scholarly journals Results of surgical hip dislocation in the management of irreducible hip fracture-dislocation with femoral head fracture: a case series

2020 ◽  
Vol 42 (3) ◽  
pp. 319-325
Author(s):  
kaveh gharanizadeh ◽  
kareem pisoudeh
Keyword(s):  
Hip Fracture ◽  
Femoral Head ◽  
Case Series ◽  
Hip Dislocation ◽  
Fracture Dislocation ◽  
Femoral Head Fracture ◽  
Surgical Hip Dislocation

scholarly journals Gibson approach and surgical hip dislocation according to Ganz in the treatment of femoral head fractures

2021 ◽  
Vol 22 (S2) ◽  
Author(s):  
Domenico De Mauro ◽  
Giuseppe Rovere ◽  
Amarildo Smakaj ◽  
Silvia Marino ◽  
Gianluca Ciolli ◽  
...  
Keyword(s):  
Femoral Head ◽  
Internal Fixation ◽  
Open Reduction ◽  
Case Series ◽  
Hip Dislocation ◽  
Harris Hip Score ◽  
Femoral Head Fracture ◽  
Surgical Hip Dislocation ◽  
Modified Harris Hip Score

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 2020, nine cases of Pipkin fractures came to the Emergency Department at the Trauma Center of our Hospital in Rome. Inclusion criteria were the diagnosis of femoral head fracture, the open reduction and internal fixation as surgical choice and at least 24 months follow-up. Patients older than 65 years and those treated through total hip replacement or combined hip procedure (CHP) were excluded. Thus, five patients were included in our case series. The clinical outcome was evaluated according to Western Ontario and McMaster Universities Arthritis Index, Vail Hip score, modified Harris Hip score and Merle D’Aubignè Postel score. Radiographic assessment was scored according to Epstein-Thompson classification and heterotopic ossification was assessed through Brooker classification. The mean follow-up was 24 months (range 12-24). Average modified Harris Hip score was 92.1 points (range 75.9–100), and the average Vail score was 81.8 (range 55-95). WOMAC score was assessed in three different subscales, pain (A), stiffness (B) and physical condition (C), with the following results: 1.4 A (range 0-7), 1.2 B (range 0-6) and 6.4 C (range 0-22). Merle d’Aubignè Postel score resulted excellent for four patients and good for one patient. According to Epstein-Thompson score of the radiological outcome, four patients showed a good result and one a fair result. No mechanical or infective complications occurred in the five patients. Conclusions Gibson’s approach and surgical hip dislocation through Ganz trochanteric flip osteotomy allow a good exposure of the femoral head and acetabulum, giving us the possibility to perform an anatomical reduction of the fracture. In our case series, satisfactory clinical and radiological short-term results were obtained without significant complications.

scholarly journals Treatment of fracture dislocation of the femoral head using safe surgical hip dislocation: a case report.

2021 ◽  
Author(s):  
Paa BAIDOO ◽  
Kwasi Twumasi-Baah Jnr ◽  
Kwadwo Anning ◽  
Alex Assim ◽  
Emmanuel Ayodeji ◽  
...  
Keyword(s):  
Case Report ◽  
Femoral Head ◽  
Hip Dislocation ◽  
Fracture Dislocation ◽  
Type I ◽  
Femoral Head Fracture ◽  
Surgical Hip Dislocation ◽  
Posterior Hip Dislocation

We report the clinical and radiological outcomes of a 30-year-old female with femoral head fracture following a posterior hip dislocation. The patient was managed using safe surgical hip dislocation and reviewed the literature on Pipkin type I fractures.

Asymmetric Bilateral Hip Fracture-Dislocation: A Case Report and Literature Review

2020 ◽  
Author(s):  
Seyed Mohammad Javad Mortazavi ◽  
Hamed Mazzochy ◽  
Mohammad Ali Ghasemi ◽  
Furqan Mohammed Yaseen Khan
Keyword(s):  
Case Report ◽  
Hip Fracture ◽  
Femoral Head ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Hip Dislocation ◽  
Rare Condition ◽  
Initial Step ◽  
Fracture Dislocation ◽  
Femoral Head Fracture

Background: Asymmetric bilateral hip dislocation is a rare condition, especially when it is accompanied by a bilateral femoral head fracture. Case Report: A 28-year-old man who sustained a motor vehicle accident, was presented to the our center (Imam Khomeini Hospital Complex) with asymmetric bilateral hip fracture-dislocation. In the initial step, closed reduction was performed, followed by bilateral open reduction and fixation of the femoral head fragment by screws. The results were satisfactory after 5 years of follow-up. Conclusion: Although rare, paradoxical femoral head fracture should be considered in patients with hip dislocation. We recommend our therapeutic approach in a similar situation.

