Outcome of femoral head fracture with surgical hip dislocation

Outcome of femoral head fracture with surgical hip dislocation

The purpose of the current study is to evaluate the outcomes of surgical dislocation in patients with femoral head fractures. Medical records of sixteen patients with femoral head fractures who underwent surgical dislocation between November 2009 and December 2014 were retrospectively analyzed. Clinical and radiological outcomes were assessed, and the mechanism of injury, time to reduction, and Pipkin classification were identified. Statistical assessment was performed to identify the risk factors that adversely affected the outcome. In the studied cohort, fractures of Pipkin types I, II, III, and IV were observed in zero, ten, one, and five patients, respectively. The mean modified Harrison Hip score at the last follow-up was 80.2±9.3, and eleven, three, and two patients showed excellent, good, and fair outcomes, respectively. Nine, five, and two patients showed Tonnis grades I, II, and III, respectively at the last follow-up. Five complications, including avascular necrosis (1 patient), post-traumatic osteoarthritis (2 patients), heterotopic ossification (1 patient), and post-operative infection (1 patient), were observed. No statistically significant risk factors for poor outcomes or for the development of complications were found. In conclusion, the patients with femoral head fracture treated with surgical dislocation showed good clinical outcomes with acceptable complication rates.