Romania
Review Article
Treatment Options in Pipkin Fracture-Dislocation of the Femoral Head: Cases Review
Author(s): Ovidiu Alexa, Bogdan Puha, Dragos Popescu, Radu Ioan Malancea and Bogdan VeliceasaOvidiu Alexa, Bogdan Puha, Dragos Popescu, Radu Ioan Malancea and Bogdan Veliceasa
Background: Fractures of the femoral head associated with a hip dislocation are relatively rare and often associated with a poor functional outcome. Materials and methods: In the past two years we had nine cases of femoral head Pipkin fracture-dislocations type I, II and IV. Medical data and radiographs, including computed tomography of the patients were reviewed for analysis. All patients were followed postoperatively for a period of minimum 22 months. Functional outcome was evaluated with the Merle d’Aubigne-Postel score.
Results: Of the fractures, four of them were classified as type I Pipkin, of which one was an open type 1 Gustilo- Anderson fracture, two were classified as type II Pipkin, and three were classified as type IV Pipkin. The time from injury to successful closed reduction was 6.7 hours (range 4.5-10 hours). Three type I .. Read More»
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