Surgical treatment of femoral head fractures through previously controlled hip luxation: four case series and literature review
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista Brasileira de Ortopedia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162018000300337 |
Resumo: | ABSTRACT Objective To report a series of cases of patients treated by fracture of the femoral head through the Ganz pathway with controlled dislocation of the hip. Method All patients who were surgically treated with a Ganz access route for femoral head fractures were identified in a tertiary referral service for trauma. A review of medical records with X-rays and CT scans was carried out. The radiographic evaluation was classified according to Pipkin and the functional evaluation was performed through the application of the modified Harris Hip Score. Data regarding the quality of reduction, type of fixation, and postoperative complications were collected. Results The sample consisted of three men and one woman, with a mean age of 30 years (20–51). Regarding Pipkin's classification, two cases were type I, one type II, and one type IV. Regarding the Harris Hip Score, an average of 65.75 points was obtained (range: 20–86). All cases had anatomical reduction in the intraoperative period. One case presented post-traumatic sciatic nerve praxis and evolved with infection at the surgical site. Conclusion Surgical treatment of femoral head fractures through controlled hip dislocation is a viable option and can be considered an alternative to classical approaches. |
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Surgical treatment of femoral head fractures through previously controlled hip luxation: four case series and literature reviewHip fractureFemur headHip dislocationABSTRACT Objective To report a series of cases of patients treated by fracture of the femoral head through the Ganz pathway with controlled dislocation of the hip. Method All patients who were surgically treated with a Ganz access route for femoral head fractures were identified in a tertiary referral service for trauma. A review of medical records with X-rays and CT scans was carried out. The radiographic evaluation was classified according to Pipkin and the functional evaluation was performed through the application of the modified Harris Hip Score. Data regarding the quality of reduction, type of fixation, and postoperative complications were collected. Results The sample consisted of three men and one woman, with a mean age of 30 years (20–51). Regarding Pipkin's classification, two cases were type I, one type II, and one type IV. Regarding the Harris Hip Score, an average of 65.75 points was obtained (range: 20–86). All cases had anatomical reduction in the intraoperative period. One case presented post-traumatic sciatic nerve praxis and evolved with infection at the surgical site. Conclusion Surgical treatment of femoral head fractures through controlled hip dislocation is a viable option and can be considered an alternative to classical approaches.Sociedade Brasileira de Ortopedia e Traumatologia2018-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162018000300337Revista Brasileira de Ortopedia v.53 n.3 2018reponame:Revista Brasileira de Ortopedia (Online)instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)instacron:SBOT10.1016/j.rboe.2018.03.013info:eu-repo/semantics/openAccessStirma,Guilherme AugustoUliana,Christiano SalibaValenza,Weverley RubeleAbagge,Marceloeng2018-06-20T00:00:00Zoai:scielo:S0102-36162018000300337Revistahttp://www.rbo.org.br/https://old.scielo.br/oai/scielo-oai.php||rbo@sbot.org.br1982-43780102-3616opendoar:2018-06-20T00:00Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)false |
dc.title.none.fl_str_mv |
Surgical treatment of femoral head fractures through previously controlled hip luxation: four case series and literature review |
title |
Surgical treatment of femoral head fractures through previously controlled hip luxation: four case series and literature review |
spellingShingle |
Surgical treatment of femoral head fractures through previously controlled hip luxation: four case series and literature review Stirma,Guilherme Augusto Hip fracture Femur head Hip dislocation |
title_short |
Surgical treatment of femoral head fractures through previously controlled hip luxation: four case series and literature review |
title_full |
Surgical treatment of femoral head fractures through previously controlled hip luxation: four case series and literature review |
title_fullStr |
Surgical treatment of femoral head fractures through previously controlled hip luxation: four case series and literature review |
title_full_unstemmed |
Surgical treatment of femoral head fractures through previously controlled hip luxation: four case series and literature review |
title_sort |
Surgical treatment of femoral head fractures through previously controlled hip luxation: four case series and literature review |
author |
Stirma,Guilherme Augusto |
author_facet |
Stirma,Guilherme Augusto Uliana,Christiano Saliba Valenza,Weverley Rubele Abagge,Marcelo |
author_role |
author |
author2 |
Uliana,Christiano Saliba Valenza,Weverley Rubele Abagge,Marcelo |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Stirma,Guilherme Augusto Uliana,Christiano Saliba Valenza,Weverley Rubele Abagge,Marcelo |
dc.subject.por.fl_str_mv |
Hip fracture Femur head Hip dislocation |
topic |
Hip fracture Femur head Hip dislocation |
description |
ABSTRACT Objective To report a series of cases of patients treated by fracture of the femoral head through the Ganz pathway with controlled dislocation of the hip. Method All patients who were surgically treated with a Ganz access route for femoral head fractures were identified in a tertiary referral service for trauma. A review of medical records with X-rays and CT scans was carried out. The radiographic evaluation was classified according to Pipkin and the functional evaluation was performed through the application of the modified Harris Hip Score. Data regarding the quality of reduction, type of fixation, and postoperative complications were collected. Results The sample consisted of three men and one woman, with a mean age of 30 years (20–51). Regarding Pipkin's classification, two cases were type I, one type II, and one type IV. Regarding the Harris Hip Score, an average of 65.75 points was obtained (range: 20–86). All cases had anatomical reduction in the intraoperative period. One case presented post-traumatic sciatic nerve praxis and evolved with infection at the surgical site. Conclusion Surgical treatment of femoral head fractures through controlled hip dislocation is a viable option and can be considered an alternative to classical approaches. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-06-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162018000300337 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162018000300337 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1016/j.rboe.2018.03.013 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Ortopedia e Traumatologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Ortopedia e Traumatologia |
dc.source.none.fl_str_mv |
Revista Brasileira de Ortopedia v.53 n.3 2018 reponame:Revista Brasileira de Ortopedia (Online) instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) instacron:SBOT |
instname_str |
Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) |
instacron_str |
SBOT |
institution |
SBOT |
reponame_str |
Revista Brasileira de Ortopedia (Online) |
collection |
Revista Brasileira de Ortopedia (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) |
repository.mail.fl_str_mv |
||rbo@sbot.org.br |
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1752122361436438528 |