Publication
Management of Pipkin Fractures Using a Safe Surgical Hip Dislocation
| dc.contributor.author | Henriques, R | |
| dc.contributor.author | Ramalho, D | |
| dc.contributor.author | Soares do Brito, J | |
| dc.contributor.author | Rocha, P | |
| dc.contributor.author | Spranger, A | |
| dc.contributor.author | Almeida, P | |
| dc.date.accessioned | 2020-01-28T22:14:39Z | |
| dc.date.available | 2020-01-28T22:14:39Z | |
| dc.date.issued | 2019 | |
| dc.description.abstract | 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. | pt_PT |
| dc.description.version | info:eu-repo/semantics/publishedVersion | pt_PT |
| dc.identifier.citation | Case Rep Orthop. 2019 Oct 23;2019:3526018. | pt_PT |
| dc.identifier.doi | 10.1155/2019/3526018 | pt_PT |
| dc.identifier.uri | http://hdl.handle.net/10400.26/31120 | |
| dc.language.iso | eng | pt_PT |
| dc.peerreviewed | yes | pt_PT |
| dc.subject | Luxação da Anca/cirurgia | pt_PT |
| dc.subject | Cabeça do Femur | pt_PT |
| dc.subject | Femur Head | pt_PT |
| dc.subject | Hip Dislocation/surgery | pt_PT |
| dc.title | Management of Pipkin Fractures Using a Safe Surgical Hip Dislocation | pt_PT |
| dc.type | journal article | |
| dspace.entity.type | Publication | |
| oaire.citation.startPage | 3526018 | pt_PT |
| oaire.citation.title | Case reports in orthopedics | pt_PT |
| oaire.citation.volume | 2019 | pt_PT |
| rcaap.rights | openAccess | pt_PT |
| rcaap.type | article | pt_PT |