Treatment of Type IV Pipkin Fracture in Patients via Hip Arthroscopy- Assisted Surgery: Two Cases Report and Review of Literatures

Shan-Ling Hsu1,2*, Chung-Yang Chen1 and Chi-Hsiang Hsu1

1 Department of Orthopedic Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Taiwan 2 Department of Nursing, Fooyin University, Taiwan

^*Correspondance to: Shan-Ling Hsu 

 PDF  Full Text DOI: 10.25107/2474-1647.2944

Abstract

Pipkin type IV Femoral Head (FH) fracture-dislocations are usually treated via open surgery. There are many surgical approaches for the treatment of this difficult fracture depending on the fracture pattern. We discuss herein Pipkin type IV FH fractures who underwent Open Reduction Internal Fixation (ORIF) of an acetabular fracture with reconstruction plates and hip arthroscopy-assisted surgery and review the previous literatures. The intra-articular osteochondral loose bodies were excised by hip arthroscopy simultaneously. The joint congruency and screw positions were checked during surgery by arthroscopy. After 6 months, clinical and radiology showed excellent results. The patients had a satisfactory short-term outcome after ORIF and hip arthroscopy-assisted surgery. We concluded that hip arthroscopy-assisted surgery is a viable option for the treatment of Pipkin type IV FH fracture-dislocations in the future.

Keywords

Pipkin type IV fracture; Hip arthroscopy; HO

Cite the article

Hsu S-L, Chen C-Y, Hsu C-H. Treatment of Type IV Pipkin Fracture in Patients via Hip Arthroscopy- Assisted Surgery: Two Cases Report and Review of Literatures. Clin Surg. 2020; 5: 2944..