Abstract
A hip arthroscopy technique for the reduction and internal fixation of a displaced femoral head fracture is presented. Open treatment is often required for femoral head fractures. However, it is shown below how large fragments of a femoral head fracture-dislocation were reduced and internally fixated using hip arthroscopy. This was performed in the supine position using skeletal traction. The accessory distal anterior portal was used for internal fixation when a hip was positioned in abduction with external rotation. A satisfactory outcome was reported. Recovery was immediate and cosmetics were excellent. We conclude that hip arthroscopy is a valuable option for managing femoral head fracture-dislocations (Pipkin I).
Level of evidence V.
References
DeLee JC, Evans JA, Thomas J (1980) Anterior dislocation of the hip and associated femoral-head fractures. J Bone Joint Surg Am 62:960–964
Dussault RG, Beaugard G, Fauteaux P, Laurin C, Boisjoly A (1980) Femoral head defect following anterior hip dislocation. Radiology 135:627–629
Epstein HC, Wiss DA, Cozen L (1985) Posterior fracture dislocation of the hip with fractures of the femoral head. Clin Orthop Relat Res 201:9–17
Hougaard K, Thomsen PR (1988) Traumatic posterior fracture-dislocation of the hip with fracture of the femoral head. J Bone Joint Surg Am 70:233–239
Lansford T, Munns SW (2012) Arthroscopic treatment of Pipkin type I femoral head fractures: a report of 2 cases. J Orthop Trauma 26:e94–e96
Matsuda DK (2009) A rare fracture, an even rarer treatment: the arthroscopic reduction and internal fixation of and isolated femoral head fracture. Arthroscopy 25:408–412
Mullis BH, Dahners LE (2006) Hip arthroscopy to remove loose bodies after traumatic dislocation. J Orthop Trauma 20:22–26
Oransky M, Martinelli N, Sanzarello I, Papapietro N (2012) Fractures of the femoral head: a long-term follow-up study. Musculoskelet Surg 96:95–99
Owens BD, Busconi BD (2006) Arthroscopy for hip dislocation and fracture-dislocation. Am J Orthop 35:584–587
Philippon MJ, Schenker ML (2006) Arthroscopy for the treatment of femoroacetabular impingement in the athlete. Clin Sport Med 25:299–308
Pipkin G (1957) Treatment of grade IV fracture dislocation of the hip. J Bone Joint Surg Am 39:1027–1042
Roeder LF, DeLee JC (1980) Femoral head fractures associated with posterior hip dislocation. Clin Orthop Relat Res 147:121–130
Ross JR, Gardner MJ (2012) Femoral head fractures. Curr Rev Musculoskelet Med 5:199–205
Sahin V, Karakas ES, Aksu S et al (2003) Traumatic dislocation and fracture-dislocation of the hip: a long-term follow-up study. J Trauma 54:520–529
Sampson TG (2005) Arthroscopic treatment of femoroacetabular impingement. Tech Orthop 20:56–62
Yamamoto Y, Ide T (2003) Usefulness of arthroscopic surgery in hip trauma cases. Arthroscopy 19:269–273
Acknowledgments
This paper was supported by Fund of Biomedical Research Institute, Chonbuk National University Hospital.
Conflict of interest
All of authors have no financial relationships to disclosure.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Park, MS., Her, IS., Cho, HM. et al. Internal fixation of femoral head fractures (Pipkin I) using hip arthroscopy. Knee Surg Sports Traumatol Arthrosc 22, 898–901 (2014). https://doi.org/10.1007/s00167-013-2821-4
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00167-013-2821-4