Disastrous triad of femoral head:femoral neck fracture meeting fracture-dislocation of femoral head.
10.12200/j.issn.1003-0034.2023.03.004
- Author:
Jiong MEI
1
Author Information
1. Department of Orthopaedic Surgery, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai 200233, China.
- Publication Type:Review
- Keywords:
Femoral head fracture;
Femoral neck fracture;
Hip dislocation
- MeSH:
Humans;
Femoral Fractures/complications*;
Femoral Neck Fractures/complications*;
Femur Head/injuries*;
Fracture Dislocation;
Fracture Fixation, Internal/methods*;
Hip Dislocation/surgery*;
Prognosis
- From:
China Journal of Orthopaedics and Traumatology
2023;36(3):216-221
- CountryChina
- Language:Chinese
-
Abstract:
Femoral head and ipsilateral femoral neck fractures are serious and complicated injuries, which usually yield unsatisfactory results using conventional hip-preserving surgery. The key point of the management and prognosis mainly lies in femoral neck fractures. An apparent and consecutive relationship exists between femoral neck fractures and femoral head fracture-hip dislocation in such injuries. It is believed that disastrous triad of femoral head (DTFH) could summarize these specific injuries, and reflect the injury mechanism and prognostic characteristics. Based on our clinical observation and literature review, DTFH could be divided into three subgroups:TypeⅠ, common DTFH, in which femoral neck fractures occur following femoral head fractures-hip dislocation due to the same trauma; TypeⅡ, iatrogenic DTFH, in which femoral neck fractures come out in the caring process of femoral head fractures-hip dislocation; Type Ⅲ, stressed DTFH, in which femoral neck fractures occur after the management of femoral head fractures-hip dislocation. In the scenario, the line of femoral neck fractures locates distally to the femoral head fractures. Herein, we will discuss clinical characteristics of these types of DTFH.
