Outcomes of femoral head fractures with associated hip fracture-dislocations – An observational case series with a minimum two-year follow-up

• Published in: Journal of Orthopaedic Reports 2023-12, Vol.2 (4), p.100202, Article 100202
• Main Authors: Choudhury, Arghya Kundu, Yadav, Robin, Barman, Saptarshi, Raja, Balgovind S., Sharma, Divyansh, Kalia, Roop Bhushan
• Format: Article
• Language: English
• Subjects: Femoral head fractures; Neglected hip dislocation; Tannest nomogram
• ISSN: 2773-157X; 2773-157X
• DOI: 10.1016/j.jorep.2023.100202

Introduction: Femoral head fractures are uncommon injury, occurring in just 5–15% of posterior hip dislocations. The current series of 3 patients with femoral head fractures associated with polytrauma and acetabular fractures are presented here to highlight their short-term clinical outcomes. Case descriptions: First patient was a 61-years man with five-month-old neglected re-dislocated posterior hip dislocation with surgically intervened posterior acetabular wall fracture. Second patient was a 26-year female with 10 days old posterior dislocation of the left hip with femoral head fracture (Pipkin's 1). Last patient was a 32-year male with floating knee (Fraser 1) with posterior dislocation of the hip (Thomas and Epstein V) with Pipkin's 4 femoral head fracture and posterior wall of acetabulum fracture right side. Conclusion: The case series highlights a favourable clinical outcome. Though the chances of the femoral head going into ONFH and advanced arthritis remains high even at a short-term follow-up of two years.