• Knee Surg Sports Traumatol Arthrosc · Apr 2014

    Case Reports

    Internal fixation of femoral head fractures (Pipkin I) using hip arthroscopy.

    • Myung-Sik Park, In-Sung Her, Hong-Man Cho, and Young-Yool Chung.
    • Department of Orthopedic Surgery, Biomedical Research Institute of Clinical Medicine, Chonbuk National University Hospital, Chonju, 561-712, Korea, hugo999@naver.com.
    • Knee Surg Sports Traumatol Arthrosc. 2014 Apr 1;22(4):898-901.

    AbstractA hip arthroscopy technique for the reduction and internal fixation of a displaced femoral head fracture is presented. Open treatment is often required for femoral head fractures. However, it is shown below how large fragments of a femoral head fracture-dislocation were reduced and internally fixated using hip arthroscopy. This was performed in the supine position using skeletal traction. The accessory distal anterior portal was used for internal fixation when a hip was positioned in abduction with external rotation. A satisfactory outcome was reported. Recovery was immediate and cosmetics were excellent. We conclude that hip arthroscopy is a valuable option for managing femoral head fracture-dislocations (Pipkin I).

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