Open AccessOpen Reduction and Internal Fixation of the Femoral Head via the Smith–Petersen Approach
Author(s) -
William M. Ricci,
Christopher M. McAndrew,
An. Miller,
Matthew C. Avery
Publication year - 2018
Publication title -
journal of orthopaedic trauma
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.221
H-Index - 121
eISSN - 1531-2291
pISSN - 0890-5339
DOI - 10.1097/bot.0000000000001216
Subject(s) - medicine , acetabulum , femoral head , reduction (mathematics) , surgery , femoral neck , internal fixation , fixation (population genetics) , femur , osteoporosis , population , geometry , mathematics , environmental health , endocrinology
Pipkin described femoral head fractures in the 1950s, but controversy still exists regarding indications for surgery and approaches for operative treatment of femoral head fractures. Clear indications for operative intervention include inability to reduce the hip with closed methods, a nonconcentric reduction, fracture fragments within the articulating surface of the hip, and associated injuries (acetabulum and femoral neck fractures) with their own indications for surgery. The anterior approach described by Smith-Petersen has been modified (using only the distal portion) and used to visualize, clean, reduce, and fix these fractures with and without anterior dislocation of the hip.