Closed reduction and minimally invasive screw osteosynthesis of Pipkin femoral head fractures

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F26068877%3A_____%2F23%3AN0000033" target="_blank" >RIV/26068877:_____/23:N0000033 - isvavai.cz</a>

Výsledek na webu

<a href="https://jab.zsf.jcu.cz/artkey/jab-202301-0001_closed-reduction-and-minimally-invasive-screw-osteosynthesis-of-pipkin-femoral-head-fractures.php" target="_blank" >https://jab.zsf.jcu.cz/artkey/jab-202301-0001_closed-reduction-and-minimally-invasive-screw-osteosynthesis-of-pipkin-femoral-head-fractures.php</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.32725/jab.2023.001" target="_blank" >10.32725/jab.2023.001</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Closed reduction and minimally invasive screw osteosynthesis of Pipkin femoral head fractures

Popis výsledku v původním jazyce

Background: Femoral posterior hip dislocation with associated femoral head fractures (Pipkin fractures) are rare high-energy injuries. Published treatment modalities involve conservative treatment, head fragment resection, open reduction and internal fixation, and total hip replacement. The experience with mini-invasive screw osteosynthesis of these fractures is the main focus of our study. Methods: Seven Pipkin fractures (five Pipkin II and two Pipkin I) in six patients were treated by closed reduction of hip dislocation, followed by minimal invasive lag screw osteosynthesis. Cancellous screw(s) were inserted from the incision on the lateral hip through the femoral neck to the reduced fracture fragment. In all patients, postoperative CT was performed to check the quality of surgery. Active physiotherapy with immediate toe-touch weight bearing was the routine postoperative protocol. In all patients, radiological and clinical results were evaluated with the Thompson Epstein, Merle d’Aubigne and Postel score, and Harris hip score. Results: All fractures united, and all femoral heads survived. Infectious complications were not observed, and no secondary surgery was needed. After an average follow-up of 18.4 months, the average Merle d’Aubigne and Postel score was 17.7 points, while the mean Harris hip score reached 98.1 points. The majority of patients achieved an excellent Thompson–Epstein clinical and radiological outcome. All patients returned to their original occupation. Conclusions: Mini-invasive screw osteosynthesis can be used for the treatment of Pipkin type I–II femoral head fractures. Successful reduction of hip dislocation and head fracture is necessary for using this technique. Long-term follow-up is necessary to confirm this technique.

Název v anglickém jazyce

Closed reduction and minimally invasive screw osteosynthesis of Pipkin femoral head fractures

Popis výsledku anglicky

Background: Femoral posterior hip dislocation with associated femoral head fractures (Pipkin fractures) are rare high-energy injuries. Published treatment modalities involve conservative treatment, head fragment resection, open reduction and internal fixation, and total hip replacement. The experience with mini-invasive screw osteosynthesis of these fractures is the main focus of our study. Methods: Seven Pipkin fractures (five Pipkin II and two Pipkin I) in six patients were treated by closed reduction of hip dislocation, followed by minimal invasive lag screw osteosynthesis. Cancellous screw(s) were inserted from the incision on the lateral hip through the femoral neck to the reduced fracture fragment. In all patients, postoperative CT was performed to check the quality of surgery. Active physiotherapy with immediate toe-touch weight bearing was the routine postoperative protocol. In all patients, radiological and clinical results were evaluated with the Thompson Epstein, Merle d’Aubigne and Postel score, and Harris hip score. Results: All fractures united, and all femoral heads survived. Infectious complications were not observed, and no secondary surgery was needed. After an average follow-up of 18.4 months, the average Merle d’Aubigne and Postel score was 17.7 points, while the mean Harris hip score reached 98.1 points. The majority of patients achieved an excellent Thompson–Epstein clinical and radiological outcome. All patients returned to their original occupation. Conclusions: Mini-invasive screw osteosynthesis can be used for the treatment of Pipkin type I–II femoral head fractures. Successful reduction of hip dislocation and head fracture is necessary for using this technique. Long-term follow-up is necessary to confirm this technique.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30211 - Orthopaedics

Projekt

—

Návaznosti

N - Vyzkumna aktivita podporovana z neverejnych zdroju

Rok uplatnění

2023

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Journal of Applied Biomedicine

ISSN

1214021X

e-ISSN

1214-0287

Svazek periodika

21

Číslo periodika v rámci svazku

1

Stát vydavatele periodika

CZ - Česká republika

Počet stran výsledku

7

Strana od-do

1-6

Kód UT WoS článku

000944294400001

EID výsledku v databázi Scopus

2-s2.0-85151797706