Operative treatment of Pipkin fracture
- VernacularTitle:Pipkin骨折的手术治疗
- Author:
Shengjiang HE
- Publication Type:Journal Article
- Keywords:
Pipkin fracture;
Fracture fixation,internal;
Reduction
- From:
Journal of Chongqing Medical University
2007;0(07):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To evaluate the result of operative treatment of hip dislocation combined with fractures of the femoral head. (Pipkin fracture). Methods: 32 cases were classified according to Pipkin classification,including 8 cases of type Ⅰ,15 cases of type Ⅱ,3 cases of type Ⅲ and 6 cases of type Ⅳ. Various surgical procedures were taken according to the classifications,ages,preoperative images and intraoperative check of the patients. Open reduction and fixation were taken in 30 patients and total hip replacement were performed in 2 patients. Results: Follow-up averaged 28 months,the post-operative function in 27 cases of internal fixation were: excellent in 11 cases (40.7%),good in 11 cases(40.7%), fair in 3 cases(11.1%),poor in 2 case (7.5%). The excellent rate was 81.4%. Conclusion: The key to good result for treating Pipkin fracture is early diagnosis and early operation. Operative approach should be chosen with various situations. Internal fixation with absorbable screw is an ideal method.
