Arthroscopic Decompression of a Malunited Infrafoveal Femoral Head Fracture: A Case Report.

CASE: A patient presented with a traumatic posterior wall fracture and small femoral head fracture. He initially underwent open reduction and internal fixation to treat the posterior wall fracture. The femoral head fracture was left alone because of its small size and lack of joint incongruity. At 1 year postoperatively, the patient reported pain due to malunion of the femoral head fragment, which was treated arthroscopically. Treatment resulted in significant pain relief sustained at the 6-year follow-up.

CONCLUSION

Symptomatic femoral head fractures malunited to the femoral neck are rare complications. Arthroscopy may offer a viable treatment approach for select patients with this condition.