scholarly journals A case report of femoral head fracture with osteochondral lesion treated by osteosynthesis and biomimetic scaffold: 2-year clinical and radiological follow-up

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Alessandro Casiraghi ◽  
Claudio Galante ◽  
Marco Domenicucci ◽  
Stefano Cattaneo ◽  
Andrea Achille Spreafico ◽  
...  
Keyword(s):  
Case Report ◽  
Femoral Head ◽  
Articular Surface ◽  
Osteochondral Lesion ◽  
Hip Dislocation ◽  
Fracture Dislocation ◽  
Osteochondral Lesions ◽  
Femoral Head Fracture ◽  
Osteochondral Scaffold

AbstractThe aim of the present study was to present clinical and radiological outcome of a hip fracture-dislocation of the femoral head treated with biomimetic osteochondral scaffold.An 18-year-old male was admitted to the hospital after a motorcycle-accident. He presented with an obturator hip dislocation with a type IVA femoral head fracture according to Brumback classification system. The patient underwent surgery 5 days after accident. The largest osteochondral fragment was reduced and stabilized with 2 screws, and the small fragments were removed. The residual osteochondral area was replaced by a biomimetic nanostructured osteochondral scaffold. At 1-year follow-up the patient did not complain of hip pain and could walk without limp. At 2-year follow-up he was able to run with no pain and he returned to practice sports. Repeated radiographs and magnetic resonance imaging studies of the hip showed no signs of osteoarthritis or evidence of avascular necrosis. A hyaline-like signal on the surface of the scaffold was observed with restoration of the articular surface and progressive decrease of the subchondral edema.The results of the present study showed that the biomimetic nanostructured osteochondral scaffold could be a promising and safe option for the treatment of traumatic osteochondral lesions of the femoral head.Study Design: Case report.

scholarly journals An Irreducible Hip Dislocation with Femoral Head Fracture

2018 ◽  
Vol 31 (3) ◽  
pp. 181-188
Author(s):  
Tae-Seong Kim ◽  
Chang-Wug Oh ◽  
Joon-Woo Kim ◽  
Kyeong-Hyeon Park
Keyword(s):  
Femoral Head ◽  
Hip Dislocation ◽  
Femoral Head Fracture

scholarly journals Management of Pipkin Fractures Using a Safe Surgical Hip Dislocation

2019 ◽  
Vol 2019 ◽  
pp. 1-6 ◽  
Author(s):  
Rita Henriques ◽  
Diogo Ramalho ◽  
Joaquim Soares do Brito ◽  
Pedro Rocha ◽  
André Spranger ◽  
...  
Keyword(s):  
Femoral Head ◽  
Avascular Necrosis ◽  
Surgical Approach ◽  
Trauma Surgery ◽  
Hip Dislocation ◽  
High Energy ◽  
Posttraumatic Arthritis ◽  
Surgical Hip Dislocation ◽  
Anatomical Reduction ◽  
Pipkin Fracture

Introduction. Pipkin fractures are rare events and usually occur as a consequence for high-energy trauma. Surgery to obtain anatomical reduction and fixation is the mainstay treatment for the majority of these injuries; nonetheless, controversy exists regarding the best surgical approach. Description of the Case. We present the case of a 41-year-old male, which sustained a type II Pipkin fracture following a motorcycle accident. In the emergency department, an emergent closed reduction was performed, followed by surgery five days later. Using a surgical hip dislocation, a successful anatomical reduction and fixation was performed. After three years of follow-up, the patient presented with a normal range of motion, absent signs for avascular necrosis or posttraumatic arthritis, but with a grade II heterotopic ossification. Discussion. Safe surgical hip dislocation allows full access to the femoral head and acetabulum, without increasing the risk for a femoral head avascular necrosis or posttraumatic arthritis. Simultaneously, this surgical approach gives the opportunity to repair associated acetabular or labral lesions, which explains the growing popularity with this technique. Conclusion. Although technically demanding, safe surgical hip dislocation represents an excellent option in the reduction and fixation for Pipkin fractures.

scholarly journals Can we predict femoral head vitality during surgical hip dislocation?

2014 ◽  
Vol 1 (2) ◽  
pp. 77-81 ◽  
Author(s):  
A. Aprato ◽  
A. Bonani ◽  
M. Giachino ◽  
M. Favuto ◽  
F. Atzori ◽  
...  
Keyword(s):  
Femoral Head ◽  
Hip Dislocation ◽  
Surgical Hip Dislocation
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