Description of a Dislocation of the Head of the Femur, Complicated With its Fracture; With Remarks

Birkett, John

doi:10.1097/00003086-200008000-00002

Cited by 26 publications

(19 citation statements)

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“…Femoral head fracture, which was first reported by Birkett in 1869 [2], occurs with relative infrequency and almost exclusively with hip dislocations. Management of these injuries is complex.…”

Section: Introductionmentioning

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: Introductionmentioning

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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“…This is not surprising, however, because both posterior dislocation and posterior wall fractures result from similar mechanisms of injury and, as indicated, often occur in combination. [6][7][8][9][10][11] Anterior hip dislocations are much rarer and occur when an axial load is delivered to an abducted and externally rotated hip. Typically, if the hip is also extended, this mechanism will result in an anterosuperior hip dislocation (iliac or pubic).…”

Section: Mechanism and Pathophysiologymentioning

confidence: 99%

Imaging of Traumatic Injuries to the Hip

Stephenson

Davis

2013

Semin Musculoskelet Radiol

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Traumatic injuries of the hip are an increasingly common cause of morbidity and mortality. These injuries can be grouped into fairly discrete patterns including femoral head fractures and hip dislocations, femoral neck fractures, greater trochanteric fractures, intertrochanteric fractures, subtrochanteric fractures, and soft tissue injuries. For each of these entities, specific features provide helpful diagnostic, prognostic, and therapeutic information. Femoral head fractures and hip dislocations commonly occur in combination. Fractures of the femoral head confer an increased risk of avascular necrosis of the femoral head. Rare variations of hip dislocations exist including an irreducible posterior dislocation and multiple varieties of anterior dislocation. Femoral neck fractures, which can occur in younger individuals during high-energy trauma and occur with far greater frequency in older osteoporotic individuals with low-energy trauma, are commonly encountered radiographically but can also be radiographically occult. Similarly, greater trochanter fractures have a high frequency of radiographically occult distal extension. As is the case with many other femur fracture types, intertrochanteric and subtrochanteric fractures are less stable and more prone to developing nonunion the more comminuted and extensive they are. All of these injury patterns are frequently encountered in the emergency setting. The ability to distinguish between different types of injury and the knowledge of key discriminating and prognostic features are a must for the interpreting radiologist.

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“…Dr. John Birkett first described the fracture of femoral head in 1869 in a 35-year-old woman [1]. Femoral head fractures are rare injuries and they represent a severe injury to the hip joint and historically have been associated with a relatively poor functional outcome.…”

Section: Introductionmentioning

confidence: 99%

Application of Trochanteric Flip Osteotomy with Herbert Screw to Treat Pipkin I,II Fracture of the Femoral Head

Sun¹

2016

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There is no definite protocol in management of Pipkin fracture in relation to operation approach and internal fixations. The aim is to explore the therapeutic effects of internal fixation with Herbert screws for the treatment of Pipkin type I and type II femoral head fractures through the trochanteric flip osteotomy (TFO) approach. From January 2010 to December 2014, 12 cases of type I and II Pipkin fracture (including 8 type I,4 type II) treated through TFO approach and internal fixation with Herbert screws. All the patients were followed up 1-4 years with an average of 2.6 years. The whole osteotomies and acetabular fractures healed within 6 to 12 weeks. All patients achieved healing of femoral head fracture after 12-16 months without femoral head necrosis. Heterotopic ossification (HO) occurred in 1 cases after operation which were left untreated. At the last follow-up, excellent and good rate was 91.7%. Treatment of type I, II Pipkin fracture through TFO approach can provide good visualization and protect of the femoral head blood supply. The treatment of internal fixation with Herbert screws is effective for Pipkin type I and type II femoral head fracture.

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Description of a Dislocation of the Head of the Femur, Complicated With its Fracture; With Remarks

Cited by 26 publications

References 0 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

Imaging of Traumatic Injuries to the Hip

Application of Trochanteric Flip Osteotomy with Herbert Screw to Treat Pipkin I,II Fracture of the Femoral Head

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