Journal of Musculoskeletal Trauma

Femoral Head Fracture with Hip Dislocation Treated by Autologous Osteochondral Transfer (Mosaicplasty) - A Case Report -: Eui-Sung Choi, Hyun-Chul Shon, Ho-Seung Jeong, Jae-Young Yang, Seok-Hyun Hong, Byung-Hyun Ahn; J Korean Fract Soc 2020;33(2):96-100. Published online April 30, 2020; DOI: https://doi.org/10.12671/jkfs.2020.33.2.96

Femoral head fractures combined with hip dislocation are very rare injuries. In most cases, they result from high-energy trauma to the hip or lower extremity during traffic accidents. Various therapy options have been suggested to treat these injuries. Especially, different joint-preserving surgical options have been described for the treatment of traumatic osteochondral injury of the femoral head in young, active patients. In this report, we present a case that a traumatic osteochondral lesion to the femoral head after hip dislocation was treated with osteochondral autografts (OATS) from the non-weight-bearing area of the ipsilateral inferior femoral head through a surgical hip dislocation. After 1 year, the clinical and radiological outcome was satisfactory with no evidence of posttraumatic osteoarthritis and no pain of patients.

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Femoral head fracture with large crushed defect in weight-bearing area treated with autologous osteochondral transplantation (repositionplasty): A case report
Hyun-Chul Shon, Eic-Ju Lim, Jae-Young Yang, Seung-Jun Jeon
Medicine.2022; 101(52): e32569. CrossRef

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Treatment of bone cystic change with femoral head fracture in Neurofibromatosis patient: Jae Do Kang, Hyung Chun Kim, Chi Wook Kyoung, Hyun Chul Seo; J Korean Soc Fract 2002;15(3):427-431. Published online July 31, 2002; DOI: https://doi.org/10.12671/jksf.2002.15.3.427

Abstract PDF: Cystic change on femoral head and neck in neurofbromatosis patient is rare case. Scoliosis is the most common bony lesion. Others are appeared at changes of out feature in long bone shaft. Bone cyst with bone fracture are treated with non operation or external fixation, osteotomy, curettage, partial and complete excision of cyst capsule, steroid injection therapy, bone graft, internal fixation, arthroplasty. We have experienced a case of bone cystic change on femoral head and neck with femoral head fracture and acetabular lesion in neurofibromatosis patient treated with total hip arthroplasty who was acceptable result.

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Posterior Hip Dislocation with Femoral Head and Neck Fracture: You Sung Suh, Jae Hoon Lee, Soo Jae Yim, Yon Il Kim; J Korean Soc Fract 2000;13(3):423-431. Published online July 31, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.3.423

Abstract PDF: PURPOSE
In the femoral head fracture associated with posterior dislocation of hip, we analyzed the clinical results according to the fracture types and treatment methods to promoting the guide of treatment.
MATERIALS AND METHODS
We used 20 cases of fractured femoral head with posterior dislocation of hip from January 1990 to December 1997, and analyzed the treatment methods and clinical results according to the Pipkin classification.
RESULTS
Among the 20 cases, male was 19 cases(95%), motor vehicle accident contributed 15 cases(75%), and the case of type II and IV of Pipkin classification were 7(35%) and 9(45%) cases. Closed reduction performed within 12 hours after injury with good results was conducted in 9 cases(60%) among the 15 cases. According to the treatment methods after closed reduction, good result was showed only 3 of 8 cases(37.5%) in the conservative treatment, whereas 8 of 12 cases(66.7%) in the operative treatment. According to the type of Pipkin classification, good result was showed 3 of 6 cases(50%) in conservative treatment and all of 3 cases in operative treatment among the 9 cases of type I and II, whereas none of 2 cases in conservative treatment and 5 of 9 cases(56%) in operative treatment among the 11 cases of type III and IV. The following complications were encounted; 2 cases of avascular necrosis, 1 case of traumatic arthritis, 1 case of peroneal nerve palsy and 1 case of nonunion CONCLUSION: Good results were obtained in patients with early, stable, and accurate reduction. The Computed Tomogram was helpful to find the small fragment and check the accurate reduction. Open method that restoration joint congruity seemed to be the better procedure than closed method.

