Femoral Head Fractures: Conservative or Surgical Treatment? About 2 Cases

Abstract

Femoral head fractures are uncommon and invariably occur alongside hip dislocation. High-energy trauma is the sole cause, and diagnosis can be missed using only standard pelvic radiographs (anterior-posterior, lateral, ¾ alar and obturator views), a CT scan is often recommended for a precise diagnosis. Treating dislocated hips with femoral head parcelar fractures is challenging. This difficulty arises from selecting both the surgical approach and the management of the fracture fragments. Additionally, the risk of osteonecrosis and osteoarthritis compromises the long-term function of the hip. We report two cases of femoral head fracture associated with hip dislocation. The first was received surgical treatment, while the second was managed conservatively.