Fractures of the femoral head: a narrative review.
Pipkin
classification
femoral head
fracture
surgical approach
Journal
EFORT open reviews
ISSN: 2058-5241
Titre abrégé: EFORT Open Rev
Pays: England
ID NLM: 101695674
Informations de publication
Date de publication:
Nov 2021
Nov 2021
Historique:
entrez:
15
12
2021
pubmed:
16
12
2021
medline:
16
12
2021
Statut:
epublish
Résumé
Fractures of the femoral head are rare injuries, which typically occur after posterior hip dislocation.The Pipkin classification, developed in 1957, is the most commonly used classification scheme to date.The injury is mostly caused by high-energy trauma, such as motor vehicle accidents or falls from a significant height.Emergency treatment consists of urgent closed reduction of the hip joint, followed by non-operative or operative treatment of the femoral head fracture and any associated injuries.There is an ongoing controversy about the suitable surgical approach (anterior vs. posterior) for addressing fractures of the femoral head. Fracture location, degree of displacement, joint congruity and the presence of loose fragments, as well as concomitant injuries are crucial factors in choosing the adequate surgical approach.Long-term complications such as osteonecrosis of the femoral head, posttraumatic osteoarthritis and heterotopic ossification can lead to a relatively poor functional outcome. Cite this article:
Identifiants
pubmed: 34909230
doi: 10.1302/2058-5241.6.210034
pii: 10.1302_2058-5241.6.210034
pmc: PMC8631236
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
1122-1131Informations de copyright
© 2021 The author(s).
Déclaration de conflit d'intérêts
ICMJE Conflict of interest statement: The authors declare no conflict of interest relevant to this work.
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