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Management of Pipkin Fractures Using a Safe Surgical Hip Dislocation
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Orientador(es)
Resumo(s)
INTRODUCTION:
Pipkin fractures are rare events and usually occur as a consequence for high-energy trauma. Surgery to obtain anatomical reduction and fixation is the mainstay treatment for the majority of these injuries; nonetheless, controversy exists regarding the best surgical approach.
DESCRIPTION OF THE CASE:
We present the case of a 41-year-old male, which sustained a type II Pipkin fracture following a motorcycle accident. In the emergency department, an emergent closed reduction was performed, followed by surgery five days later. Using a surgical hip dislocation, a successful anatomical reduction and fixation was performed. After three years of follow-up, the patient presented with a normal range of motion, absent signs for avascular necrosis or posttraumatic arthritis, but with a grade II heterotopic ossification.
DISCUSSION:
Safe surgical hip dislocation allows full access to the femoral head and acetabulum, without increasing the risk for a femoral head avascular necrosis or posttraumatic arthritis. Simultaneously, this surgical approach gives the opportunity to repair associated acetabular or labral lesions, which explains the growing popularity with this technique.
CONCLUSION:
Although technically demanding, safe surgical hip dislocation represents an excellent option in the reduction and fixation for Pipkin fractures.
Descrição
Palavras-chave
Luxação da Anca/cirurgia Cabeça do Femur Femur Head Hip Dislocation/surgery
Contexto Educativo
Citação
Case Rep Orthop. 2019 Oct 23;2019:3526018.