Case Report of a Delayed Rare Pipkin Type III Fracture in Adult Male Patient.

Introduction: Femoral head fractures are relatively rare compared to other hip pathologies. Despite being infrequent, these fractures can give rise to various complications, even after a successful surgical fixation. To categorize these fractures, Pipkin introduced a classification system, distinguishing them into four types. Among these, Type III (31C.3) fractures are associated with femoral neck fractures and are notably less common, often leading to unfavorable outcomes. Case Report: We present a case of a Type III Pipkin fracture in a 35-year-old male resulting from a road traffic accident. The patient underwent management with open reduction and internal fixation, utilizing headless compression screws and cancellous cannulated screws. Post-operative, the patient was instructed to remain non-weight bearing, and subsequent follow-ups were conducted to monitor for any potential complications. Conclusion: Femoral head fractures are recognized for their complexity, with outcomes becoming even more diverse when associated with neck fractures. Effective pre-operative planning, coupled with timely reduction and fixation, plays a pivotal role in the management of these fractures.