2021
DOI: 10.1186/s12891-021-04800-w
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Gibson approach and surgical hip dislocation according to Ganz in the treatment of femoral head fractures

Abstract: Background The purpose of the study is to evaluate clinical and radiological outcomes in those patients with femoral head fracture, treated with open reduction and internal fixation through Gibson approach and Ganz flip trochanter osteotomy. The treatment of Pipkin fractures is very challenging, especially for small trauma centers, because of the unusual fracture patterns and high-level surgical skills required. Case presentation Between 2017 and 2… Show more

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Cited by 15 publications
(7 citation statements)
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“…FHFs were rare but serious injuries caused by highenergy trauma (Alonso et al, 2000). A CT scan of the hips was needed for better diagnosis and treatment of the fractures (De Mauro et al, 2021). The CT scan helped understand features of FHF, including the femoral head fracture pattern, the congruity of the hip joint, and the presence or absence of intra-articular loose fragments, which may not Frontiers in Bioengineering and Biotechnology frontiersin.org be accurately detected in X-ray image (Ross and Gardner, 2012).…”
Section: Discussionmentioning
confidence: 99%
“…FHFs were rare but serious injuries caused by highenergy trauma (Alonso et al, 2000). A CT scan of the hips was needed for better diagnosis and treatment of the fractures (De Mauro et al, 2021). The CT scan helped understand features of FHF, including the femoral head fracture pattern, the congruity of the hip joint, and the presence or absence of intra-articular loose fragments, which may not Frontiers in Bioengineering and Biotechnology frontiersin.org be accurately detected in X-ray image (Ross and Gardner, 2012).…”
Section: Discussionmentioning
confidence: 99%
“…Various operative approaches have been opted for Pipkin fractures depending on the femoral head fragment, the direction of the dislocation, and the associated acetabular fractures. Several types of approaches are described in the literature: posterior (Kocher-Langenbeck), posterolateral (Moor), anterolateral (Watson Jones), trochanteric flip osteotomy, Gibson surgical hip dislocation, and direct anterior approach (Smith-Peterson) (24,25). Our preference is for DAA, which is also interchangeably called modified Hunter's anterior surgical approach or Smith-Peterson to treat bilateral Pipkin type II justifying the minimally invasive, adequate exposure for femoral head fixation, surgical positioning in the supine position, short hospital stays and rapid recovery of incision wounds.…”
Section: Discussionmentioning
confidence: 99%
“…For the study aims, all the posterior wall acetabular fractures between February 2018 and February 2020 who underwent internal fixation with the use of spring plate (DePuy Synthes, West Chester, PA, USA) were included. Patients with incomplete data, follow-up shorter than 24 months, pathological fractures of the acetabulum, associated femoral head fractures [ 14 ], history of homolateral acetabular fractures were excluded. Diagnosis was made according to the Judet and Letournel classification, on plain radiographs in antero-posterior view and Judet views, iliac and obturator oblique views, and thin-slice CT with multiplanar reconstructions ( Figure 1 ).…”
Section: Methodsmentioning
confidence: 99%