ArticleInternational orthopaedics2019
Comparison of the modified Heuter approach and the Kocher-Langenbeck approach in the treatment of Pipkin type I and type II femoral head fractures.
Article in International orthopaedics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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13 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.
- Femoral head fractures systematic review and meta-analysis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Pooled it
- Arthroscopic Fixation With Absorbable Suture Anchors for Pipkin Type I Femoral Head Fractures-Letter V Technique.Arthroscopy techniques · 2024Article
- Analysis of risk factors associated with incision complications in modified "L" approach for calcaneal fracture.American journal of translational research · 2024Article
- Pipkin type III femoral head fracture: which treatment strategy can be recommended?Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2023Article
- Closed reduction and minimally invasive screw osteosynthesis of Pipkin femoral head fractures.Journal of applied biomedicine · 2023Article
- Pipkin Type I and II femoral head fractures: internal fixation or excision?-from the hip arthroscopy perspective.Journal of hip preservation surgery · 2023Article
- Safety of surgical hip dislocation in femoral head fracture and dislocation (FHFD) and avascular necrosis risk factor analysis of FHFD: midterm results confirmed by SPECT/CT and MRI.Journal of orthopaedic surgery and research · 2022Article
- Efficacy of direct anterior approach combined with direct posterior approach in Pipkin IV femoral head fractures.Journal of orthopaedic surgery and research · 2022Article
- Early versus delayed hip reduction in the surgical treatment of femoral head fracture combined with posterior hip dislocation: a comparative study.BMC musculoskeletal disorders · 2021Article
- Safety and efficacy of surgical hip dislocation in managing femoral head fractures: A systematic review and meta-analysis.World journal of orthopedics · 2021Article
- Articular Femoral Head Fracture Management: A Meta-analysis of Literature.Indian journal of orthopaedics · 2021Review
- Modified Ludloff's medial approach for management of Pipkin's type I femoral head fracture.International orthopaedics · 2021Article
- Failed reduction of posterior hip dislocation accompanied by femoral head fracture: causes and resolving strategy.International orthopaedics · 2021Article
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo evaluate and compare the effectiveness of the modified Heuter approach and the Kocher-Langenbeck approach in the treatment of Pipkin type I and II femoral head fractures.
methodsThe study cohort consisted of 39 patients with Pipkin type I or type II femoral head fractures who were treated by open reduction and internal fixation through the modified Heuter approach (the Heuter group) or the Kocher-Langenbeck approach (the K-L group) between June 2013 and January 2016. Standard radiographs and computed tomography (CT) scans were obtained before surgery and during the follow-up. The two approaches were compared in reference to operative time, amount of blood loss, the occurrence of complications, and final functional outcome. The Brooker classification was used to document heterotopic ossification and the Thompson-Epstein scores were used for final evaluation.
resultsThe mean operative time and estimated blood loss in the Heuter group were lower than those in the K-L group (P < 0.001 for both measures). The incisions healed primarily in all patients after surgery, no infection or deep venous thromboses were detected in either group, post-operative imaging data showed that dislocation and fractures were reduced, and the fractures finally achieved bony union. There were no significant differences in the incidence of complications or final functional outcomes between the two groups.
conclusionsCompared with the Kocher-Langenbeck approach, the modified Heuter approach can effectively reduce the blood loss and operative time without increasing the risk of complications; this approach is simple, straightforward, and atraumatic and may be a viable option for open reduction and internal fixation of Pipkin type I and type II femoral head fractures.
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