ARTICULAR FEMORAL HEAD FRACTURE MANAGEMENT: A COMPREHENSIVE SYSTEMATIC REVIEW
DOI:
https://doi.org/10.61841/m8xxs362Keywords:
Femoral head fracture, management, surgery.Abstract
Background: Femoral head fractures (FHFs) are relatively rare injuries usually caused by high-energy trauma. They typically occur after a posterior dislocation, and approximately 5% to 15% of posterior hip dislocations involve FHFs. FHFs may also occur simultaneously with acetabular fractures, with an estimated incidence of 29.2%. In addition, the incidence of ipsilateral femoral head and neck fractures (iFHNF) is low. However, iFHNFs, as a special type of fracture, have the worst prognosis among all FHFs
The aim: The aim of this study to show about articular femoral head fracture management.
Methods: By comparing itself to the standards set by the Preferred Reporting Items for Systematic Review and MetaAnalysis (PRISMA) 2020, this study was able to show that it met all of the requirements. So, the experts were able to make sure that the study was as up-to-date as it was possible to be. For this search approach, publications that came out between 2014 and 2024 were taken into account. Several different online reference sources, like Pubmed and SagePub, were used to do this. It was decided not to take into account review pieces, works that had already been published, or works that were only half done.
Result: In the PubMed database, the results of our search get 17 articles, whereas the results of our search on SagePub get 489 articles, on Google Scholar 8050 articles. Records remove before screening are 5860, so we get 2696 articles fos screening. After we screened based on record exclude, we compiled a total of 12 papers. We included five research that met the criteria.
Conclusion: Open reduction and internal fixation of femoral head fracture using surgical hip dislocation through Ganz approach is a viable treatment option and provides satisfactory results with low complication rates.
References
Yu X, Pang QJ, Chen XJ. Clinical results of femoral head fracture-dislocation treated according to the Pipkin classification. Pakistan J Med Sci. 2017;33(3):650–3.
Mukhopadhaya J, Bhadani JS, Shyam A. Functional Outcome of Pipkin Type III Fracture Managed by Osteosynthesis through Trochanteric Flip Osteotomy in a Young Patient after 5 Years Follow-Up – A Case Report and Literature Review. J Orthop Case Reports. 2021;11(8):101–6.
Peng SH, Wu CC, Yu YH, Lee PC, Chou YC, Yeh WL. Surgical treatment of femoral head fractures. Biomed J [Internet]. 2020;43(5):451–7. Available from: https://doi.org/10.1016/j.bj.2019.08.004
Giordano V, Giordano M, Glória RC, de Souza FS, di Tullio P, Lages MM, et al. General principles for treatment of femoral head fractures. J Clin Orthop Trauma [Internet]. 2019;10(1):155–60. Available from: http://dx.doi.org/10.1016/j.jcot.2017.07.013
Sallameh J, Makhoul E, Nseir D, Alkhayer M, Aboalchamlat A. An open reduction and internal fixation of a Pipkin type 1 fracture: A case report. Ann Med Surg [Internet]. 2022;84(September):104850. Available from: https://doi.org/10.1016/j.amsu.2022.104850
Chiron P, Reina N. Dislocation fracture of the femoral head in adult. EFORT Open Rev. 2022;7(6):375–83.
Shakya S, Chen J, Sun J, Xiang Z. Management and outcome of patients with femoral head fractures: the midterm follow-up with injuries and associated prognostic factors. BMC Musculoskelet Disord [Internet]. 2023;24(1):1–13. Available from: https://doi.org/10.1186/s12891-023-06317-w
Wang S, Yu X, Li B, Ding Q, Wang T, Li Q, et al. Pipkin type III femoral head fracture: which treatment strategy can be recommended? J Orthop Traumatol [Internet]. 2023;24(1). Available from: https://doi.org/10.1186/s10195-023-00701-x
Wu S, Mei J. Specific types of femoral head fractures: be alert for pre-, intra-, and post-operative ipsilateral femoral neck fractures following fracture-dislocation of the femoral head. J Exp Orthop [Internet]. 2023;10(1). Available from: https://doi.org/10.1186/s40634-023-00666-0
Hosny H, Mousa S, Salama W. Management of femoral head fracture by Ganz surgical dislocation of the hip. J Orthop Traumatol [Internet]. 2022;23(1). Available from: https://doi.org/10.1186/s10195-022-00643-w
Yoon YC, Oh CW, Kim JW, Heo J, Song HK. Safety of surgical hip dislocation in femoral head fracture and dislocation (FHFD) and avascular necrosis risk factor analysis of FHFD: midterm results confirmed by SPECT/CT and MRI. J Orthop Surg Res [Internet]. 2022;17(1):1–14. Available from: https://doi.org/10.1186/s13018-022-03160-y
Menger MM, Braun BJ, Herath SC, Küper MA, Rollmann MF, Histing T. Fractures of the femoral head: a narrative review. EFORT Open Rev. 2021;6(11):1122–31.
Bettinelli G, Placella G, Moharamzadeh D, Belluati A, Salini V. Articular Femoral Head Fracture Management: A Meta-analysis of Literature. Indian J Orthop [Internet]. 2021;55(s2):304–13. Available from: https://doi.org/10.1007/s43465-021-00431-4
Fischer H, Maleitzke T, Eder C, Ahmad S, Stöckle U, Braun KF. Management of proximal femur fractures in the elderly: current concepts and treatment options. Eur J Med Res [Internet]. 2021;26(1):1–15. Available from: https://doi.org/10.1186/s40001-021-00556-0
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