• Arch Orthop Trauma Surg · Mar 2014

    Case Reports

    Percutaneous screw fixation for a femoral head fracture: a case report.

    • Yasuhiro Homma, Shin Miyahara, Atsuhiko Mogami, Itaru Morohashi, Tomonori Baba, and Kazuo Kaneko.
    • Department of Orthopaedic Surgery, Juntendo University, 2-1-1 Hongo, Bunkyo-ku, Tokyo, Japan, yhomma@juntendo.ac.jp.
    • Arch Orthop Trauma Surg. 2014 Mar 1; 134 (3): 371-4.

    AbstractFemoral head fracture associated with hip dislocation is relatively rare but very severe injury. Due to its severity and the need of joint exposure for the reduction of femoral head fracture, the surgical treatment cannot but accompany many complications, including the osteonecrosis of the femoral head, heterotopic ossification, and post-traumatic osteoarthritis. We report a case of less invasive percutaneous screw fixation for the femoral head fracture with excellent clinical result. Post operatively, the fracture was healed, and no acute complication was observed. At 4 years post operation, full Harris hip score was achieved, and there were no osteonecrosis of the femoral head, no heterotopic ossification, and no post-traumatic osteoarthritis. We suggest attempting less invasive percutaneous screw fixation for the femoral head fracture.

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