Clinical efficacy of surgical treatment for Pipkin fracture in 17 cases / 中南大学学报(医学版)
Journal of Central South University(Medical Sciences)
; (12): 1391-1396, 2019.
Article
in Zh
| WPRIM
| ID: wpr-813002
Responsible library:
WPRO
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.
Full text:
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Index:
WPRIM
Main subject:
General Surgery
/
Retrospective Studies
/
Treatment Outcome
/
Femur Head
/
Fracture Fixation, Internal
/
Hip Fractures
Type of study:
Observational_studies
/
Prognostic_studies
/
Screening_studies
Limits:
Humans
Language:
Zh
Journal:
Journal of Central South University(Medical Sciences)
Year:
2019
Type:
Article