Fixation of femoral head fractures using the modified heuter direct anterior approach.
Large displaced fractures of the femoral head require open reduction and internal fixation. If the displaced fragments are small, open reduction may not be possible and excision of the fragment or nonoperative care may be the treatment of choice. Surgical approaches that have been used for open reduction and internal fixation include the Smith-Petersen approach, Watson-Jones approach, Kocher-Langenbeck approach, a posterior approach with a trochanteric flip osteotomy, and surgical dislocation of the hip. Here, we describe the use of the modified Heuter direct anterior approach for open reduction and internal fixation of femoral head fractures in 2 patients.
Kurtz
William J
WJ
Department of Orthopaedic Surgery, Akron General Medical Center, 400 Wabash Avenue, POB 224/430, Akron, OH 44307, USA. wkurtz@medicine.nodak.edu
Vrabec
Gregory A
GA
D000063:Accidents, Traffic; D000328:Adult; D005260:Female; D005270:Femur Head / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D005593:Fracture Fixation, Internal / Q000379:methods*; D017102:Fracture Healing; D006617:Hip Dislocation / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D006620:Hip Fractures / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D011859:Radiography; D016683:Supine Position; D016896:Treatment Outcome; D055815:Young Adult