Orthopedic Center with Orthopedist and Arthroplasty Services

What is a Femoral Head Fracture?

Femoral Head Fractures

Femoral head fractures damage the joint cartilage. Fractures of the femoral head are rare, but they cause severe damage to the posterior hip.

Read on to learn more about these fractures, their characteristics, and surgical treatment.

Signs Of Fractures

Signs of fractures include non-anatomical reduction of the femoral head, an unstable hip joint, and the presence of intra-articular fragments.


Smaller fragments can be removed, but larger fragments must be treated with open reduction and internal fixation.

Due to the joint cartilage lesion associated with the fracture, this lesion becomes less predictable. Arthroplasty surgery is recommended for elderly patients with these injuries, but it may not be ideal for younger patients.

Femoral Head Fractures In Young Patients

We’ll use a fictitious case to help you understand the fracture and surgical treatment. Let’s say a young patient has a femoral head fracture. The fracture caused considerable damage to the cartilage that supports the weight in the femoral head.

After an anatomical reduction of the fracture, an osteochondral defect appeared in the part of the femoral head that supports the weight. The femoral head fragment was rotated in a way that the upper surface supporting the weight was congruent. The lesion will be treated with rotational femoral head osteoplasty combined with open reduction and internal fixation.

This can create a cavity inside the femoral head, filled with a small graft taken from the large trochanter. The femoral head fragment is fixed with screws.

This method is similar to rotational osteotomies of the femoral head and proximal femur described in the procedure for osteonecrosis of the femoral head.

The Objective Of Femur Proximal Osteotomy

The purpose of proximal osteotomy of the femur for avascular necrosis of the femoral head is to transfer the weight-bearing forces to a less impacted part of the femoral head. This is done by rotating the affected areas away from the weight-bearing surface.

Research on the treatment of femoral head fractures is limited. Older studies showed that treatment was usually unsuccessful. Newer studies show that open reduction and internal fixation provide much better results.

Although the surgery’s success depends on the type and quality of surgical reduction, the data shows that the severity of the damage also affects the outcome.

Because there aren’t many long-term studies of the treatment, we can’t judge the surgery’s effectiveness in the long-run.

The purpose of this text is to help you understand femoral head fractures. Contact your orthopedist for more information.


Nossa Estrutura

Unidade Higienópolis

Sala de espera com amplo espaço e conforto para a família que espera por uma consulta de ortopedia geral ou ortopedia infantil.

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Unidade Higienópolis
A clínica Artroplastias do ortopedista em São Paulo, Dr. Felipe possui sala para acolher o paciente e família.

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Unidade Higienópolis

Sala para um exame ortopédico completo, cujo objetivo é o diagnóstico preciso. A indicação de uma artroplastia de quadril se baseia no estudo clínico e radiográfico cuidadoso do paciente.

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