There is no definite protocol in management of Pipkin fracture in relation to operation approach and internal fixations. The aim is to explore the therapeutic effects of internal fixation with Herbert screws for the treatment of Pipkin type I and type II femoral head fractures through the trochanteric flip osteotomy (TFO) approach. From January 2010 to December 2014, 12 cases of type I and II Pipkin fracture (including 8 type I,4 type II) treated through TFO approach and internal fixation with Herbert screws. All the patients were followed up 1-4 years with an average of 2.6 years. The whole osteotomies and acetabular fractures healed within 6 to 12 weeks. All patients achieved healing of femoral head fracture after 12-16 months without femoral head necrosis. Heterotopic ossification (HO) occurred in 1 cases after operation which were left untreated. At the last follow-up, excellent and good rate was 91.7%. Treatment of type I, II Pipkin fracture through TFO approach can provide good visualization and protect of the femoral head blood supply. The treatment of internal fixation with Herbert screws is effective for Pipkin type I and type II femoral head fracture.
Published in | Journal of Surgery (Volume 4, Issue 5) |
DOI | 10.11648/j.js.20160405.13 |
Page(s) | 100-104 |
Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
Copyright |
Copyright © The Author(s), 2016. Published by Science Publishing Group |
Pipkin Fracture, Trochanteric Flip Osteotomy, Herbert Screw, Internal Fixation
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APA Style
Kai Sun, Lin Zhou, Zhizhong Li. (2016). Application of Trochanteric Flip Osteotomy with Herbert Screw to Treat Pipkin I,II Fracture of the Femoral Head. Journal of Surgery, 4(5), 100-104. https://doi.org/10.11648/j.js.20160405.13
ACS Style
Kai Sun; Lin Zhou; Zhizhong Li. Application of Trochanteric Flip Osteotomy with Herbert Screw to Treat Pipkin I,II Fracture of the Femoral Head. J. Surg. 2016, 4(5), 100-104. doi: 10.11648/j.js.20160405.13
AMA Style
Kai Sun, Lin Zhou, Zhizhong Li. Application of Trochanteric Flip Osteotomy with Herbert Screw to Treat Pipkin I,II Fracture of the Femoral Head. J Surg. 2016;4(5):100-104. doi: 10.11648/j.js.20160405.13
@article{10.11648/j.js.20160405.13, author = {Kai Sun and Lin Zhou and Zhizhong Li}, title = {Application of Trochanteric Flip Osteotomy with Herbert Screw to Treat Pipkin I,II Fracture of the Femoral Head}, journal = {Journal of Surgery}, volume = {4}, number = {5}, pages = {100-104}, doi = {10.11648/j.js.20160405.13}, url = {https://doi.org/10.11648/j.js.20160405.13}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20160405.13}, abstract = {There is no definite protocol in management of Pipkin fracture in relation to operation approach and internal fixations. The aim is to explore the therapeutic effects of internal fixation with Herbert screws for the treatment of Pipkin type I and type II femoral head fractures through the trochanteric flip osteotomy (TFO) approach. From January 2010 to December 2014, 12 cases of type I and II Pipkin fracture (including 8 type I,4 type II) treated through TFO approach and internal fixation with Herbert screws. All the patients were followed up 1-4 years with an average of 2.6 years. The whole osteotomies and acetabular fractures healed within 6 to 12 weeks. All patients achieved healing of femoral head fracture after 12-16 months without femoral head necrosis. Heterotopic ossification (HO) occurred in 1 cases after operation which were left untreated. At the last follow-up, excellent and good rate was 91.7%. Treatment of type I, II Pipkin fracture through TFO approach can provide good visualization and protect of the femoral head blood supply. The treatment of internal fixation with Herbert screws is effective for Pipkin type I and type II femoral head fracture.}, year = {2016} }
TY - JOUR T1 - Application of Trochanteric Flip Osteotomy with Herbert Screw to Treat Pipkin I,II Fracture of the Femoral Head AU - Kai Sun AU - Lin Zhou AU - Zhizhong Li Y1 - 2016/09/02 PY - 2016 N1 - https://doi.org/10.11648/j.js.20160405.13 DO - 10.11648/j.js.20160405.13 T2 - Journal of Surgery JF - Journal of Surgery JO - Journal of Surgery SP - 100 EP - 104 PB - Science Publishing Group SN - 2330-0930 UR - https://doi.org/10.11648/j.js.20160405.13 AB - There is no definite protocol in management of Pipkin fracture in relation to operation approach and internal fixations. The aim is to explore the therapeutic effects of internal fixation with Herbert screws for the treatment of Pipkin type I and type II femoral head fractures through the trochanteric flip osteotomy (TFO) approach. From January 2010 to December 2014, 12 cases of type I and II Pipkin fracture (including 8 type I,4 type II) treated through TFO approach and internal fixation with Herbert screws. All the patients were followed up 1-4 years with an average of 2.6 years. The whole osteotomies and acetabular fractures healed within 6 to 12 weeks. All patients achieved healing of femoral head fracture after 12-16 months without femoral head necrosis. Heterotopic ossification (HO) occurred in 1 cases after operation which were left untreated. At the last follow-up, excellent and good rate was 91.7%. Treatment of type I, II Pipkin fracture through TFO approach can provide good visualization and protect of the femoral head blood supply. The treatment of internal fixation with Herbert screws is effective for Pipkin type I and type II femoral head fracture. VL - 4 IS - 5 ER -