Yang

et al. 2009

International Orthopaedics (SICOT)

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Heterotopic ossification (HO) and avascular necrosis (AVN) have been identified as post-traumatic complications of femoral head fractures and may lead to a restriction in hip function and permanent disability. The question of which surgical approach is the best for the femoral head fracture and its relationship with HO and AVN remains controversial. We conducted a systematic review in which all published studies were evaluated. We performed a literature search in MEDLINE, PubMed, EMBASE, MD Consult, and the Cochrane Controlled Trial Register from 1980 to April 2009. We found ten appropriate studies, describing 176 patients. A lower percentage of patients treated with a trochanteric flip approach was reported with HO than patients treated with anterior or posterior approach (33.3% versus 42.1% and 36.9%, respectively), although the difference was not statistically significant. The incidence of AVN was highest in the posterior approach group (16.9%), and subsequently with the trochanteric flip approach (12.5%) and the anterior group (7.9%). The investigators concluded that the use of the anterior approach may result in a higher risk for HO and the posterior approach may result in a higher risk for AVN. A new, posterior-based approach of trochanteric flip seems to be a better approach for femoral head fractures. A further case-control study would be appropriate to confirm the findings in our systematic review.

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Section: Discussionmentioning

confidence: 99%

Impact of surgical approach on postoperative heterotopic ossification and avascular necrosis in femoral head fractures: a systematic review

Guo

Tang

Yang

et al. 2009

International Orthopaedics (SICOT)

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“…Mostafa [3] and Vielpeau et al [6], respectively, reported 1 of 6 cases and 1 of 32 cases of such fractures occurring in the absence of hip dislocation; there was no further description of the lesions. Fabre et al [7] and Kim et al [8] reported two cases of simultaneous femoral head and neck fractures without associated dislocation.…”

Section: Discussionmentioning

confidence: 99%

“…They occur more often in the context of a posterior hip dislocation [1][2][3][4][5][6], although there have been reports of rare cases following anterior dislocation [1,6], and exceptional cases without any dislocation [3,[6][7][8][9]. We report a Pipkin type II femoral head fracture that occurred in the context of a posterior hip subluxation.…”

Section: Introductionmentioning

confidence: 99%

Hip subluxation associated with Pipkin II fracture: an injury to look for before reduction

Uzel¹,

Mazzola²,

Lebreton³

et al. 2009

Musculoskelet Surg

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Fractures of the femoral head are rare. They usually occur in association with a posterior hip dislocation secondary to a high-energy trauma (motor vehicle accident). We report a case of Pipkin II fracture associated with an irreducible hip subluxation. Clinical signs are poor unlike in posterior hip subluxation. CT scan is important to evaluate the traumatism. The Hardinge approach is relevant in this context of irreducible hip subluxation. The clinical, diagnostic, and therapeutic particularities of this lesion type are discussed.

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“…Definitive fixation is subsequently performed with interfragmentary lag screws. In addition to burying pins or screws, some fractures are amenable to lag fixation from a non-articular entry point [35]. Multiple implant options have been described and include countersunk interfragmentary lag screws, selfcompression headless screws [36,37], or bio-absorbable pins or screws [38].…”

Section: Fragment Excision Versus Internal Fixationmentioning

confidence: 99%

Femoral head fractures

Ross

Gardner

2012

Curr Rev Musculoskelet Med

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Femoral head fractures may present in various patterns with or without associated fractures around the hip. As a result, the treating orthopaedic surgeon must understand not only the fracture pattern, but also patientrelated fractures and the relevant operative exposures and reconstructive options to achieve the best functional outcome while minimizing complications. Treatment options range from non-operative treatment to fracture fragment excision or fracture fixation using various surgical exposures and implants. This article reviews the current literature on the treatment options for femoral head fractures and presents modern operative techniques that have improved exposure of the fracture while minimizing associated risks such as avascular necrosis, heterotopic ossification, and neurovascular compromise. A sound understanding of the anatomy and these newer techniques can enable the surgeon to provide improved expectations and clinical outcomes.

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Femoral head fractures

Cited by 27 publications

References 22 publications

Impact of surgical approach on postoperative heterotopic ossification and avascular necrosis in femoral head fractures: a systematic review

Impact of surgical approach on postoperative heterotopic ossification and avascular necrosis in femoral head fractures: a systematic review

Hip subluxation associated with Pipkin II fracture: an injury to look for before reduction

Femoral head fractures

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