Closed reduction and minimally invasive screw osteosynthesis of Pipkin femoral head fractures

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F26068877%3A_____%2F23%3AN0000033" target="_blank" >RIV/26068877:_____/23:N0000033 - isvavai.cz</a>

Result on the web

<a href="https://jab.zsf.jcu.cz/artkey/jab-202301-0001_closed-reduction-and-minimally-invasive-screw-osteosynthesis-of-pipkin-femoral-head-fractures.php" target="_blank" >https://jab.zsf.jcu.cz/artkey/jab-202301-0001_closed-reduction-and-minimally-invasive-screw-osteosynthesis-of-pipkin-femoral-head-fractures.php</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.32725/jab.2023.001" target="_blank" >10.32725/jab.2023.001</a>

Result language

angličtina

Original language name

Closed reduction and minimally invasive screw osteosynthesis of Pipkin femoral head fractures

Original language description

Background: Femoral posterior hip dislocation with associated femoral head fractures (Pipkin fractures) are rare high-energy injuries. Published treatment modalities involve conservative treatment, head fragment resection, open reduction and internal fixation, and total hip replacement. The experience with mini-invasive screw osteosynthesis of these fractures is the main focus of our study. Methods: Seven Pipkin fractures (five Pipkin II and two Pipkin I) in six patients were treated by closed reduction of hip dislocation, followed by minimal invasive lag screw osteosynthesis. Cancellous screw(s) were inserted from the incision on the lateral hip through the femoral neck to the reduced fracture fragment. In all patients, postoperative CT was performed to check the quality of surgery. Active physiotherapy with immediate toe-touch weight bearing was the routine postoperative protocol. In all patients, radiological and clinical results were evaluated with the Thompson Epstein, Merle d’Aubigne and Postel score, and Harris hip score. Results: All fractures united, and all femoral heads survived. Infectious complications were not observed, and no secondary surgery was needed. After an average follow-up of 18.4 months, the average Merle d’Aubigne and Postel score was 17.7 points, while the mean Harris hip score reached 98.1 points. The majority of patients achieved an excellent Thompson–Epstein clinical and radiological outcome. All patients returned to their original occupation. Conclusions: Mini-invasive screw osteosynthesis can be used for the treatment of Pipkin type I–II femoral head fractures. Successful reduction of hip dislocation and head fracture is necessary for using this technique. Long-term follow-up is necessary to confirm this technique.

Czech name

—

Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30211 - Orthopaedics

Project

—

Continuities

N - Vyzkumna aktivita podporovana z neverejnych zdroju

Publication year

2023

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Journal of Applied Biomedicine

ISSN

1214021X

e-ISSN

1214-0287

Volume of the periodical

21

Issue of the periodical within the volume

1

Country of publishing house

CZ - CZECH REPUBLIC

Number of pages

7

Pages from-to

1-6

UT code for WoS article

000944294400001

EID of the result in the Scopus database

2-s2.0-85151797706