Evidence map›Paper›PMID 39254693›Full record

ArticleArchives of orthopaedic and trauma surgery2024

Treatment and clinical outcome in patients with femoral head fractures: a long-term follow-up.

Stephan Regenbogen, Julius Watrinet, Markus Beck, Philipp Osten, Fabian M Stuby, Paul Alfred Grützner, Vera Jaecker

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Archives of orthopaedic and trauma surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. [All-arthroscopic reduction and fixation of Pipkin typeZhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Stephan RegenbogenDepartment of Traumatology and General Surgery, BG Unfallklinik Murnau, Murnau am Staffelsee, Germany. s_regenbogen@web.de.ORCID http://orcid.org/0000-0001-8791-9447
Julius WatrinetDepartment of Traumatology and General Surgery, BG Unfallklinik Murnau, Murnau am Staffelsee, Germany.
Markus BeckDepartment of Traumatology and General Surgery, BG Unfallklinik Murnau, Murnau am Staffelsee, Germany.
Philipp OstenDepartment of Trauma and Orthopedic Surgery, Cologne Merheim Medical Center, Witten/Herdecke University, Cologne, Germany.
Fabian M StubyDepartment of Traumatology and General Surgery, BG Unfallklinik Murnau, Murnau am Staffelsee, Germany.
Paul Alfred GrütznerDepartment of Trauma and Orthopedic Surgery, BG Klinik Ludwigshafen, University of Heidelberg, Ludwigshafen, Germany.
Vera JaeckerDepartment of Trauma and Orthopedic Surgery, Cologne Merheim Medical Center, Witten/Herdecke University, Cologne, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionA femoral head fracture (Pipkin fracture) is a rare but severe injury. The optimal treatment is controversial, and there is a lack of research focusing on treatment strategies. The study aimed to analyze the treatment strategies in comparison to the outcome in patients after traumatic hip joint dislocation (THD) with concomitant femoral head fractures. MATERIALS AND

methodsA retrospective multicenter study at three Level I Trauma Centers was performed over a 12 year period from January 2009 to January 2021. Epidemiological data, associated injuries, and treatment were recorded. Patients were followed up for further treatment, re-operations, complications, and long-term functional outcomes using patient-reported outcome measures (PROMs), specifically the modified Harris Hip Score (mHHS) and the Tegner Activity Scale (TAS).

results45 patients with a mean age of 44 ± 16.11 years were finally evaluated. The majority of 38 patients (84%) were treated surgically. The mean follow-up time was 5.75 years (range 2-12 years). 8 patients (31%) developed post-traumatic osteoarthritis and 4 patients (15%) developed osteonecrosis of the femoral head. 7 patients (27%) underwent total hip arthroplasty (THA). Fixation of the Pipkin fracture was more common in younger patients but had no statistically significant impact on PROMs. Patients with a higher BMI were significantly less likely to undergo fragment fixation (p < 0.05). TAS was significantly worse in patients who underwent THA (p < 0.05).

conclusionsA femoral head fracture is a severe injury with overall limitations in activities of daily living and a high rate of post-traumatic osteoarthritis and osteonecrosis of the femoral head. Fragment fixation had no statistically significant impact on the outcome and PROMs. Treatment strategies should be guided by the fracture type, the patient's condition, and associated injuries. However, concomitant and life-threatening injuries may affect the treatment and limit the outcome.

Indexed as

Femur HeadHip FracturesAdultAgedArthroplasty, Replacement, HipFemaleFollow-Up StudiesFracture Fixation, InternalHip DislocationHumansMaleMiddle AgedPatient Reported Outcome MeasuresRetrospective StudiesTreatment OutcomeYoung AdultFemoral head fractureFemoral head osteonecrosisPipkin fracturePost-traumatic osteoarthritisTraumatic hip dislocation

Identifiers

PMID39254693

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.