ReviewIndian journal of orthopaedics2021
Articular Femoral Head Fracture Management: A Meta-analysis of Literature.
Review in Indian journal of orthopaedics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 23 citations in OpenAlex.
- Functional Outcome and Hip Survival Rate in Traumatic Femoral Head Fractures.Journal of clinical medicine · 2026Article
- Outcomes of Surgical Treatment of Femoral Head Fractures with a Minimum of 1-Year Follow-up.Clinics in orthopedic surgery · 2026Article
- Review
- Femoral head fractures: anatomy, diagnosis and management.EFORT open reviews · 2026Review
- Return to work following traumatic hip dislocation: a prognostic outcome study.Archives of orthopaedic and trauma surgery · 2025Article
- Pipkin type III fractures: a narrative review of literature and comparative opinion on ORIF vs. arthroplasty.Frontiers in surgery · 2025Review
- Treatment and clinical outcome in patients with femoral head fractures: a long-term follow-up.Archives of orthopaedic and trauma surgery · 2024Article
- Case Report of a Delayed Rare Pipkin Type III Fracture in Adult Male Patient.Journal of orthopaedic case reports · 2024Article
- Relevance of the Watson-Jones anterolateral approach in the management of Pipkin type II fracture-dislocation: a case report and literature review.Journal of trauma and injury · 2024Article
- Pipkin fractures: epidemiology and outcome.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Dislocation fracture of the femoral head in adult.EFORT open reviews · 2022Review
- 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
- [Pipkin fractures].Der Unfallchirurg · 2022Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeArticular fractures of the proximal femur are seldom encountered and there are few studies in literature regarding this topic. To date, only a few large series have adequate follow-up and exhaustive description of treatment and outcome, which, however, often result incomplete and do not allow a comparison. Since there are still uncertainties and debates on which the treatment gold standard should be, the goal of the present study is to carry out a meta-analysis on type I and II Pipkin fracture management to establish the best treatment according to EBM.
methodsStudies regarding acetabular fractures of the femur head were identified from Google Scholar, Cochrane Library, Medline, ScienceDirect and PubMed; gray studies were searched from the included references' literature, and using general search engines and Social media; the query to be temporally extended from 1996 to 2020. Only comparative studies were included; we ruled out case-reports, case series, author's opinion, register databases.
resultsComparing conservative and surgical treatment, we found evidence of a better outcome choosing surgical treatment. We found a significant better outcome with open reduction internal fixation, instead of fragment excision. Comparing failure rate of surgical approaches, we found no statistically significant difference.
conclusionOur study proves that there is evidence in favor of operative treatment rather than conservative in complete or displaced Pipkin fracture Type I + II; open reduction internal fixation should be preferred rather than fragment excision, whenever possible. LEVEL OF EVIDENCE: III. Therapeutic.
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