ArticleJournal of orthopaedic case reports2026
Beyond Pipkin IV: Management of Femoral Head-neck Fracture-dislocation with Posterior Acetabular Wall and Peritrochanteric Fracture in an Adolescent Using a Modified Kocher-Langenbeck Approach.
Article in Journal of orthopaedic case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Femoral head-neck fracture-dislocation with associated posterior acetabular wall and per-trochanteric fractures represents an extremely rare and severe "beyond Pipkin IV" injury pattern. Case Report: A 14-year-old boy sustained posterior hip dislocation with femoral head, neck, acetabular, and trochanteric involvement following a road traffic accident. Emergency open reduction and internal fixation was performed using a modified Kocher-Langenbeck posterior approach with trochanteric flip. Results: Radiological union was achieved by 3 months. At 1-year follow-up, the patient had good hip motion without avascular necrosis or implant failure. Conclusion: Early anatomical reconstruction using a posterior approach can produce excellent outcomes in young patients with this rare injury.
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