Gänsslen Axel, Lindtner Richard A, Krappinger Dietmar, Franke Jochen
Trauma Department, Hannover Medical School, Carl-Neuberg-Str. 1, 30625, Hannover, Germany.
University Hospital, Johannes Wesling Hospital, Hans-Nolte-Straße 1, 32429, Minden, Germany.
Arch Orthop Trauma Surg. 2024 Oct;144(10):4601-4614. doi: 10.1007/s00402-024-05576-z. Epub 2024 Sep 30.
Femoral head fractures are rare, which limits the experience of individual surgeons with these injuries. This overview examines historical data, injury mechanisms, and classification systems, as well as epidemiological data from larger patient cohorts. Significant controversies persist regarding the optimal surgical approach and fracture-type-specific treatment for Pipkin fractures. The literature is often inconsistent, as many studies fail to differentiate between specific fracture types and instead report aggregated results, leading to ambiguous conclusions about the most effective treatment strategies. Thus, this article reviews fracture-type-specific outcomes of both non-operative and operative treatments over the past 25 years and summarizes their clinical implications, with the aim of assisting surgeons in their decision-making processes.
股骨头骨折较为罕见，这限制了个体外科医生处理此类损伤的经验。本综述考察了历史数据、损伤机制和分类系统，以及来自更大患者队列的流行病学数据。关于皮普金骨折的最佳手术入路和特定骨折类型的治疗，仍存在重大争议。文献往往不一致，因为许多研究未能区分特定的骨折类型，而是报告汇总结果，导致关于最有效治疗策略的结论含糊不清。因此，本文回顾了过去25年非手术和手术治疗的特定骨折类型的结果，并总结了它们的临床意义，旨在帮助外科医生进行决策。