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The Treatment of Traumntic Posterior Fracture-Dislocation of the Hip: Won Sik Choy, Kwang Won Lee, Yoo In Kim, Moon Ho Sohn; J Korean Soc Fract 1996;9(4):884-890. Published online October 31, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.4.884

Abstract PDF: Traumatic posterior dislocation of the hip is a serious injury and must be treated as emergency. Every effort must be made to recognize the dislocation. particularly in patients with other lower extremity trauma. We perfornted computed tomography as soon as possible after closed reduction in all patients. The purpose of this study was to compare the results posterior fractvre-dislocation of the hip treated by closed reduction and closed reduction followed by an open procedure. We reviewed 27 patients out of total 29 patients with traumatic posterior dislocation of the hip between January, 1989 and October, 1993. 1. According to Thompson and Epstein classification, six patients were type 1 injury. five patients type 2 injury, five patients type 3 injury, three patients type 4 injury and eight patients type 5 injury. In the classification of fractures by the Pipkin type, there were two cases in Pipkin type 1, three cases in Pipkin type 2, one case in Pipkin type 3 and two cases in Pipkin type 4. 2. Open reduction with various internal fixation were done in twenty patients and primary bipolar endoprosthesis in two patients and total hip arthroplasty in one patient. Also. four patients were treated by closed reduction, followed by gentle traction for 6 weeks & progressive weight bearing over twelve weeks. 3. There were one case of avascular necrosis in Thompson and Epstein type 4 and two cases of posttraumatic arthritis in type 3 and 4. One case of post-traumatic arthritic patients was performed total hip arthroplasty. 4. We found that 33.3% of the cases had a exellent result by both clinical and radiological criteria, 44.4% were graded good and 11.1% were graded poor.

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Femoral head fracture associated with posterior hip dislocation: Joo Chul Ihn, Poong Teak Kim, Sin Yoon Kim, Dong Lyul Yang; J Korean Soc Fract 1994;7(2):597-605. Published online November 30, 1994; DOI: https://doi.org/10.12671/jksf.1994.7.2.597

Abstract PDF: We analyzed Twenty eight cases of femoral head fracture associated with posterior hip dislocation managed in Kyungpoek National University Hospital between 1984 march and 1993 June. Classification was made by Pipkin and we added impaction fracture as another classification by post reduction CT finding. The results were as follows 1. Most common type of fracture was impaction of femoral head by CT, Which is not included by pipkin classification. 2. Excellent, or Good result according to Epstein criteria, 7 of 8 cases in Pipkin type I, 1 of 3 cases in type II ,0 off 4 cases in type III , 1 off 4 cases in type IV, 6 off 9 cases in impaction racture. 3. There were no significant difference between the results of operative treatment and conservative treatment. 4. Post reduction CT was useful to determine the method of the further treatment. 5. Complications were avascular necrosis in 5 cases, posttrumatic arthritis in 3 cases, sciatic nerve paresis in 2 cases, heterotropic ossification in 1 case.

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Femoral head fractures associated with traumatic posterior hip dislocations: Chong Il Yoo, Jeung Tak Suh, Dong Gi Shin; J Korean Soc Fract 1991;4(2):227-236. Published online November 30, 1991; DOI: https://doi.org/10.12671/jksf.1991.4.2.227

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Outcomes of Treatment for Femoral Head Fractures with Hip Dislocation - Review of 20 Cases -
Ji Wan Kim, Jae Suk Chang, Joo Yul Bae, Jung Jae Kim
Hip & Pelvis.2010; 22(4): 298. CrossRef

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