A Rare Case of an Irreducible Pipkin II Fracture-dislocation of the Femoral Head in a Young Patient Following Low-energy Trauma

Overview

Journal Int J Surg Case Rep

Specialty General Surgery

Date 2020 May 19

PMID 32422586

Citations 2

Authors

Marie Fernandez

Thomas Williams

Frederic Dubrana

Remi Di Francia

Affiliations

Soon will be listed here.

Abstract

Introduction: Fractures-dislocations of the femoral head are rare, and irreducible dislocations are even rarer. The functional prognosis is poor.

Presentation Of Case: We report the case of a 23-year-old male brought to the emergency room following low-energy trauma. X-rays and a computed tomography scan revealed a Pipkin II fracture-dislocation of the right femoral head. We attempted reduction with the patient under general anesthesia; this failed, so we proceeded to total hip arthroplasty (THA).

Discussion: A femoral head fracture has a poor prognosis; the principal complications are osteonecrosis, osteoarthritis, and heterotopic ossifications. No surgical treatment algorithm for a femoral head fracture (for fragment excision, followed by internal fixation or THA) is available, given the rarity of the injury and the lack of sufficient cases.

Conclusions: We describe the mechanism of low-energy injury, as well as the controversial THA treatment chosen by this young patient.

Citing Articles

Irreducible posterior fracture-dislocation of the hip associated with an ipsilateral femoral shaft fracture: A case report and review of the literature.

Jadib I, Rachidi H, Abdennaji S, Messoudi A, Rafai M Int J Surg Case Rep. 2024; 124:110365.

PMID: 39396491 PMC: 11563161. DOI: 10.1016/j.ijscr.2024.110365.

Closed reduction of hip dislocation associated with ipsilateral lower extremity fractures: A case report and review of the literature.

Xu Y, Lv M, Yu S, Liu G World J Clin Cases. 2022; 10(34):12654-12664.

PMID: 36579117 PMC: 9791526. DOI: 10.12998/wjcc.v10.i34.12654.

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