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KMID : 0361619920270020502
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Journal of the Korean Orthopaedic Association
1992 Volume.27 No. 2 p.502 ~ p.510
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Clinical Analysis of Femoral Head Fracture
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Abstract
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Fracture of the femoral head is alomost always associated with hip dislocation and was once considered as a rare injury. However, the advance of high-speed motor vehicle has contributed to its inceased incidence and the choice of treatment is
still
controversal. Seventeen cases of fractured femoral head with posterior dislocation of the hip were treated at Chonbuk National University Hospital between March 1983 and August 1990. According to the Pipkin classification, we studied our patients
divided into four groups, with analysis of treatment and end results. The following results were obtained.
1. The majority of the patients were male and the most common causes were motor vehicle accident.
2. The most frequent type of femoral head fracture was the Pipkin type 1, the next was type 4.
3. The operative treatment was superior to the conservative treatment in their results.
4. Complications such as avascular necrosis, sciatic nerve palsy and heterotopic ossification were noted.
5. The most common combined injury injury included acetabular fractures.
As a results of this study, we prefer operative treatment for fracture dislocation of the hip.
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