[The Pipkin fracture].

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Abstract

[Indexed for MEDLINE] 16. Orthop Res Rev. 2022 Apr 23;14:133-145. doi: 10.2147/ORR.S353582. eCollection 2022. Surgical Approaches for Managing Femoral Head Fractures (FHFs); What and How to Choose from the Different Options? Khalifa AA(1), Ahmed EM(2), Farouk OA(3). Author information: (1)Orthopedic Department, Qena Faculty of Medicine and University Hospital, South Valley University, Qena, Egypt. (2)Qena Faculty of Medicine, South Valley University, Qena, Egypt. (3)Orthopedic and Traumatology department, Assiut University Hospital, Assiut, Egypt. Femoral head fractures (FHFs) are considered a relatively uncommon injury; however, they carry a challenge to the trauma surgeon. Choosing the appropriate management option, either conservatively or surgically, if the latter was chosen, should it be open reduction and internal fixation or simple excision of the fragment, or acute total hip arthroplasty. Furthermore, selecting the best surgical approach through which surgical management could be performed depends on the fracture classification, the familiarity of the surgeon, and the presence of associated injuries. All approaches to the hip, including hip arthroscopy, had been proposed for the management of FHFs; however, the difference among approaches is related to the complexity of the approach, the need for special training or equipment, the effect of the approach on the functional outcomes as well as the rate of postoperative complications. This review discussed the possible surgical approaches used to manage FHFs, advantages, and disadvantages for each, and offered a guideline for selecting the most appropriate surgical approach. © 2022 Khalifa et al. DOI: 10.2147/ORR.S353582 PMCID: PMC9045708