scholarly journals A case report of femoral head fracture with osteochondral lesion treated by osteosynthesis and biomimetic scaffold: 2-year clinical and radiological follow-up

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Alessandro Casiraghi ◽  
Claudio Galante ◽  
Marco Domenicucci ◽  
Stefano Cattaneo ◽  
Andrea Achille Spreafico ◽  
...  
Keyword(s):  
Case Report ◽  
Femoral Head ◽  
Articular Surface ◽  
Osteochondral Lesion ◽  
Hip Dislocation ◽  
Fracture Dislocation ◽  
Osteochondral Lesions ◽  
Femoral Head Fracture ◽  
Osteochondral Scaffold

AbstractThe aim of the present study was to present clinical and radiological outcome of a hip fracture-dislocation of the femoral head treated with biomimetic osteochondral scaffold.An 18-year-old male was admitted to the hospital after a motorcycle-accident. He presented with an obturator hip dislocation with a type IVA femoral head fracture according to Brumback classification system. The patient underwent surgery 5 days after accident. The largest osteochondral fragment was reduced and stabilized with 2 screws, and the small fragments were removed. The residual osteochondral area was replaced by a biomimetic nanostructured osteochondral scaffold. At 1-year follow-up the patient did not complain of hip pain and could walk without limp. At 2-year follow-up he was able to run with no pain and he returned to practice sports. Repeated radiographs and magnetic resonance imaging studies of the hip showed no signs of osteoarthritis or evidence of avascular necrosis. A hyaline-like signal on the surface of the scaffold was observed with restoration of the articular surface and progressive decrease of the subchondral edema.The results of the present study showed that the biomimetic nanostructured osteochondral scaffold could be a promising and safe option for the treatment of traumatic osteochondral lesions of the femoral head.Study Design: Case report.

scholarly journals Treatment of fracture dislocation of the femoral head using safe surgical hip dislocation: a case report.

2021 ◽  
Author(s):  
Paa BAIDOO ◽  
Kwasi Twumasi-Baah Jnr ◽  
Kwadwo Anning ◽  
Alex Assim ◽  
Emmanuel Ayodeji ◽  
...  
Keyword(s):  
Case Report ◽  
Femoral Head ◽  
Hip Dislocation ◽  
Fracture Dislocation ◽  
Type I ◽  
Femoral Head Fracture ◽  
Surgical Hip Dislocation ◽  
Posterior Hip Dislocation

We report the clinical and radiological outcomes of a 30-year-old female with femoral head fracture following a posterior hip dislocation. The patient was managed using safe surgical hip dislocation and reviewed the literature on Pipkin type I fractures.

Asymmetric Bilateral Hip Fracture-Dislocation: A Case Report and Literature Review

2020 ◽  
Author(s):  
Seyed Mohammad Javad Mortazavi ◽  
Hamed Mazzochy ◽  
Mohammad Ali Ghasemi ◽  
Furqan Mohammed Yaseen Khan
Keyword(s):  
Case Report ◽  
Hip Fracture ◽  
Femoral Head ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Hip Dislocation ◽  
Rare Condition ◽  
Initial Step ◽  
Fracture Dislocation ◽  
Femoral Head Fracture

Background: Asymmetric bilateral hip dislocation is a rare condition, especially when it is accompanied by a bilateral femoral head fracture. Case Report: A 28-year-old man who sustained a motor vehicle accident, was presented to the our center (Imam Khomeini Hospital Complex) with asymmetric bilateral hip fracture-dislocation. In the initial step, closed reduction was performed, followed by bilateral open reduction and fixation of the femoral head fragment by screws. The results were satisfactory after 5 years of follow-up. Conclusion: Although rare, paradoxical femoral head fracture should be considered in patients with hip dislocation. We recommend our therapeutic approach in a similar situation.

