Abstract
Fractures of the femoral head are rare high-energy injuries that are commonly associated with posterior dislocations of the hip. Controversy exists regarding many aspects of treatment of these fractures, but following emergent reduction of associated hip dislocations, anatomic reduction of large fracture fragments, removal of loose intra-articular fragments, and restoration of hip joint stability and congruity are recommended. Reported outcomes on these fractures continue to be relatively poor, despite advances in approaches and implant design. High rates of posttraumatic arthritis, avascular necrosis, and heterotopic ossification are common. The purpose of this chapter is to summarize the available literature on femoral head injury mechanisms and epidemiology, classification systems, and treatment options (operative vs. nonoperative and associated outcomes) and to propose potential mechanisms for improving outcomes in these rare, high-energy injuries.
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Schenker, M.L., Davis, M.E., Ahn, J. (2021). Femoral Head Fractures. In: Nho, S.J., Asheesh, B., Salata, M.J., Mather III, R.C., Kelly, B.T. (eds) Hip Arthroscopy and Hip Joint Preservation Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-7321-3_86-2
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DOI: https://doi.org/10.1007/978-1-4614-7321-3_86-2
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Latest
Femoral Head Fractures- Published:
- 22 March 2021
DOI: https://doi.org/10.1007/978-1-4614-7321-3_86-2
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Surgical Technique: Femoral Head Fractures- Published:
- 06 June 2014
DOI: https://doi.org/10.1007/978-1-4614-7321-3_86-1