ArticleJournal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology2023
Pipkin type III femoral head fracture: which treatment strategy can be recommended?
Article in Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Femoral head fractures systematic review and meta-analysis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Pooled it
- ChatGPT's role in alleviating anxiety in total knee arthroplasty consent process: a randomized controlled trial pilot study.International journal of surgery (London, England) · 2025Trial
- Labral repair restoring stability in a mildly dysplastic hip with concomitant femoral head and neck fracture-dislocation: a case report.Trauma case reports · 2026Article
- Treatment of Pipkin Type-III Femoral Head Fractures in Young and Middle-Aged Adults with Deep Circumflex Iliac Vascular Pedicled Iliac Bone Flap Transplantation.Pakistan journal of medical sciences · 2026Article
- Functional Outcome and Hip Survival Rate in Traumatic Femoral Head Fractures.Journal of clinical medicine · 2026Article
- Outcomes of Surgical Treatment of Femoral Head Fractures with a Minimum of 1-Year Follow-up.Clinics in orthopedic surgery · 2026Article
- Article
- Femoral head fracture management: outcomes of surgical hip dislocation with bioabsorbable screw fixation.Journal of orthopaedic surgery and research · 2025Article
- Osteosynthesis in Iatrogenic Femoral Neck Fracture following Irreducible Posterior Hip Fracture Dislocation in an Elderly Patient: A Case Report and Literature Review.Journal of orthopaedic case reports · 2025Article
- Pipkin type III fractures: a narrative review of literature and comparative opinion on ORIF vs. arthroplasty.Frontiers in surgery · 2025Review
- Treatment of a femoral neck fracture combined with ipsilateral femoral head and intertrochanteric fractures: A case report.World journal of orthopedics · 2024Article
- Pipkin fractures: fracture type-specific management.Archives of orthopaedic and trauma surgery · 2024Review
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8 authors.
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Abstract
backgroundPipkin type III femoral head fractures are relatively rare injuries. Few studies have explored and described the treatment and outcomes of Pipkin type III femoral head fractures. The purpose of this study was to evaluate the efficacy of open reduction and internal fixation (ORIF) in treating Pipkin type III femoral head fractures.
methodsWe retrospectively reviewed 12 patients with Pipkin type III femoral head fractures who underwent ORIF from July 2010 and January 2018. The complications and reoperations were recorded. The visual analog scale (VAS) pain score, Harris hip score (HHS), Thompson-Epstein criteria, and SF-12 score [including the physical component summary (PCS) and the mental component summary (MCS)] were used for functional assessment.
resultsAmong the 12 patients, ten were males and two were females, with a mean age of 34.2 ± 11.9 years. The median follow-up time was 6 years (range 4-8 years). Five patients (42%) developed osteonecrosis of the femoral head, and one patient (8%) developed nonunion. These six patients (50%) underwent total hip arthroplasty (THA). One patient (8%) developed heterotopic ossification and underwent ectopic bone excision; this patient also presented with post-traumatic arthritis. The mean final VAS pain score and HHS were 4.1 ± 3.1 points and 62.8 ± 24.4 points, respectively. According to the Thompson-Epstein criteria, there was one patient (8%) with excellent, four patients (33%) with good, one patient (8%) with fair, and six patients (50%) with poor outcomes. The PCS score and MCS score were 41.7 ± 34.7 points and 63.2 ± 14.5 points, respectively.
conclusionLimited by the high incidence of osteonecrosis of the femoral head, it is difficult to achieve satisfactory functional outcomes when treating Pipkin type III femoral head fractures using ORIF, and a primary THA may be considered. However, for younger patients, considering the survivorship of prosthesis, ORIF may be recommended with the proviso that the patient is fully informed of the high complication rate associated with this procedure. LEVEL OF EVIDENCE: IV.
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