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Titolo:
Clinical and radiographic outcome of femoral head fractures - 30 patients followed for 3-10 years
Autore:
Yoon, TR; Rowe, SM; Chung, JY; Song, EK; Jung, ST; Anwar, IB;
Indirizzi:
Chonnam Univ Hosp, Dept Orthopaed Surg, Kwangju 501757, South Korea Chonnam Univ Hosp Kwangju South Korea 501757 Kwangju 501757, South Korea
Titolo Testata:
ACTA ORTHOPAEDICA SCANDINAVICA
fascicolo: 4, volume: 72, anno: 2001,
pagine: 348 - 353
SICI:
0001-6470(200108)72:4<348:CAROOF>2.0.ZU;2-Q
Fonte:
ISI
Lingua:
ENG
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
10
Recensione:
Indirizzi per estratti:
Indirizzo: Yoon, TR Chonnam Univ Hosp, Dept Orthopaed Surg, 8 Hak Dong, Kwangju 501757, South Korea Chonnam Univ Hosp 8 Hak Dong Kwangju South Korea 501757 th Korea
Citazione:
T.R. Yoon et al., "Clinical and radiographic outcome of femoral head fractures - 30 patients followed for 3-10 years", ACT ORTH SC, 72(4), 2001, pp. 348-353

Abstract

The aim of this study was to evaluate the outcome of 30 femoral head fractures. We modified Pipkin's classification into 4 types: I (5 cases) small fracture of head distal to fovea centralis, which was too small or too fragmented to be fixed with screws; II (18 cases), larger fracture of head distal to fovea centralis; III (4 cases), large fracture of head proximal to fovea centralis, and IV (3 cases), comminuted fracture of head. Excision of the head fragment was done in all 5 cases of type I and in 9 type II fractures. Fixation of the head. fragment was performed in 9 type Iland in all 4 type III cases. The femoral head was replaced in all 3 type IV fractures. After a mean follow-up of 3-10 years, the clinical outcome, according to Epstein et al.'s critieria, were excellent in 7, good in 15, fair in 4 and poor in 1, except in type IV, and the radiographic outcome was excellent in 15, good in 7, fair in 4 and poor in 1. On the basis of our findings, we conclude that excision of the small fragment is a good choice of treatment in type 1. Early accurate reduction with stable internal fixation in type II or III permits bony union. Arthroplastyseems to be indicated in type IV.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 18/01/20 alle ore 07:25:20