Display options
Cite
Guimaraes RP, Saeki de Souza G, da Silva Reginaldo S, et al. STUDY OF THE TREATMENT OF FEMORAL HEAD FRACTURES. Rev Bras Ortop. 2015;45(4):355-61doi: 10.1016/S2255-4971(15)30381-5.
Guimaraes, R. P., Saeki de Souza, G., da Silva Reginaldo, S., Ono, N. K., Honda, E. K., Polesello, G. C., & Riccioli, W. (2010). STUDY OF THE TREATMENT OF FEMORAL HEAD FRACTURES. Revista brasileira de ortopedia, 45(4), 355-61. https://doi.org/10.1016/S2255-4971(15)30381-5
Guimaraes, Rodrigo Pereira, et al. "STUDY OF THE TREATMENT OF FEMORAL HEAD FRACTURES." Revista brasileira de ortopedia vol. 45,4 (2010): 355-61. doi: https://doi.org/10.1016/S2255-4971(15)30381-5
Guimaraes RP, Saeki de Souza G, da Silva Reginaldo S, Ono NK, Honda EK, Polesello GC, Riccioli W. STUDY OF THE TREATMENT OF FEMORAL HEAD FRACTURES. Rev Bras Ortop. 2015 Nov 17;45(4):355-61. doi: 10.1016/S2255-4971(15)30381-5. eCollection 2010. PMID: 27022564; PMCID: PMC4799121.
Copy Download .nbib Format: NLM
Share it on

Rev Bras Ortop. 2015 Nov 17;45(4):355-61. doi: 10.1016/S2255-4971(15)30381-5. eCollection 2010.

STUDY OF THE TREATMENT OF FEMORAL HEAD FRACTURES.

Revista brasileira de ortopedia

Rodrigo Pereira Guimaraes, Gilliatt Saeki de Souza, Sandro da Silva Reginaldo, Nelson Keiske Ono, Emerson Kiyoshi Honda, Giancarlo Cavalli Polesello, Walter Riccioli

Affiliations

  1. MSc from FCMSCSP and Lecturer; Attending physician in the Hip Group, Department of Orthopedics and Traumatology, FCMSCSP.
  2. Orthopedist and former trainee in the Hip Group, Department of Orthopedics and Traumatology, FCMSCSP.
  3. PhD from FCMSCSP and Assistant Professor; Head of the Hip Group, Department of Orthopedics and Traumatology, FCMSCSP.
  4. PhD from FCMSCSP and Lecturer; Senior Member of the Hip Group, Department of Orthopedics and Traumatology, FCMSCSP.
  5. PhD from FCMSCSP and Assistant Professor; Attending Physician in the Hip Group, Department of Orthopedics and Traumatology, FCMSCSP.
  6. Orthopedist and Attending Physician in the Hip Group, Department of Orthopedics and Traumatology, FCMSCSP.

PMID: 27022564 PMCID: PMC4799121 DOI: 10.1016/S2255-4971(15)30381-5

Abstract

OBJECTIVE: To establish guidelines for the treatment of femoral head fractures and to determine the best form of access in cases treated surgically.

METHODS: We evaluated the clinical and radiological results from 13 patients (13 fractures) treated surgically, between May 1986 and July 1996, at the Department of Orthopedics and Traumatology, Santa Casa de Misericórdia de Sao Paulo (SCMSP), Fernandinho Simonsen Wing.

RESULTS: Out of six cases of Pipkin 1 fractures, five underwent resection of the fragment, resulting in four excellent and one good result. The good result had fixation of the fragment. Three patients presented Pipkin 2 fractures and all of them had fixation of the fragment, resulting in two excellent and one regular result. Two patients had Pipkin 3 fractures and underwent primary arthroplasty. Among the two patients with Pipkin 4 lesions, one was treated with reduction and osteosynthesis of the acetabular fracture, without addressing the head fragment, which had reduced significantly, resulting in early arthrosis; and the other patient was treated with total arthroplasty as the primary treatment.

