Ozcan Mert, Copuroğlu Cem, Sarıdoğan Kenan
Department of Orthopaedics and Traumatology, Trakya University Faculty of Medicine, Edirne, Turkey.
Ulus Travma Acil Cerrahi Derg. 2011 Jan;17(1):51-6.
In this article, we aimed to discuss treatment strategies in fracture of the femoral head, which is a very rare injury.
We reviewed five patients (six fractures) who admitted to our emergency department due to femoral head fracture between March 2006 and December 2007. Functional outcomes of the patients who were treated operatively and nonoperatively were compared.
Half of the fractures were treated nonoperatively and half of them surgically. We observed a rate of 50% excellent to good results. Avascular necrosis developed in a patient with bilateral injury. The functional results were poor for this patient. Early posttraumatic arthritis was observed in a patient who was treated surgically; this patient had moderate results.
We should aim at anatomic reduction of the fragments with minimum soft tissue injury. The best approach should be chosen for excellent view of the fragments. We should not forget that half of these patients will have a poor outcome despite all treatment strategies.
在本文中，我们旨在探讨股骨头骨折的治疗策略，这是一种非常罕见的损伤。
我们回顾了2006年3月至2007年12月期间因股骨头骨折入住我院急诊科的5例患者（6处骨折）。比较了接受手术治疗和非手术治疗患者的功能结局。
一半的骨折采用非手术治疗，另一半采用手术治疗。我们观察到优良率为50%。一名双侧损伤患者发生了缺血性坏死。该患者的功能结果较差。一名接受手术治疗的患者出现了创伤后早期关节炎；该患者的结果为中等。
我们应以最小的软组织损伤实现骨折碎片的解剖复位。应选择最佳入路以获得骨折碎片的良好视野。我们不应忘记，尽管采取了所有治疗策略，这些患者中有一半的结局仍会较差。
