{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T05:21:53Z","timestamp":1783488113538,"version":"3.55.0"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:sec>\n            <jats:title>Objective:<\/jats:title>\n            <jats:p>To evaluate the clinical-reported and patient-reported outcomes of patients with femoral head fractures treated at a single level I trauma center with a minimum 10-year follow-up.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Design:<\/jats:title>\n            <jats:p>Retrospective review.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Setting:<\/jats:title>\n            <jats:p>Academic Level-1 Trauma Center.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Patients\/Participants:<\/jats:title>\n            <jats:p>One hundred one consecutive femoral head fractures were identified for this study. The final study group consisted of 28 patients with a minimum of 10 years of clinical follow-up.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Intervention:<\/jats:title>\n            <jats:p>All patients were treated with one or in combination with the following treatments: nonoperative management, open reduction and internal fixation, fragment excision, or total hip arthroplasty (THA).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Main Outcome Measures:<\/jats:title>\n            <jats:p>The Oxford Hip Score (OHS) at final follow-up along with clinical and radiological complications: infection, avascular necrosis, post-traumatic osteoarthritis, heterotopic ossification, and conversion to THA.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>Twenty-eight patients with greater than 10 years of follow-up were included in this evaluation. The average follow-up was 14 years, and the average age was 39.2 years. Surgical management occurred in 86% of patients, and the mean time to definitive treatment was 3.7 days. Overall, 21 patients (75%) experienced a complication. Seven patients (30%) were later converted to a THA at an average of 6.4 years from initial injury. Three of the 7 late THA conversions (43%) required later revision. OHSs were obtained in all 28 patients at the final follow-up. The average OHS was 36.6. The mean OHS of the native hips was 37 at an average follow-up of 13.6 years. The mean OHS of primary THA was 41, and the mean OHS of secondary THA at final follow-up was 31.4, but this was not statistically significant (<jats:italic toggle=\"yes\">P<\/jats:italic> = 0.134).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions:<\/jats:title>\n            <jats:p>Patients should be counseled that the long-term results of open reduction and internal fixation may be satisfactory but unfortunately are not predictable.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Level of Evidence:<\/jats:title>\n            <jats:p>Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/bot.0000000000001880","type":"journal-article","created":{"date-parts":[[2020,7,3]],"date-time":"2020-07-03T03:01:34Z","timestamp":1593745294000},"page":"621-625","source":"Crossref","is-referenced-by-count":9,"title":["Patient-Reported Outcomes of Femoral Head Fractures with a Minimum 10-Year Follow-Up"],"prefix":"10.1097","volume":"34","author":[{"given":"Michael","family":"Koerner","sequence":"first","affiliation":[{"name":"Vidant Health, Greenville, NC;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jerald","family":"Westberg","sequence":"additional","affiliation":[{"name":"Hennepin County Medical Center, Minneapolis, MN; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jill","family":"Martin","sequence":"additional","affiliation":[{"name":"Medical College of Wisconsin, Milwaukee, WI."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Templeman","sequence":"additional","affiliation":[{"name":"Hennepin County Medical Center, Minneapolis, MN; and"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20230828","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1097\/00003086-198003000-00018","article-title":"Femoral head fractures associated with posterior hip dislocation","volume":"147","author":"Roeder","year":"1980","journal-title":"Clin Orthop Relat Res."},{"key":"R2-20230828","doi-asserted-by":"crossref","first-page":"1027","DOI":"10.2106\/00004623-195739050-00004","article-title":"Treatment of grade IV fracture-dislocation of the hip","volume":"39-A","author":"Pipkin","year":"1957","journal-title":"J Bone Joint Surg. Am."