Failed reduction of posterior hip dislocation accompanied by femoral head fracture: causes and resolving strategy

Chen, Wei; Gao, Ze; Ma, Lijie

doi:10.1007/s00264-020-04856-8

Cited by 7 publications

(9 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…FHFD, which is caused by high-energy injury, is very complicated and difficult to treat because it requires prompt treatment, extensive approach to the muscles surrounding the hip joint, and anatomic reduction and rigid fixation due to the nature of intra-articular fractures in addition to the demand for trochanteric flip osteotomy in some patients [ 3 , 21 ]. Among the 34 patients with FHFD, good outcomes were achieved for SHD with TFO in 32 patients, except 2 patients in whom AVN was caused by the association of the femoral neck fracture, demonstrating that SHD with TFO is a safe and useful approach for the treatment of FHFD.…”

Section: Discussionmentioning

confidence: 99%

Safety of surgical hip dislocation in femoral head fracture and dislocation (FHFD) and avascular necrosis risk factor analysis of FHFD: midterm results confirmed by SPECT/CT and MRI

Yoon

Kim

et al. 2022

J Orthop Surg Res

View full text Add to dashboard Cite

Background The study aim was to report the treatment outcomes of trochanteric flip osteotomy (TFO) with surgical hip dislocation (SHD) for femoral head fracture and dislocation (FHFD) and to investigate the risk factors for avascular necrosis (AVN) of the femoral head. Methods The data of 34 patients (29 men, 5 women; mean age 37.9 years) diagnosed with FHFD and treated with TFO with SHD between May 2009 and February 2018 with an average follow-up period of 5.1 years (range 2.8–10.5 years) were analyzed. Clinical outcomes were evaluated using the Merle d'Aubigné–Postel score and Thompson–Epstein Scale. Radiologic outcomes were classified according to the Matta classification. AVN was confirmed using magnetic resonance imaging or single-photon emission computed tomography/computed tomography. The occurrence of complications was examined, and factors influencing complications, AVN. Results Regarding the Pipkin’s classification, there were 7 patients with type II, 2 patients with type III, and 25 patients with type IV fractures. Posterior wall fractures accompanied all associated acetabular fractures in the patients with Pipkin type IV fractures. Radiologically, the union of acetabular and femoral head fractures was observed within 6.1 months on average (range 4–10 months) in 32 patients, except two patients who developed femoral head AVN. Clinically, the average Merle d'Aubigné–Postel score was 14.4 points (range 8–17 points), and 22 patients had good or excellent results on the Thompson–Epstein Scale. Two patients developed femoral head AVN with both having displaced femoral neck fractures associated with FHFD. AVN was significantly correlated with femoral neck fractures (P = 0.000). Conclusion TFO with SHD is a safe and useful approach for the treatment of FHFD. Particular attention should be paid when treating femoral head fractures associated with displaced femoral neck fractures because of the high risk of AVN development.

show abstract

Section: Discussionmentioning

confidence: 99%

Safety of surgical hip dislocation in femoral head fracture and dislocation (FHFD) and avascular necrosis risk factor analysis of FHFD: midterm results confirmed by SPECT/CT and MRI

Yoon

Kim

et al. 2022

J Orthop Surg Res

View full text Add to dashboard Cite

show abstract

“…The main mechanism of injury for Pipkin fracture-dislocations is traumatic posterior hip dislocation, as a result, the early and prompt hip reduction is particularly important [1,2,4,10,20]. In general, operating room closed reduction under anesthesia or sedation is the most common method.…”

Section: Discussionmentioning

confidence: 99%

“…The most widely used reduction method for posterior hip dislocation is Allis manoeuvre, however, because of the residual intra-acetabular incarceration of the fracture fragments and soft tissue, failed closed reduction of posterior hip dislocation are not uncommon [22]. Chen et al [20] reported a modi ed Allis manoeuvre which can effectively relieve the bony incarceration of the femoral head, and achieve closed reduction in ve Pipkin type I femoral head fracture cases who had experienced failed closed reduction via the Allis method. If the closed reduction fails or the concentric reduction cannot be achieved, the open reduction should be performed immediately.…”

Section: Discussionmentioning

confidence: 99%

Early Versus Delayed Hip Reduction in Treating Femoral Head Fracture Combined With Posterior Hip Dislocation: A Comparative Study

Wang¹,

Li²,

Zhang³

et al. 2021

Preprint

View full text Add to dashboard Cite

Background: Few studies focus on the treatment of femoral head fracture combined with posterior hip dislocation, and the the safe interval time between injury and reduction still remains controversial. The purpose of this study was to evaluate and compare the outcome of early and delayed hip reduction in treating femoral head fracture combined with posterior hip dislocation. Methods: A total of 71 patients were evaluated in this retrospective study. Based on the time to hip reduction, they were divided into early group (within 6 hours after injury) and delayed group (between 6 - 12 hours after injury). The two groups were compared in reference to hospital day, fracture healing time, the occurrence of complications and final functional outcome. The Thompson-Epstein criteria, modified merled’ Aubigne-Postel scores, visual analog scale (VAS) and Medical Outcomes Short Form 12-item questionnaire score (SF-12) were used for final functional evaluation.Results: The mean hospital day and fracture healing time in the early group were significantly lower than delayed group. The incidence of infection, post-traumatic osteoarthritis, and avascular necrosis of the femoral head (ANFH) in the delayed group were higher than early group. The early group had better functional outcomes in term of Thompson-Epstein criteria, modified merled’ Aubigne-Postel scores and physical component scale (PCS) than delayed group. Conclusions: For the treatment of femoral head fracture combined with posterior hip dislocation, the early and prompt hip reduction can effectively facilitate the fracture healing and patient recovery as well as obtain better functional outcomes.

show abstract

“…The modified Allis manoeuvre reported by the authors [1] have several disadvantages. First, the surgeon and assistants have to exert persistent power until reduction is achieved.…”

mentioning

confidence: 96%

“…We read with great interest the article titled "Failed reduction of posterior hip dislocation accompanied by femoral head fracture: causes and resolving strategy" by Chen et al and would like to congratulate the authors for their study [1]. The authors conducted a radiological study to determine the potential causes of the failure of a closed reduction of a posterior hip dislocation combined with a femoral head fracture, and introduced a modified Allis manoeuvre to effectively reduce the combined injury in a closed fashion.…”

mentioning

confidence: 99%

Letter to the editor regarding “Failed reduction of posterior hip dislocation accompanied by femoral head fracture: causes and resolving strategy”

Shigemura

Miura

Murata

2020

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

Failed reduction of posterior hip dislocation accompanied by femoral head fracture: causes and resolving strategy

Cited by 7 publications

References 18 publications

Safety of surgical hip dislocation in femoral head fracture and dislocation (FHFD) and avascular necrosis risk factor analysis of FHFD: midterm results confirmed by SPECT/CT and MRI

Safety of surgical hip dislocation in femoral head fracture and dislocation (FHFD) and avascular necrosis risk factor analysis of FHFD: midterm results confirmed by SPECT/CT and MRI

Early Versus Delayed Hip Reduction in Treating Femoral Head Fracture Combined With Posterior Hip Dislocation: A Comparative Study

Letter to the editor regarding “Failed reduction of posterior hip dislocation accompanied by femoral head fracture: causes and resolving strategy”

Contact Info

Product

Resources

About