Management of Pipkin Fractures Using a Safe Surgical Hip Dislocation. (23rd October 2019)

• Record Type: Journal Article
• Authors: Henriques, Rita; Ramalho, Diogo; Soares do Brito, Joaquim; Rocha, Pedro; Spranger, André; Almeida, Paulo
• Other Names: Mayr Johannes Academic Editor.
• Is Part Of: Case reports in orthopedics. Volume 2019(2019)
• Publication Date: 2019-10-23
• Subjects: Orthopedics -- Periodicals; Orthopedics; Orthopedics; Periodicals; Electronic journals; Periodicals; 616.7
• DOI: 10.1155/2019/3526018
• Languages: English
• ISSNs: 2090-6749

Abstract

Abstract : Introduction . Pipkin fractures are rare events and usually occur as a consequence for high-energy trauma. Surgery to obtain anatomical reduction and fixation is the mainstay treatment for the majority of these injuries; nonetheless, controversy exists regarding the best surgical approach. Description of the Case . We present the case of a 41-year-old male, which sustained a type II Pipkin fracture following a motorcycle accident. In the emergency department, an emergent closed reduction was performed, followed by surgery five days later. Using a surgical hip dislocation, a successful anatomical reduction and fixation was performed. After three years of follow-up, the patient presented with a normal range of motion, absent signs for avascular necrosis or posttraumatic arthritis, but with a grade II heterotopic ossification. Discussion . Safe surgical hip dislocation allows full access to the femoral head and acetabulum, without increasing the risk for a femoral head avascular necrosis or posttraumatic arthritis. Simultaneously, this surgical approach gives the opportunity to repair associated acetabular or labral lesions, which explains the growing popularity with this technique. Conclusion . Although technically demanding, safe surgical hip dislocation represents an excellent option in the reduction and fixation for Pipkin fractures.