Brumback R J, Kenzora J E, Levitt L E, Burgess A R, Poka A
Hip. 1987:181-206.
Fractures of the femoral head infrequently accompany hip dislocations, but create complex therapeutic dilemmas for the orthopaedist when they do occur. The difficulties are compounded by existing incomplete classification schemes, which do not satisfactorily predict the final clinical results of a given injury or treatment. This chapter encompasses an extensive literature review of 238 published cases and analyzes the areas of confusion concerning this group of injuries. Our experience with 27 cases of femoral head fracture is presented. These examples emphasize the need for prompt, concentric reduction of the hip joint followed by individualized treatment of each type of femoral head fracture. An improved classification system to eliminate the ambiguities of previous systems and to provide the clinician with treatment guidelines for each type of femoral head fracture is proposed. These guidelines should improve the final results in these difficult and rare injuries.
股骨头骨折很少伴随髋关节脱位，但一旦发生，会给骨科医生带来复杂的治疗难题。现有的不完整分类方案使问题更加复杂，这些方案无法令人满意地预测特定损伤或治疗的最终临床结果。本章对238例已发表病例进行了广泛的文献综述，并分析了有关这组损伤的混淆领域。介绍了我们对27例股骨头骨折的经验。这些例子强调了髋关节及时、同心复位的必要性，随后对每种类型的股骨头骨折进行个体化治疗。提出了一种改进的分类系统，以消除先前系统的模糊性，并为临床医生提供每种类型股骨头骨折的治疗指南。这些指南应能改善这些困难且罕见损伤的最终治疗效果。
