Arthroscopic reduction and internal fixation of femoral head fractures

J Orthop Trauma. 2014 Jul;28(7):e164-8. doi: 10.1097/BOT.0000000000000048.


Displaced femoral head fractures often require open reduction and internal fixation. This article describes 3 cases of displaced large-fragment femoral head fractures (OTA 31-C1.3) that were treated by arthroscopic reduction and internal fixation, which was accomplished using an anterolateral viewing portal, an anterior portal, and an accessory distal anterior working portal. By 3 months postoperatively, all 3 patients had returned to full function. Therefore, we conclude that an arthroscopic approach results in stable fixation and early joint motion, thereby effectively treating displaced femoral head fractures in a minimally invasive manner.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Accidents, Traffic
  • Adult
  • Arthroscopy
  • Female
  • Femur Head / injuries
  • Femur Head / surgery*
  • Fracture Fixation, Internal / methods*
  • Hip Fractures / surgery*
  • Humans
  • Male
  • Middle Aged
  • Recovery of Function