},{"key":"R3-20230828","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1097\/00003086-198512000-00002","article-title":"Posterior fracture dislocation of the hip with fractures of the femoral head","volume":"201","author":"Epstein","year":"1985","journal-title":"Clin Orthop Relat Res."},{"key":"R4-20230828","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1007\/s12306-012-0182-7","article-title":"Fractures of the femoral head: a long-term follow-up study","volume":"96","author":"Oransky","year":"2012","journal-title":"Musculoskelet Surg."},{"key":"R5-20230828","doi-asserted-by":"crossref","first-page":"778","DOI":"10.3928\/01477447-20130523-24","article-title":"Emergent surgical reduction and fixation for Pipkin type I femoral fractures","volume":"36","author":"Lin","year":"2013","journal-title":"Orthopedics."},{"key":"R6-20230828","doi-asserted-by":"crossref","first-page":"455","DOI":"10.1097\/00005131-199610000-00002","article-title":"Intermediate-term experience of Pipkin fracture-dislocations of the hip","volume":"10","author":"Marchetti","year":"1996","journal-title":"J Orthop Trauma."},{"key":"R7-20230828","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1007\/s10195-017-0445-z","article-title":"Management and radiographic outcomes of femoral head fractures","volume":"18","author":"Scolaro","year":"2017","journal-title":"J Orthop Traumatol."},{"key":"R8-20230828","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.1097\/BOT.0000000000001063","article-title":"Fracture and dislocation classification compendium - 2018","volume":"32","author":"Meinberg","year":"2018","journal-title":"J Orthop Trauma"},{"key":"R9-20230828","doi-asserted-by":"crossref","first-page":"S200","DOI":"10.1002\/acr.20549","article-title":"Measures of hip function and symptoms: Harris Hip Score (HHS), hip disability and osteoarthritis outcome score (HOOS), Oxford Hip Score (OHS), Lequesne index of severity for osteoarthritis of the hip (LISOH), and American Academy of Orthopaedic Surgeons","volume":"63","author":"Nilsdotter","year":"2011","journal-title":"Arthritis Care Res."},{"key":"R10-20230828","doi-asserted-by":"crossref","first-page":"437","DOI":"10.1097\/00005131-199212000-00008","article-title":"Operative management of displaced femoral head fractures: case-matched comparison of anterior versus posterior approaches for Pipkin I and Pipkin II fractures","volume":"6","author":"Swiontkowski","year":"1992","journal-title":"J Orthop Trauma."},{"key":"R11-20230828","doi-asserted-by":"crossref","first-page":"1245","DOI":"10.1016\/j.injury.2009.10.024","article-title":"Management, complications and clinical results of femoral head fractures","volume":"40","author":"Giannoudis","year":"2009","journal-title":"Injury."},{"key":"R12-20230828","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1302\/0301-620X.76B1.8300683","article-title":"Isolated traumatic dislocation of the hip. Long-term results in 50 patients","volume":"76","author":"Dreinhofer","year":"1994","journal-title":"J Bone Jt Surg."},{"key":"R13-20230828","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1097\/00003086-200008000-00008","article-title":"Functional outcome of patients with femoral head fractures associated with hip dislocations","volume":"377","author":"Stannard","year":"2000","journal-title":"Clin Orthop Relat Res."},{"key":"R14-20230828","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1177\/107110070102200204","article-title":"Operative treatment of ankle fractures: a minimum ten-year follow-up","volume":"22","author":"Day","year":"2001","journal-title":"Foot Ankle Int."},{"key":"R15-20230828","doi-asserted-by":"crossref","first-page":"1524","DOI":"10.2106\/JBJS.16.01222","article-title":"Total elbow arthroplasty for distal humeral fractures: a ten-year-minimum follow-up study","volume":"99","author":"Barco","year":"2017","journal-title":"J Bone Jt Surg."}],"container-title":["Journal of Orthopaedic Trauma"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/BOT.0000000000001880","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,28]],"date-time":"2023-08-28T07:28:44Z","timestamp":1693207724000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/BOT.0000000000001880"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12]]},"references-count":15,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.1097\/bot.0000000000001880","relation":{},"ISSN":["0890-5339"],"issn-type":[{"value":"0890-5339","type":"print"}],"subject":[],"published":{"date-parts":[[2020,12]]}}}