scholarly journals The Role of Surgical Hip Dislocation in the Treatment of Acetabular and Femoral Head Fractures

2005 ◽  
Vol 31 (2) ◽  
pp. 138-147 ◽  
Author(s):  
Marius Keel ◽  
Karim Eid ◽  
Balz Isler ◽  
Otmar Trentz ◽  
Wolfgang Ertel
Keyword(s):  
Femoral Head ◽  
Hip Dislocation ◽  
Surgical Hip Dislocation

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

Surgical Hip Dislocation for Osteochondral Transplantation as a Salvage Procedure for a Femoral Head Impaction Fracture

2010 ◽  
Vol 24 (12) ◽  
pp. e113-e118 ◽  
Author(s):  
Johannes Dominik Bastian ◽  
Lorenz Büchler ◽  
Dominik Christoph Meyer ◽  
Klaus Arno Siebenrock ◽  
Marius Johann Baptist Keel
Keyword(s):  
Femoral Head ◽  
Hip Dislocation ◽  
Salvage Procedure ◽  
Osteochondral Transplantation ◽  
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.

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