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Case Reports
. 2022 Aug 1;36(Suppl 3):S19-S20.
doi: 10.1097/BOT.0000000000002399.

Repair of a Femoral Head Fracture Dislocation With an Associated Posterior Wall Acetabular Fracture (Pipkin 4) via a Kocher-Langenbeck Approach

Sanjit R Konda  1   2 , Sara Jo Solasz  2 , Christian Alexander Pean  2 , Dylan T Lowe  2 , Abhishek Ganta  1   2
Affiliations
Case Reports

Repair of a Femoral Head Fracture Dislocation With an Associated Posterior Wall Acetabular Fracture (Pipkin 4) via a Kocher-Langenbeck Approach

Sanjit R Konda et al. J Orthop Trauma. .

Abstract

A case of a 27-year-old man with a right-sided largely infra-foveal femoral head fracture dislocation with posterior wall acetabular fracture repaired via a Kocher-Langenbeck approach is presented. This is an atypical approach for fixation of the femoral head and acetabulum used because of the size and displacement of both the posterior wall fracture and the femoral head fracture. Indications for fixation of both the femoral head and the acetabulum include a displaced acetabular fracture with: (1) a fracture of the weight-bearing portion of the femoral head and/or (2) a fracture of the femoral head that engages the anterior or posterior wall. Overall, midterm outcomes are expected to be excellent to good if anatomic reduction and a concentrically stable hip joint is restored.

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Conflict of interest statement

S.R. Konda is a consultant for the Stryker Corporation. The remaining authors report no conflict of interest.

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References

    1. Brav TA. Traumatic dislocation of the hip: army experience over a twelve-year period. J Bone Joint Surg. 1962;44:1115–1134.
    1. Yu YH, Hsu YH, Chou YC, et al. Surgical treatment for Pipkin type IV femoral head fracture. J Orthop Surg (Hong Kong). 2017;25:2309499016684970.
    1. Asghar FA, Karunakar MA. Femoral head fractures: diagnosis, management, and complications. Orthop Clin North Am. 2004;35:463–472.
    1. Mostafa MM. Femoral head fractures. Int Orthop. 2001;25:51–54.
    1. Stannard JP, Harris HW, Volgas DA, et al. Functional outcome of patients with femoral head fractures associated with hip dislocations. Clin Orthop Relat Res. 2000;377:44–56.

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