Journal of Musculoskeletal Trauma

Risk Factors Affecting the Early Complications of Femoral Head Fractures: HoeJeong Chung, Jin-Woo Lee, Dong Woo Lee, Hoon-Sang Sohn; J Korean Fract Soc 2020;33(4):204-209. Published online October 31, 2020; DOI: https://doi.org/10.12671/jkfs.2020.33.4.204

Abstract PDF: Purpose
This study analyzed the prognostic factors in patients with femoral head fractures by comparing two groups with and without complications.
Materials and Methods
A retrospective study was performed on femoral head fracture patients who visited two different level-1 trauma centers from January 1, 2014 to June 30, 2018. Thirty-three patients with a follow-up period of more than one year were included. Early complications were defined as fair or poor in the Thompson–Epstein clinical evaluation criteria and grades 3 or 4 in the Kellgren– Lawrence classification within one year after the fracture. The patients were divided into two groups, with and without early complications. Statistical analysis was performed for the nominal variables with a Fisher’s exact test and continuous variables using a Mann–Whitney U test.
Results
Nine patients (27.3%) had early complications, and there were no significant differences according to age, sex, treatment method, combined fractures, Pipkin classification, and AO/OTA classification between the two groups.
Conclusion
The prognosis in femoral head fractures is difficult to predict. Therefore, the validation of existing classifications or a new classification is necessary.

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Traumatic Simultaneous Bilateral Hip Dislocation in the Elderly Patient: A Case Report: Koing Woo Keon, Sang Bong Ko; J Korean Fract Soc 2007;20(4):335-338. Published online October 31, 2007; DOI: https://doi.org/10.12671/jkfs.2007.20.4.335

Abstract PDF: Traumatic simultaneous bilateral hip dislocation is reported rarely, but the most of them are limited in young patients. The authors managed the elderly patients whose both hip was dislocated traumatically, simultaneously and who didn't have any other underlying disease and other associated fracture - femur, hip joint and pelvis, with a review of the relevant literature.

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Neglected Traumatic Posterior Hip Dislocation in a Crutch-walking Patient: A Case Report: Yong Min Kim, Hyun Chul Shon, Dong Soo Kim, Eui Sung Choi, Kyung Jin Park, Se Hyuk Im; J Korean Fract Soc 2005;18(4):474-477. Published online October 31, 2005; DOI: https://doi.org/10.12671/jkfs.2005.18.4.474

Abstract PDF: Traumatic posterior hip dislocation should be reduced emergently, but diagnosis could be delayed in a patient with head trauma or in developing countries. We have experienced neglected posterior hip dislocation for three months in a crutch-walking patient who had ipsilateral tibia fracture and alert mentality. Open reduction followed by six-weeks skeletal traction was performed. At one year follow-up, the reduced hip showed good range of motion with no evidence of avascular necrosis.

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Intertrochanteric fracture associated with posterior hip dislocation: Do Hyun Moon, Jang Seok Choi, Ki Tae Kim; J Korean Soc Fract 2002;15(1):72-76. Published online January 31, 2002; DOI: https://doi.org/10.12671/jksf.2002.15.1.72

Abstract PDF: Femoral head fracture associated with posterior dislocation of the hip had been considered a rare industrial injury. However, with advances in high-speed travel its incidence increased. Previously, intertrochanteric fractures associated with posterior dislocation of hip had not been reported. Here, we report on cases of intertrochanteric fracture associated with posterior dislocation of the hip.

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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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A Traumatic Anterior Hip Dislocation Associated Ipsilateral Femoral Shaft Segmental Fracture : Case Report: Chang Soo Kang, Young Rae Cho; J Korean Soc Fract 1997;10(3):516-521. Published online July 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.3.516

Abstract PDF: Traumatic hip dislocation associated with ipsilateral femur shaft fracture is a very rare injury and often results from high velocity injury such as traffic accidents or fall from a height. This combined injury was first documented by Sir Ashley Cooper in 1823. Wiltberger, Mitchell and Hedrick estimated its incidence at one out of 100,000 cases of fractured femoral shaft. Until 1978 there have been only 3 cases were reported of anterior hip dislocation with ipsilateral femoral shaft fracture in the literature. We have recently had the opportunity to manage the patient with anterior hip dislocation with ipsilateral femoral shaft segmental fracture and contralateral acetabular fracture.

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Simultaneous Asymmetric Bilateral Traumatic Hip Dislocation: A Cases Report: Byung Ill Lee, Bo Weon Jeong, Jae Eung Yoo, You Sung Suh, Soo Kyun Rah, Chang Uk Choi; J Korean Soc Fract 1996;9(1):225-228. Published online January 31, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.1.225

Abstract PDF

Hip dislocation represents 2 to 5% of all joint dislocations. Bilaterat dislocation of the hip joints is reported about 1.25% of all cases fo hip dislocations and therefore 0.025 to 0.050% of all joint dislocations. Dislocations in which one hip dislocates anteriorly and the other posteriorly are even rarer. Of all traumatic bilateral hip dislocations, bilateral simultaneous anterior and posterior dislocations in 40% of cases. This paper is a case report of a traumatic bilateral anterior and posterior dislocation of hips in a 24 year-old man injured by motor vehicle accident as a passenger. The patient was treated by means of closed reduction, traction and physical therapy. We report such a case.

Citations

Citations to this article as recorded by

Traumatic Bilateral Anterior Hip Dislocation: A Case Report
Sung-Taek Jung, Hyun-Jong Kim, Myung-Sun Kim, Young-Jin Kim, Sang-Kwan Cho
Journal of the Korean Fracture Society.2008; 21(1): 62. CrossRef

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Posterior Hip Dislocation with Femoral Head and Neck Fracture: Yoo Sung Seo, Hyung Suk Choi, Soo Jae Yim, Soo Kyun Rah, Chang Uk Choi; J Korean Soc Fract 1995;8(4):784-791. Published online October 31, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.4.784

Abstract PDF: Posterior hip dislocation with femoral head and neck fracture(Pipkin type III) was considered as a rare injury, However, the advance of high speed motor vehicle accidental injury has contributed to its increased incidence and the choice of treatment is still controversial. Mechanism of injury was considered as a kind of secondary trauma of inversion or internal rotation force with hip joint was flexed position state. Three cases of posterior hip dislocation with femoral head and neck fracture(Pipkin type III)have been experienced and follow up still now at Soon Chun Hyang University hospital. The results were evaluated by Thomson Epsteins clinicoradiologic criteria and Harris hip score and follow up radiologic findings. As a results of this study, we are more prefer primary open reduction and rigid internal fixation than primary joint replacement arthroplasty due to be occured in young age group. And futher evaluation should be needed.

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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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