Modified Ludloff’s medial approach for management of Pipkin’s type I femoral head fracture
| Autor: | Hazem Abdelazeem, Mahmoud Fahmy, Ahmed Hazem Abdelazeem |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
030203 arthritis & rheumatology
030222 orthopedics medicine.medical_specialty Standard of care business.industry medicine.medical_treatment Surgery 03 medical and health sciences Femoral head 0302 clinical medicine medicine.anatomical_structure Head fracture Medial approach Orthopedic surgery medicine Fracture (geology) Orthopedics and Sports Medicine business Reduction (orthopedic surgery) Fixation (histology) |
| Zdroj: | International Orthopaedics. 45:1591-1598 |
| ISSN: | 1432-5195 0341-2695 |
| Popis: | Numerous approaches were described for the management of Pipkin’s type I fracture with no consensus on the “standard of care”. The strategic thinking of the ideal access is through the medial approach. Using Ferguson intermuscular interval, prospective study was done (January 2014–2019) to evaluate radiological and functional outcomes using HHS and Thompson-Epstein criteria. Fracture patterns were subclassified: anterior and posterior-inferior (AI/PI) requiring different reduction positions. Twenty-one patients (mean FU = 24.3 months (range, 12–48)) were divided into 14 (67.7%) AI and seven PI. Excision was performed in five (23.8%) (AI = 3 (14.3%) and PI = 2) and ORIF in 16 (AI = 11 (52.4%) and PI = 5). At the last follow-up, two (9.5%) were graded as excellent, 11 (52.4%) as good, three (14.3%) as fair, and five as poor. Modified Ludloff’s approach provides safe easy direct access to fracture allowing easy excision or direct anatomical reduction, perpendicular compression, and rigid fixation with minimal complications. |
| Databáze: | OpenAIRE |
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