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If there is a fracture of the neck of the femur, the blood supply through the ligament becomes crucial. The head of the femur is relevant to orthopedic surgery because it can undergo avascular necrosis and consequent osteochondritis dissecans. The femoral head is removed in total hip replacement surgery.
A femoral head ostectomy is a surgical operation to remove the head and neck from ... Unlike in most other hip joint operations, the head of the femur is not replaced ...
The ligament of the head of the femur (round ligament of the femur, foveal ligament, or Fillmore's ligament) is a weak [1] ligament located in the hip joint. It is triangular in shape and somewhat flattened.
The earliest recorded attempts at hip replacement were carried out in Germany in 1891 by Themistocles Gluck (1853–1942), [109] [110] who used ivory to replace the femoral head (the ball on the femur), attaching it with nickel-plated screws. [111] Subsequently, he used a cement made from plaster of Paris, powdered pumice and glue. [112]
Other techniques, such as metal-on-metal resurfacing, may not be suitable in all cases of avascular necrosis; its suitability depends on how much damage has occurred to the femoral head. [23] Bisphosphonates, which reduce the rate of bone breakdown, may prevent collapse (specifically of the hip) due to AVN. [24]
The primary aim of surgery is to correct the fit of the femoral head and acetabulum to create a hip socket that reduces contact between the two, allowing a greater range of movement. [30] This includes femoral head sculpting and/or trimming of the acetabular rim. [30] [31] Surgery may be arthroscopic or open. [7]
Posterior dislocations is when the femoral head lies posteriorly after dislocation. [5] It is the most common pattern of dislocation accounting for 90% of hip dislocations, [5] and those with an associated fracture are categorized by the Thompson and Epstein classification system, the Stewart and Milford classification system, and the Pipkin system (when associated with femoral head fractures).
Slipped capital femoral epiphysis (SCFE or skiffy, slipped upper femoral epiphysis, SUFE or souffy, coxa vara adolescentium) is a medical term referring to a fracture through the growth plate (physis), which results in slippage of the overlying end of the femur . Normally, the head of the femur, called the capitus, should sit squarely on the ...