title: Fixation of a fractured femoral head through a medial hip approach: an original approach to the femoral head.
abstract: The decision to treat a femoral head fracture conservatively or surgically is the subject of ongoing debate. Several surgical approaches have been proposed for the open reduction and internal fixation of femoral head fractures. To our knowledge, fixation through a minimally invasive medial approach has not been described until now. The novel medial hip approach passes between the adductor muscle bellies posteriorly and their aponeuroses anteriorly. It provides direct access to the fracture site and allows for fixation by compression, without needing to dislocate the hip or detach the muscles. Any loose bodies in the joint that cannot be fixed can also be removed during the procedure. These features make the medial hip approach a clinically-relevant treatment option for the surgical management of femoral head fractures.
authors.affiliation: Musculoskeletal Institute, Hospital Pierre-Paul Riquet, CHU Toulouse - France.
authors.forename: Etienne
authors.initials: E
authors.lastname: Cavaignac
authors.affiliation: Musculoskeletal Institute, Hospital Pierre-Paul Riquet, CHU Toulouse - France.
authors.forename: Grégoire
authors.initials: G
authors.lastname: Laumond
authors.affiliation: Musculoskeletal Institute, Hospital Pierre-Paul Riquet, CHU Toulouse - France.
authors.forename: Pailhé
authors.initials: P
authors.lastname: Régis
authors.affiliation: Musculoskeletal Institute, Hospital Pierre-Paul Riquet, CHU Toulouse - France.
authors.forename: Jérôme
authors.initials: J
authors.lastname: Murgier
authors.affiliation: Musculoskeletal Institute, Hospital Pierre-Paul Riquet, CHU Toulouse - France.
authors.forename: Nicolas
authors.initials: N
authors.lastname: Reina
authors.affiliation: Musculoskeletal Institute, Hospital Pierre-Paul Riquet, CHU Toulouse - France.
authors.forename: Philippe
authors.initials: P
authors.lastname: Chiron
mesh_terms: D005260:Female; D005270:Femur Head / Q000000981:diagnostic imaging / Q000293:injuries*; D005593:Fracture Fixation, Internal / Q000379:methods*; D017102:Fracture Healing / Q000502:physiology; D006620:Hip Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D015601:Injury Severity Score; D004204:Joint Dislocations / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D056888:Patient Positioning / Q000379:methods*; D020127:Recovery of Function; D018570:Risk Assessment; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome