ArticleInternational orthopaedics2021
Modified Ludloff's medial approach for management of Pipkin's type I femoral head fracture.
Article in International orthopaedics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Femoral head fracture management: outcomes of surgical hip dislocation with bioabsorbable screw fixation.Journal of orthopaedic surgery and research · 2025Article
- Comparison of the efficacy of the modified S-P approach and the Ganz method for surgical hip dislocation in Pipkin I fractures: an early follow-up study.BMC musculoskeletal disorders · 2025Article
- Modified Ludloff's medial approach for resection of heterotopic ossification of the hip following severe SARS-CoV-2 infection: a case report.Journal of hip preservation surgery · 2024Review
- Dislocation fracture of the femoral head in adult.EFORT open reviews · 2022Review
- Surgical Approaches for Managing Femoral Head Fractures (FHFs); What and How to Choose from the Different Options?Orthopedic research and reviews · 2022Review
- 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
3 authors.
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Abstract
introductionNumerous approaches were described for the management of Pipkin's type I fracture with no consensus on the "standard of care". The strategic thinking of the ideal access is through the medial approach. MATERIAL AND
methodsUsing Ferguson intermuscular interval, prospective study was done (January 2014-2019) to evaluate radiological and functional outcomes using HHS and Thompson-Epstein criteria. Fracture patterns were subclassified: anterior and posterior-inferior (AI/PI) requiring different reduction positions.
resultsTwenty-one patients (mean FU = 24.3 months (range, 12-48)) were divided into 14 (67.7%) AI and seven PI. Excision was performed in five (23.8%) (AI = 3 (14.3%) and PI = 2) and ORIF in 16 (AI = 11 (52.4%) and PI = 5). At the last follow-up, two (9.5%) were graded as excellent, 11 (52.4%) as good, three (14.3%) as fair, and five as poor.
conclusionModified Ludloff's approach provides safe easy direct access to fracture allowing easy excision or direct anatomical reduction, perpendicular compression, and rigid fixation with minimal complications.
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