Abstract :
Background: head of femur fractures along with a hip dislocation is a rare & most probably has a poor
outcome.
Materials and Methods: In the taken period of 1 yr, we came across nearly twenty cases of Pipkin fracture
type I. Through Medical and radiographs evaluation was done and recorded. The followup was done for
these selected patients for a period of 12 months. Merle d’Aubigne-Postel score was the score used and
recorded the functional outcome of each patient in the study and analized.
Results: the cases selected were Pipkin type 1 fracture with dislocation. The time interval between the
incident and the successful reduction in the hospital was about 5.6 hrs avg among all the cases. The outcome
of the surgically treated cases 8 of them out of 10 showed excellent results clinically and functionally. No
complications like AVN and HO or neuro vascular injury was noted in any cases. In our study surgically
treated cases showed better results than treated conservatively
Conclusion: Anatomic reduction is must with marginal soft tissue injury. This type I Pipkin fracture better
treat surgically than conservative.
Keyword :
Pipkin fractures.