Evidence map›Paper›PMID 42310764›Full record

ArticleJournal of orthopaedic surgery and research2026

Anterior periosteal flap elevation to aid reduction and reduce retinacular tension in Pipkin I/II femoral head fractures.

Matteo Giachino, Riccardo Giai Via, Andrea Audisio, Alessandro Aprato, Alessandro Massè

Abstract read
In one paragraph

Article in Journal of orthopaedic surgery and research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Matteo GiachinoDepartment of Orthopaedic Surgery, Centro Traumatologico Ortopedico (CTO), Via Gianfranco Zuretti 29, 10126, Turin, Italy.
Riccardo Giai ViaDepartment of Orthopaedic and Traumatology Surgery, ASL Torino 5, Piazza Silvio Pellico 1, 10023, Chieri, Italy. riccardo.giaivia@unito.it.
Andrea AudisioDepartment of Pediatric Orthopaedic and Traumatology Surgery, Ospedale Infantile Regina Margherita, Piazza Polonia 94, 10126, Turin, Italy.
Alessandro ApratoDepartment of Surgical Sciences, Orthopaedic and Traumatology Surgery Residency, University of Turin, Via Giuseppe Verdi 8, 10124, Turin, Italy.
Alessandro MassèDepartment of Orthopaedic Surgery, Centro Traumatologico Ortopedico (CTO), Via Gianfranco Zuretti 29, 10126, Turin, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPipkin I/II type femoral head fractures are rare injuries in which it can be difficult to achieve stable anatomical reduction of the inferomedial fragment. In some cases, the medial synovial fold and the medial retinaculum act as soft tissue tensor, limiting the mobilisation of the fragments and increasing the risk of vascular injury during reduction.

objectivesThis technical note describes a periosteal flap manoeuvre designed to release tension on the medial retinaculum while preserving its vascular contribution, thereby facilitating controlled reduction of inferomedial fragments in Pipkin I/II fractures.

conclusionThe technique described allows for safe mobilisation of the retinaculum complex and effortless reduction of the fragment without aggressive dissection. This manoeuvre may be a useful adjunct when standard reduction methods fail.

Indexed as

Femur HeadFracture Fixation, InternalHip FracturesPeriosteumSurgical FlapsHumans

Identifiers

PMID42310764
PMCPMC13520459

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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.