History of femoral head fracture and coronal fracture of the femoral condyles.

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Abstract

[Indexed for MEDLINE] 10. Pak J Med Sci. 2017 May-Jun;33(3):650-653. doi: 10.12669/pjms.333.12633. Clinical results of femoral head fracture-dislocation treated according to the Pipkin classification. Yu X(1), Pang QJ(2), Chen XJ(3). Author information: (1)Dr. Xiao Yu, PhD. Department of Orthopedics, Ningbo No.2 Hospital, Ningbo, 315010, Zhejiang, China. (2)Dr. Qing-Jiang Pang, PhD. Department of Orthopedics, Ningbo No.2 Hospital, Ningbo, 315010, Zhejiang, China. (3)Dr. Xian-Jun Chen, MD. Department of Orthopedics, Ningbo No.2 Hospital, Ningbo, 315010, Zhejiang, China. OBJECTIVE: To summarize the clinical results of femoral head fracture-dislocation treated according to Pipkin classification. METHODS: Atotal of 19 patients with femoral head fracture-dislocation were retrospectively analyzed from Mar. 2008 to Mar. 2015. According to the classification of Pipkin criteria, there were 4 cases in Type-I, 6 cases in Type-II, 6 cases in Type-IIIand 3 cases in Type-IV. Various procedures were taken according to the different types of the fracture, the time of the fracture, and the age of the patients. X-ray was examined during the follow-up period and functional evaluation was carried out by Harris Hip Score's criteria. The clinical therapeutic effects were analyzed. RESULTS: All the patientsgot a mean follow-up of 18 months (9-36 months). No patient suffered from infection, skin flap necrosis and X-ray showed no implants loosening or breakage. According to the Harris Hip Score's criteria, in Type-I, 4 cases were rated as excellent. In Type-II, 2 cases rated as excellent, 3 cases as good and 1 case as fair. In Type-III, 3 cases rated as good, 2 cases as fair and 1 case as poor. In Type-IV, 1 case rated as excellent, 1 case as good and 1 case as fair. The overall rate of excellent and good was 73.7%. CONCLUSIONS: Pipkin classification is helpful to make preoperative plan and judging the prognosis in cases of femoral head fracture-dislocation. However, multiple factors such as the time from injury to surgery, the ages of patients, the selection of implants should also be considered, which may affect the clinical results. DOI: 10.12669/pjms.333.12633 PMCID: PMC5510120