Femoral head fractures pdf

Femoral head fractures are rare and are typically seen with traumatic posterior hip dislocations. Femoral head fractures, although not common in orthopedic surgery, are often associated with posterior hip dislocations. On the basis of the clinical history and imaging studies, the diagnosis of a subchondral insufficiency fracture of the femoral head was made 1,2,3,4. Femoral head and neck fractures in the dog and cat. Pdf in this article, we aimed to discuss treatment strategies in fracture of the femoral head, which is a very rare injury. Subchondral insufficiency fracture of the femoral head. Pdf femoral head fractures occur almost exclusively as a result of a traumatic hip dislocation.

This type of broken leg almost always requires surgery to heal. Hip dislocations and femoral head fractures orthopaedic trauma. Femoral head fractures are rare traumatic injuries that are usually associated with hip dislocations. As a rule, the earlier the reduction, the better the outcome. The most commonly used classification system for femoral neck fractures is the garden classification. When there is a break anywhere along this length of bone, it is called a femoral shaft fracture.

The femoral shaft runs from below the hip to where the bone begins to widen at the knee. Pdf general principles for treatment of femoral head. The purpose of the current study was to precisely measure the spatial displacement of the femoral head in impacted femoral neck fractures by using 3dimensional 3d reconstruction and digital. Femur shaft fractures broken thighbone orthoinfo aaos. Signalment, fracture type by anatomic location, fracture to fixation interval, surgical approaches used, methods of surgical repair, surgical complications, and final results of surgical repair were examined. The long, straight part of the femur is called the femoral shaft. Femoral head fracture an overview sciencedirect topics. Reduce hip through posterior incision, close posterior wound, fix femoral head fracture from anterior approach either now or later. Reunderstanding of garden type i femoral neck fractures by. Femoral neck fractures and peritrochanteric fractures are equally prevalent and make up over 90 percent of proximal femur fractures. Treatment may be nonoperative or operative depending on the location of the fracture and degree of fracture displacement. The chief source of vascular supply to the femoral head is the medial femoral circumflex artery, which runs under the quadratus femoris. Thompson and epstein and stewart and milford proposed a classification of hip dislocations in which one type had an associated femoral head fracture 14. The first step is to reduce the hip fracture then assess the fracture of the femoral head and its displacement.

Pipkin typeiii injuries constitute a subgroup of femoral head fractures in combination with an ipsilateral femoral neck fracture 9. Detach femoral head from ligamentum teres, repair femoral head fracture with hip dislocated, reduce hip. Displaced fractures of the femoral neck put the blood supply at risk, usually tearing the ascending cervical branches that stem off the arterial ring supply formed by the circumflex arteries. Pdf management, complications and clinical results of. Avascular necrosis of the femoral head was not a clinically significant problem following internal fixation in this study. Pdf general principles for treatment of femoral head fractures. Pipkin type iv femoral head fracture without dislocation remedy. Thus, early reduction of the dislocated hip can improve blood flow to femoral head. Treatment is typically an emergency and includes the reduction of the dislocated hip under anesthesia. Femoral head fractures occur almost exclusively as a result of a traumatic hip dislocation. A femoral neck fracture can tear the blood vessels and cut off the blood supply to the femoral head. The classic mechanism of injury for femoral head fracture is traumatic posterior dislocation of the hip 6.