Fracture of the Femoral Head

Droll, Kurt P.; Broekhuyse, Henry M.; O’Brien, Peter J.

doi:10.5435/00124635-200712000-00005

Cited by 85 publications

(65 citation statements)

References 29 publications

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“…Femurkopffrakturen sind seltene Verletzungen, die häufig auf ein Hochenergietrauma zurückzuführen und mit Hüftkopfluxationen oder Azetabulumfrakturen assoziiert sind. Insgesamt wird in 5-15 % der traumatischen Hüftkopfluxationen eine Femurkopffraktur beobachtet [3]. Häufigster Unfallmechanismus ist der Verkehrsunfall mit resultierender "dashboard injury", betroffen sind vor allem junge Menschen, wobei das männliche Geschlecht überwiegt.…”

Section: Femurkopffraktur (Pipkin-fraktur)unclassified

SOP Proximale Femurfraktur

Raschke¹,

Everding²

2019

Orthopädie und Unfallchirurgie up2date

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Section: Femurkopffraktur (Pipkin-fraktur)unclassified

SOP Proximale Femurfraktur

Raschke¹,

Everding²

2019

Orthopädie und Unfallchirurgie up2date

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“…6,11 After reduction, all patients need an AP pelvis x-ray to cheek that the hip is grossly reduced followed by a computerized tomography scan (CT) with r2 mm cuts to: look for retained intraarticular fragments, evaluate the reduction and position of the femoral head fragment(s), and to look for ipsilateral fractures. 13 If surgery is needed there are multiple approaches to the hip joint that can be used. 8,12 There is no consensus regarding that fracture fragments should be stabilized and which fragments are amenable to excision.…”

Section: ) These Patients Required An Open Reduction and Internal Fixmentioning

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Treatment of Femoral Head Fractures

Leslie

Jamali

Wolinsky

2010

Techniques in Orthopaedics

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Femoral head fractures are associated with posterior and anterior dislocations of the hip. Treatment of these high-energy injuries is controversial with widely variable outcomes. When surgical intervention is indicated, there are multiple approaches that can be successfully and safely used for definitive fixation. The choice of surgical approach is both surgeon and final construct dependent.Key Words: femoral head fractureFsurgical dislocationFdirect anterior approachFhip dislocation. (Tech Orthop 2010;25: 155-159)

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“…Die Fragmententfernung scheint hier in der Langzeitbeobachtung funktionell wie radiologisch Vorteile gegenüber der Refixation zu bringen [3]. Allerdings kann der von Epstein gegebenen Empfehlung Fragmente bis zu einem Drittel des Kopfdurchmessers zu entfernen nicht mehr gefolgt werden [4].…”

Section: Pipkin1frakturenunclassified

Aktuelle Therapieoptionen bei Hüftkopfluxationsfrakturen

Thannheimer

Gutsfeld

Bühren

2009

Chirurg

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Fractures of the femoral head (Pipkin fractures) are relatively uncommon. In cases of immediate, gentle reposition and considerate soft tissue treatment during operative treatment, Pipkin 1 and 2fractures can heal with good long-term results. However, some long-term problems regularly occur. Conservative therapy is possible in cases of anatomic articulation or the presence of only very small fragments that do not compromise articulation after closed reduction. Differentiated indications for conservative treatment in Pipkin 1 and Pipkin 2 fractures can result in a better outcome than operative treatment. All other fractures should be treated operatively. The approach has to be adapted to fragment size and location. Small fragments in Pipkin 1 fractures can simply be removed, but larger fragments in Pipkin 1 and Pipkin 2 fractures should be fixed, preferably via an anterior approach. Pipkin 3 fractures generally require total hip arthroplasty. Pipkin 4 fractures have a relatively poor outcome. The strategy of treatment depends on the necessity of operative fixation of the acetabular fracture and the size of the femoral fragment. The anterior approach is preferred in cases of stable joint situations with only a small acetabular rim fragment, and in cases of instability the dorsal approach is preferred. Surgical luxation can be advantageous for the treatment of Pipkin 4 fractures.

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Fracture of the Femoral Head

Cited by 85 publications

References 29 publications

SOP Proximale Femurfraktur

SOP Proximale Femurfraktur

Treatment of Femoral Head Fractures

Aktuelle Therapieoptionen bei Hüftkopfluxationsfrakturen

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