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Table 2 Treatment results of femoral head fracture and dislocation cases

From: 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

Patient #

Head fixation method

Acetabular fixation method

Osteotomy site fixation method

AVN evaluation method

(MRI/SPECT/CT)

F/u period

(Months)

Bone union

(months)

Radiologic results

(the Matta's criteria)

Functional results

(Merle d 'Aubigne score/ Thompson-Epstein scoring scale)

Heterotrophic ossification

(Brooker classification)

Complication

Additional surgery

1

2 cortical screws

N/A

2 cortical screws with washer

MRI

58

6

Excellent

15 / Good

Grade 1

GT nonunion

GT nonunion revision surgery

2

3 cortical screws

N/A

2 cortical screws with washer

MRI

38

7

Excellent

16/Excellent

N/A

N/A

N/A

3

2 headless screw

N/A

2 cortical screws

SPECT/CT

63

5

Good

14/Good

N/A

N/A

N/A

4

3 cortical screws

N/A

2 cortical screws with washer

SPECT/CT

34

7

Good

13/Fair

Grade 1

Irritation for GT osteotomy site

GT screw removal

5

3 cortical screws

N/A

2 cortical screws

SPECT/CT

78

4

Good

15/Good

N/A

N/A

N/A

6

3 cortical screws

N/A

2 cortical screws with washer

SPECT/CT

37

5

Excellent

13/Fair

N/A

N/A

N/A

7

3 cortical screws

N/A

2 cortical screws with washer

SPECT/CT

45

7

Excellent

15/Excellent

N/A

N/A

N/A

8

3 cortical screws

N/A

2 cortical screws with washer

SPECT/CT

75

None

Poor

9/Poor

Grade 2

AVN

THRA

9

3 cortical screws

N/A

2 cortical screws with washer

SPECT/CT

38

4

Good

15/Good

N/A

N/A

N/A

10

2 headless screws

Compression plate

2 cortical screws

SPECT/CT

43

7

Good

16/Excellent

N/A

N/A

N/A

11

2 cortical screws

Compression plate with spring plate

2 cortical screws with washer

SPECT/CT

34

5

Excellent

17/Excellent

N/A

N/A

N/A

12

2 headless screws

Compression plate with spring plate

2 cortical screws

MRI

85

4

Excellent

16/Excellent

N/A

N/A

N/A

13

2 cortical screws

N/A

2 cortical screws with washer

SPECT/CT

38

7

Good

13/Fair

Grade 1

N/A

N/A

14

2 cortical screws

Compression plate with spring plate

2 cortical screws

SPECT/CT

56

8

Excellent

15/Good

Grade 1

N/A

N/A

15

3 cortical screws

Compression plate with spring plate

3 cortical screws with washer

SPECT/CT

72

5

Good

15/Good

Grade 1

N/A

N/A

16

4 cortical screws

Compression plate with spring plate

2 cortical screws with washer

MRI

67

5

Good

14/Good

N/A

Irritation for GT osteotomy site

GT screw removal

17

3 cortical screws

Compression plate

2 cortical screws with washer

SPECT/CT

45

5

Good

16/Good

N/A

N/A

N/A

18

2 headless screws

Compression plate with spring plate

2 cortical screws

SPECT/CT

93

6

Fair

14/Fair

Grade 1

N/A

N/A

19

2 headless screws

Compression plate with spring plate

2 cortical screws

SPECT/CT

90

7

Excellent

15/Good

N/A

N/A

N/A

20

3 cortical screws

Compression plate with spring plate

2 cortical screws with washer

SPECT/CT

51

6

Good

14/Fair

N/A

N/A

N/A

21

2 headless screws

Compression plate with spring plate

2 cortical screws with washer

SPECT/CT

126

7

Good

15/Good

Grade 2

N/A

N/A

22

3 cortical screws

2 cortical screws

3 cortical screws with washer

SPECT/CT

43

10

Fair

13 /Fair

N/A

N/A

N/A

23

2 cortical screws

Compression plate with spring plate

2 cortical screws with washer

MRI

54

8

Good

16/Good

N/A

N/A

N/A

24

2 headless screws

Compression plate with spring plate

3 cortical screws

MRI

40

7

Good

15/Good

N/A

N/A

N/A

25

2 headless screws

Compression plate with spring plate

2 cortical screws

SPECT/CT

59

6

Fair

14/Fair

Grade 2

N/A

N/A

26

2 headless screws

Compression plate

2 cortical screws

SPECT/CT

123

7

Good

13/Fair

N/A

N/A

N/A

27

2 headless screws

Anchor suture fixation

2 cortical screws

SPECT/CT

119

5

Excellent

16/Good

N/A

N/A

N/A

28

1 headless screw

Compression plate

2 cortical screws with washer

SPECT/CT

53

6

Fair

15/Good

N/A

N/A

N/A

29

3 cortical screws

Anchor suture fixation

2 cortical screws with washer

MRI

46

6

Good

15/Good

N/A

N/A

N/A

30

3 cortical screws

Compression plate

2 cortical screws with washer

SPECT/CT

61

4

Good

14/Fair

N/A

Irritation for GT osteotomy site

GT screw removal

31

3 cortical screws

Compression plate with spring plate

2 cortical screws with washer

SPECT/CT

61

8

Good

17/Excellent

N/A

N/A

N/A

32

3 cortical screws

Compression plate with spring plate

3 cortical screws

MRI

53

7

Fair

13/Fair

Grade 2

N/A

N/A

33

4 cortical screws

Compression plate

2 cortical screws with washer

SPECT/CT

52

4

Excellent

17/Excellent

N/A

N/A

N/A

34

3 cortical screws

Compression plate

3 cortical screws with washer

SPECT/CT

35

None

Poor

8/Poor

Grade 3

AVN

THRA

  1. AVN, avascular necrosis of the femoral head; F/u, follow-up; N/A, not applicable; MRI, magnetic resonance imaging; SPECT, single photon emission computed tomography; CT, computed tomography; GT, greater trochanter; THRA, total hip replacement arthroplasty
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Journal of Orthopaedic Surgery and Research

ISSN: 1749-799X