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

Özcan, Mert; Çopuroğlu, Cem; Sarıdoğan, Kenan

doi:10.5505/tjtes.2011.99267

Cited by 5 publications

(3 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Anterolateral (Watson-Jones) [ 17 ], anterior (Smith-Petersen) [ 18 ], and posterior (Kocher-Langenbeck) [ 19 ] surgical approaches to this type of trauma have been proposed. However, which approach should be used remains controversial.…”

Section: Discussionmentioning

confidence: 99%

Femoral Varus Osteotomy for Hip Instability after Traumatic Fracture Dislocations of the Hip Associated with Femoral Head Fractures: A Report of Two Cases

Miyamoto

Nakamura

Iida

et al. 2016

Case Reports in Orthopedics

View full text Add to dashboard Cite

Fracture of the femoral head and the acetabulum with traumatic dislocation of the hip is a severe injury representing various types and unfavorable outcome. We showed a 45-year-old man with Pipkin type-IV fracture and coxa valga. An immediate closed reduction was achieved followed by open reduction and internal fixation via a posterior approach 6 days later. However, dislocation occurred three times without traumatic events after three weeks. CT demonstrated no displacement of posterior fragments or implant failure. Femoral intertrochanteric varus osteotomy was performed to gain concentric stability and successfully resolved recurrent dislocation. Another 45-year-old woman with Pipkin type-IV fracture and coxa valga also underwent closed reduction initially and then continued conservative treatment. After eight weeks, when she started gait training, progressive pain became symptomatic. Persistent hip pain at weight bearing was not improved in spite of arthroscopic synovectomy and osteochondroplasty. Two years after injury, femoral intertrochanteric varus osteotomy was indicated and her refractory pain was resolved gradually. We suggest that femoral varus osteotomy should be considered for superolateral subluxation associated fracture dislocation of the hip in Pipkin type-IV and coxa valga.

show abstract

Section: Discussionmentioning

confidence: 99%

Femoral Varus Osteotomy for Hip Instability after Traumatic Fracture Dislocations of the Hip Associated with Femoral Head Fractures: A Report of Two Cases

Miyamoto

Nakamura

Iida

et al. 2016

Case Reports in Orthopedics

View full text Add to dashboard Cite

show abstract

“…1,2 It is important to inform the patient and his or her relatives that regardless of the treatment performed the rate of complications and poor outcomes after femoral head fractures may reach as high as 50%. 5,6,11,23 The main complications after femoral head fracture are ON, OA, and HO. Other complications such as irreversible damage to the sciatic nerve, pain, and loss of hip joint mobility due to chondrolysis also occur, albeit less frequently.…”

Section: Postoperative Protocolmentioning

confidence: 99%

“…Complications that are most commonly seen after femoral head fractures are osteonecrosis (ON), osteoarthritis (OA) and heterotopic ossification (HO). 5,6 In the present study, the authors review the general principles of management of patients with femoral head fractures.…”

Section: Introductionmentioning

confidence: 99%

General principles for treatment of femoral head fractures

Giordano

Glória

et al. 2019

Journal of Clinical Orthopaedics and Trauma

View full text Add to dashboard Cite

Femoral head fractures occur almost exclusively as a result of a traumatic hip dislocation. Treatment is typically an emergency and includes the reduction of the dislocated hip under anesthesia. As a rule, the earlier the reduction, the better the outcome. Open reduction and internal fixation of the fracture of the femoral head is the treatment of choice for most young patients. In some selected cases when there is a very small fragment located in the region below the fovea, removal should be indicated. In elderly patients and those who experience severe femoral head impaction, it is preferable to perform a total hip replacement. Despite optimal management, the rate of complications after femoral head fractures may reach as high as 50%. In the present study, the authors review the general principles of management of patients with femoral head fractures.

show abstract