Clinical efficacy of surgical treatment for Pipkin fracture in 17 cases.
10.11817/j.issn.1672-7347.2019.180674
- Author:
Bo XIAO
1
;
Zhiyuan CAO
1
;
Aiyong HE
1
Author Information
1. Department of Orthopedics, Second Xiangya Hospital, Central South University, Changsha 410011, China.
- Publication Type:Journal Article
- MeSH:
Femur Head;
Fracture Fixation, Internal;
Hip Fractures;
surgery;
Humans;
Retrospective Studies;
Treatment Outcome
- From:
Journal of Central South University(Medical Sciences)
2019;44(12):1391-1396
- CountryChina
- Language:Chinese
-
Abstract:
To investigate the clinical effect of surgical treatment for femoral head fracture-dislocation (Pipkin fracture).
Methods: A total of 17 patients with femoral head fracture-dislocation were retrospectively analyzed. The duration from injury to surgery was 1-30 (average 9.5) days. According to the classification of Pipkin criteria, there were 4, 6, 1, and 6 cases in Type I, Type II, Type III, and Type IV, respectively. Thirteen patients were treated with skin traction or bone traction after admission, and the postoperative traction lasted for 4 weeks.
Results: All patients got a mean follow-up of 43(8-84) months. No patient suffered from infection and skin flap necrosis. X ray showed no implants loose or breakage. According to the Thompson-Epstein evaluation system, among the cases of Type I, 3 cases were excellent and 1 case was fair; among the cases of Type II, 3 cases were excellent, 2 cases were good, and 1 case was poor. The case of Type III was good. Among the cases of Type IV, 2 cases were excellent, 2 cases were good, and 2 cases were fair. The excellent and good rate was 76.47%.
Conclusion: Early diagnosis of Pipkin fracture, reasonable selection of surgical approach and internal fixation according to Pipkin classification can help patients to obtain satisfactory hip function and improve their prognosis.
