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Pipkin type III femoral head fracture-dislocation combined with complicated acetabular fracture: A rare case report and literature review.

Abstract Pipkin III fracture, which is characterized by high risk of avascular necrosis of the femoral head, is extremely rare. It is more difficult to treat and has a worse prognosis when accompanied with severe acetabular fractures. Few studies show that both Pipkin type III femoral head fracture-dislocation and complicated acetabular fracture presented in one patient.
PMID
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A treatment strategy to avoid iatrogenic Pipkin type III femoral head fracture-dislocations.

Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 29390346
OWN - NLM
STAT- MEDLINE
DCOM- 20180212
LR  - 20180212
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 50
DP  - 2017 Dec
TI  - Pipkin type III femoral head fracture-dislocation combined with complicated
      acetabular fracture: A rare case report and literature review.
PG  - e9214
LID - 10.1097/MD.0000000000009214 [doi]
AB  - RATIONALE: Pipkin III fracture, which is characterized by high risk of avascular 
      necrosis of the femoral head, is extremely rare. It is more difficult to treat
      and has a worse prognosis when accompanied with severe acetabular fractures. Few 
      studies show that both Pipkin type III femoral head fracture-dislocation and
      complicated acetabular fracture presented in one patient. PATIENT CONCERNS: A
      34-year-old male suffered a terrible traffic accident with a serious damage to
      the left side when he was sitting in the car's cockpit. Pelvic radiograph and
      3-dimensional reconstruction of computed tomography revealed characteristics of
      fractures before the emergency operation. DIAGNOSIS: Pipkin III fractures
      combined with complicated acetabular fracture. INTERVENTIONS: Firstly, we used
      combined anterior and posterior approach for treatment to fix the femoral head
      fractures. Then, we completed anatomical reduction of fractures with countersunk 
      head screw, hollow screw, and reconstruction plate. OUTCOMES: At the 12-months
      follow-up, the patient could walk freely and perform activities of daily living
      without necrosis of femoral head and heterotopic ossification. LESSONS: Although 
      there are serious complications in Pipkin III fractures combined with complicated
      acetabular fracture, early surgical treatment with appropriate approach and
      fixation could get satisfactory results.
CI  - Copyright (c) 2017 The Authors. Published by Wolters Kluwer Health, Inc. All
      rights reserved.
FAU - Zhao, Bei
AU  - Zhao B
AD  - Department of Orthopaedics, Liaocheng People's Hospital and Liaocheng Clinical
      School of Taishan Medical University, Liaocheng, Shandong, China.
FAU - Li, Hao
AU  - Li H
FAU - Yan, Jun
AU  - Yan J
FAU - Han, Li-Ren
AU  - Han LR
FAU - Yang, Xiao-Fei
AU  - Yang XF
LA  - eng
PT  - Case Reports
PT  - Journal Article
PT  - Review
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Accidents, Traffic
MH  - Adult
MH  - Femoral Neck Fractures/classification/diagnostic imaging/etiology/*surgery
MH  - Fracture Dislocation/classification/diagnostic imaging/etiology/*surgery
MH  - Fracture Fixation, Internal/instrumentation/*methods
MH  - Hip Fractures/diagnostic imaging/etiology/*surgery
MH  - Humans
MH  - Internal Fixators
MH  - Male
EDAT- 2018/02/03 06:00
MHDA- 2018/02/13 06:00
CRDT- 2018/02/03 06:00
PHST- 2018/02/03 06:00 [entrez]
PHST- 2018/02/03 06:00 [pubmed]
PHST- 2018/02/13 06:00 [medline]
AID - 10.1097/MD.0000000000009214 [doi]
AID - 00005792-201712150-00096 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Dec;96(50):e9214. doi: 10.1097/MD.0000000000009214.