Medial Femoral Condyle Structural Osteochondral Autograft for Revision of Failed Femoral Head Fracture Osteosynthesis: A Case Report

Treatment of failed osteosynthesis of the femoral head fracture is rarely reported in the literature. Arthroplasty is the preferred treatment for the elderly; however, it may not be suitable for young and active patients. Osteochondral allograft transplantation has been reported as treatment options...

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Bibliographic Details
Main Authors: Chiu-Yu Shih, Yu-Cheng Lo, Chun-Hsiung Huang, Hsin-Yao Chen, Chih-Hui Chen, Cheng-Pu Hsieh
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-07-01
Series:Formosan Journal of Musculoskeletal Disorders
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Online Access:https://journals.lww.com/10.4103/fjmd.FJMD-D-23-00011
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Summary:Treatment of failed osteosynthesis of the femoral head fracture is rarely reported in the literature. Arthroplasty is the preferred treatment for the elderly; however, it may not be suitable for young and active patients. Osteochondral allograft transplantation has been reported as treatment options for extensive osteochondral defects in the femoral head. To our knowledge, this is the first reported case using structural osteochondral autograft transplantation of the medial femoral condyle for failed open reduction internal fixation (ORIF) of a Pipkin Type 2 femoral head fracture-dislocation. The use of medial femoral condyle osteochondral autografts provides an alternative approach for orthopedic surgeons faced with failed or unreconstructable ORIF of femoral head fractures in young patients.
ISSN:2210-7940
2210-7959