CONCLUSION: Upon comparing the literature review and our patients' treatment results, we concluded that femoral head fracture treatment needs to be surgical and that the choice of surgical access depends on the type of fracture.

Keywords: Femoral head; Femur; Fracture consolidation; Fracture fixation

References

  1. J Trauma. 1971 Feb;11(2):97-108 - PubMed
  2. Injury. 1975 Nov;7(2):134-42 - PubMed
  3. J Bone Joint Surg Am. 1951 Jul;33-A(3):746-78; passim - PubMed
  4. Acta Orthop Scand. 1987 Apr;58(2):173-4 - PubMed
  5. J Bone Joint Surg Am. 1988 Feb;70(2):233-9 - PubMed
  6. J Bone Joint Surg Am. 1981 Oct;63(8):1292-6 - PubMed
  7. Clin Orthop Relat Res. 1988 Mar;(228):194-201 - PubMed
  8. J Bone Joint Surg Br. 1948 Aug;30B(3):430-45 - PubMed
  9. J Bone Joint Surg Am. 1949 Oct;31A(4):869-72 - PubMed
  10. J Trauma. 1986 Nov;26(11):1041-4 - PubMed
  11. Injury. 1992;23 (6):417-8 - PubMed
  12. Clin Orthop Relat Res. 1973 May;(92 ):147-54 - PubMed
  13. Injury. 1988 May;19(3):220-1 - PubMed
  14. J Bone Joint Surg Am. 1957 Oct;39-A(5):1027-42 passim - PubMed
  15. Injury. 1987 Jul;18(4):264-9 - PubMed
  16. AJR Am J Roentgenol. 1980 Aug;135(2):269-74 - PubMed
  17. Clin Orthop Relat Res. 1973 May;(92 ):143-6 - PubMed
  18. J Orthop Trauma. 1992;6(4):437-42 - PubMed
  19. J Bone Joint Surg Am. 1958 Jun;40-A(3):675-80 - PubMed
  20. Ann Chir Gynaecol. 1998;87(1):44-8 - PubMed
  21. Acta Orthop Belg. 1997 Dec;63(4):268-73 - PubMed
  22. J Bone Joint Surg Am. 1974 Dec;56(8):1735-7 - PubMed
  23. Clin Orthop Relat Res. 1980 Mar-Apr;(147):121-30 - PubMed
  24. J Bone Joint Surg Am. 1948 Jul;30A(3):699-727 - PubMed
  25. Orthop Clin North Am. 1974 Oct;5(4):793-8 - PubMed
  26. J Trauma. 1991 Apr;31(4):579-81 - PubMed
  27. Am J Surg. 1950 Dec;80(7):893-5 - PubMed
  28. Neth J Surg. 1986 Aug;38(4):121-4 - PubMed
  29. J Bone Joint Surg Am. 1954 Apr;36(A:2):315-42 - PubMed
  30. Clin Orthop Relat Res. 2000 Aug;(377):44-56 - PubMed
  31. Clin Orthop Relat Res. 1973 May;(92 ):116-42 - PubMed
  32. Clin Orthop Relat Res. 1985 Dec;(201):9-17 - PubMed
  33. Int Orthop. 1996;20(2):125-6 - PubMed
  34. J Bone Joint Surg Am. 1980 Sep;62(6):960-4 - PubMed
  35. Ital J Orthop Traumatol. 1990 Jun;16(2):279-83 - PubMed
  36. J Bone Joint Surg Am. 1964 Dec;46:1615-46 - PubMed
  37. Clin Orthop Relat Res. 1969 Jan-Feb;62:133-5 - PubMed
  38. Acta Orthop Scand. 1974;45(2):206-12 - PubMed
  39. Orthopade. 1997 Apr;26(4):360-7 - PubMed
  40. J Bone Joint Surg Br. 1972 Feb;54(1):157-63 - PubMed
  41. J Trauma. 1984 Jan;24(1):76-9 - PubMed
  42. Clin Orthop Relat Res. 1993 Nov;(296):161-7 - PubMed

Publication Types