Osteochondral Lesion of the Hip Treated with Partial Femoral Head Resurfacing. Case Report and Six-Year Follow-up

2014 ◽  
Vol 24 (4) ◽  
pp. 417-420 ◽  
Author(s):  
Matthew A. Lea ◽  
Bilal Barkatali ◽  
Martyn L. Porter ◽  
Timothy N. Board
Keyword(s):  
Case Report ◽  
Femoral Head ◽  
Osteochondral Lesion

scholarly journals Nontraumatic Osteochondral Lesion of the Talar Head: A Case Report and Description of Operative Technique for Arthroscopic Debridement

2014 ◽  
Vol 1 (1) ◽  
pp. 34-37
Author(s):  
A Patel ◽  
J Mangwani ◽  
W Al-Jundi ◽  
A Askari ◽  
D Moore
Keyword(s):  
Case Report ◽  
Operative Technique ◽  
Osteochondral Lesion ◽  
Asia Pacific ◽  
Osteochondral Lesions ◽  
Arthroscopic Debridement ◽  
Talar Dome ◽  
Bone Marrow Stimulation ◽  
Talar Head

ABSTRACT Osteochondral lesions of the talar dome are well described. To our knowledge, there are no published reports of osteochondral lesion of the talar head. We report the case of a 16-year-old girl who presented with a nontraumatic osteochondral lesion of talar head, which was treated with arthroscopic debridement and bone marrow stimulation. At 6-month follow-up, the patient was symptom free and the radiograph showed signs of healing of the lesion. How to cite this article Mangwani J, Patel A, Al-Jundi W, Askari A, Moore D. Nontraumatic Osteochondral Lesion of the Talar Head: A Case Report and Description of Operative Technique for Arthroscopic Debridement. J Foot Ankle Surg (Asia-Pacific) 2014;1(1):34-37.

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.

scholarly journals Delayed diagnosis of traumatic posterior hip dislocation in a 6-year-old girl with 6 years follow up: a case report

2017 ◽  
Vol 4 (10) ◽  
pp. 3511
Author(s):  
Paa Kwesi Baidoo ◽  
Boniface Adegah
Keyword(s):  
Case Report ◽  
Femoral Head ◽  
Avascular Necrosis ◽  
Delayed Diagnosis ◽  
Hip Dislocation ◽  
Traumatic Hip Dislocation ◽  
Left Posterior ◽  
Posterior Hip Dislocation

Though uncommon, cases of traumatic hip dislocation have been reported in children worldwide. Averagely, it is recommended that the acceptable duration for reduction after such dislocations is about 6 hours. Even with that there is about 5% documented chance of developing avascular necrosis of the head of the femur. The incidence of avascular necrosis increases with delayed relocation of the femoral head. We report a case involving a 6-year-old girl with a 2-week delayed diagnosis of a left posterior hip dislocation that was reduced and followed up for 6 years.

scholarly journals Hip arthroscopy-assisted reduction and fixation for femoral head fracture dislocations: Clinical and radiographic short-term results of seven cases

2019 ◽  
Vol 27 (3) ◽  
pp. 230949901988186 ◽  
Author(s):  
Shan-Ling Hsu ◽  
Chung-Yang Chen ◽  
Jih-Yang Ko ◽  
Chi-Hsiang Hsu ◽  
Hao-Chen Liu ◽  
...  
Keyword(s):  
Femoral Head ◽  
Arthroscopic Surgery ◽  
Fracture Dislocation ◽  
Harris Hip Score ◽  
Consecutive Series ◽  
Femoral Head Fracture ◽  
Articular Fractures ◽  
Fracture Dislocations ◽  
The Mean

Purpose: Femoral head fracture dislocations are serious articular fractures that are associated with soft tissue injuries and are challenging to treat. Arthroscopic surgery may be a way to treat fracture reduction and fixation, thereby avoiding the need for extensive arthrotomy. Methods: We followed up a consecutive series of seven patients with femoral head fracture dislocation via a scope-assisted percutaneous headless screw fixation between 2016 and 2017. The clinical and radiological results were assessed. Results: The locations of the fracture were all involving infra-foveal area. The mean follow-up duration was 18 (range 12–24) months. The mean Harris hip score was 90.8 (range 88–93) at the latest follow-up. None of the patients showed early osteoarthritis, heterotopic ossification, or avascular necrosis. The average maximal displacement of the fracture site was improved from preoperative 6.79 mm (range 4.21–12.32) to postoperative 2.76 mm (range 0.97–3.97). Concomitant intra-articular hip lesions secondary to traumatic hip dislocation can also be treated. Conclusion: Managing the infra-foveal fracture of the femoral head using arthroscopic reduction and fixation with headless screws can be a safe and minimally invasive option. More patients and longer follow-up are needed for a definite conclusion.

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