[Traumatic dislocations of the hip with fracture of the femur head. Apropos of 28 cases].
Having reviewed 28 cases of fractures of the femoral head complicating traumatic dislocation of the hip the authors point out that the problems to be solved are the reduction of the dislocation (close or surgical) and the fate of the femoral head fragment. Close reduction succeeded in 12 cases, failed in 12 other cases, was not attempted 4 times. Open reduction was performed 16 times. When the femoral fragment was small, close reduction was attempted and the femoral head fragment neglected (10 cases). In three cases close reduction was attempted despite a big femoral fragment. These cases were complicated by a secondary femoral neck fracture. After open reduction the femoral head fragment should be neglected if small, screwed if important. Eight times a rather big fragment was removed but final results were unsatisfactory.