Functional Outcome of Patients With Femoral Head Fractures Associated With Hip Dislocations

Stannard, James P.; Harris, Howard W.; Volgas, David A.; Alonso, Jorge E.

doi:10.1097/00003086-200008000-00008

Cited by 171 publications

(127 citation statements)

References 19 publications

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“…[8,9,[11][12][13][22][23][24][25][26][27] Over the past decades, rates of excellent or good results of 40-70% have been published in the literature. [8,[22][23][24][28][29][30][31] Our rate of excellent and good results was 50%, which was similar to the literature. Two of the three patients who had excellent and good results were treated with ORIF.…”

Section: Discussionsupporting

confidence: 85%

“…3). The average age at the time of injury was 28 (20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36) years. Most of the fractures were due to traffic accident; only one patient sustained injury from a motor vehicle accident.…”

Section: Resultsmentioning

confidence: 99%

“…Although initial damage to the cartilage is the main factor in the determination of final outcome in femoral head fractures, poor results in many cases are related to the difficulties encountered in obtaining adequate exposure, reduction and osteosynthesis. [1] Three surgical approaches are advocated in the literature: anterolateral (Watson-Jones), [22,24,32] anterior (Smith-Patterson) [24,25,31] and posterior (Kocher-Langenbeck). [26] Anterior approaches are related with high rates of heterotopic ossification, but obtain an optimal exposure of the fragments of the femoral head.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Fractures of the femoral head: what are the reasons for poor outcome?

Özcan

Çopuroğlu²,

Sarıdoğan³

2011

Ulus Travma Acil Cerrahi Derg

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AMAÇBu yazıda, çok nadir bir yaralanma olan femur başı kırıkla-rında tedavi stratejilerinin tartışılması amaçlandı. GEREÇ VE YÖNTEMMart 2006 ile Aralık 2007 arasında acil servise femur başı kırığı ile başvuran beş hastanın altı kırığı incelendi. Cerrahi ve cerrahi dışı yöntemlerle tedavi edilen hastaların fonksiyonel sonuçları karşılaştırıldı. BULGULARHastaların yarısı cerrahi yöntemle, yarısı da cerrahi dışı yöntemlerle tedavi edildi. Mükemmel ve iyi sonuçların oranı %50 bulundu. İki taraflı yaralanması bulunan hastada avasküler nekroz gelişti. Bu hastada fonksiyonel sonuçlar kötü bulundu. Cerrahi ile tedavi edilen hastalardan birinde erken posttravmatik artrit görüldü, bu hastanın fonksiyonel sonuçları orta bulundu. SONUÇMinimum yumuşak doku travması ile anatomik redüksiyo-nun sağlanması bu kırıkların tedavisindeki amacımız olmalıdır. Parçaların en iyi görüntüsü hangi yaklaşımla sağlana-caksa o yaklaşım tercih edilmelidir. Şu unutulmamalıdır ki, tüm tedavi seçeneklerine rağmen bu hastaların fonksiyonel sonuçları kötü olabilmektedir.

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Section: Discussionsupporting

confidence: 85%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Fractures of the femoral head: what are the reasons for poor outcome?

Özcan

Çopuroğlu²,

Sarıdoğan³

2011

Ulus Travma Acil Cerrahi Derg

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“…The choice treatment for Pipkin type 1 fractures remains controversial [10,11,14,17]. The absence of a validated outcome instrument has contributed to the lack of absolute recommendations and indications for the most appropriate treatment of femoralhead fractures associated with hip dislocations [16].…”

Section: Introductionmentioning

confidence: 99%

Conservative versus surgical management of Pipkin type I fractures associated with posterior dislocation of the hip: a randomised controlled trial

Chen

Lin

Zhai

et al. 2010

International Orthopaedics (SICOT)

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The aim of this study was to evaluate the longterm results of conservative and surgical fragment excision treatment in patients with Pipkin type 1 fractures of the femoral head associated with posterior dislocation of the hip by a randomised controlled trial. Sixteen patients were randomly divided into two groups: the conservative group was treated by closed reduction, and the surgical group was treated by closed reduction followed with fragment excision. Functional outcome was determined using the Thompson and Epstein score and the Merle d'Aubigne and Postel score. Outcome of the conservative group was worse than that of the surgical group (p=0.032). The randomised controlled trial proves surgical fragment excision after closed reduction is an effective treatment for Pipkin type 1 fractures.

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“…[1][2][3][4] The Pipkin and Brumback systems are used to classify this fracture pattern. 4,5 The previous guidelines for management of Pipkin type I femoral head fractures recommended conservative management for undisplaced fractures and open excision of displaced fracture fragments. Considering the complex and interdependent circulation of the hip joint, open excision may put the compromised circulation at further risk, a risk that is multiplied by the potential morbidity of the arthrotomy itself.…”

mentioning

confidence: 99%

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

Kekatpure

Ahn

Lee

et al. 2016

Arthroscopy Techniques

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Femoral head fractures after posterior dislocation of the hip are uncommon and are conventionally treated by an open method. Hip arthroscopy can be a valuable treatment option for the management of femoral head fractures. Arthroscopy allows for a less invasive option when compared with arthrotomy and can allow faster recovery with minimal soft-tissue injury. We describe the arthroscopic reduction and internal fixation of Pipkin type I femoral head fractures with a detailed stepwise description of the surgical technique, including technical pearls and pitfalls, potential complications, and advantages and disadvantages.

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Functional Outcome of Patients With Femoral Head Fractures Associated With Hip Dislocations

Cited by 171 publications

References 19 publications

Fractures of the femoral head: what are the reasons for poor outcome?

Fractures of the femoral head: what are the reasons for poor outcome?

Conservative versus surgical management of Pipkin type I fractures associated with posterior dislocation of the hip: a randomised controlled trial

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

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