Clinical results of femoral head fracture-dislocation treated according to the Pipkin classification

Objective: to summarize the clinical results of femoral head fracture-dislocation treated according to pipkin classification. methods: a total of 19 patients with femoral head fracture-dislocation were retrospectively analyzed from mar. 2008 to mar. 2015. according to the classification of pipkin criteria,there were 4 cases in type-i,6 cases in type-ii,6 cases in type-iii and 3 cases in type-iv. various procedures were taken according to the different types of the fracture,the time of the fracture,and the age of the patients. x-ray was examined during the follow-up period and functional evaluation was carried out by harris hip score’s criteria. the clinical therapeutic effects were analyzed. results: all the patients got a mean follow-up of 18 months (9-36 months). no patient suffered from infection,skin flap necrosis and x-ray showed no implants loosening or breakage. according to the harris hip score’s criteria,in type-i,4 cases were rated as excellent. in type-ii,2 cases rated as excellent,3 cases as good and 1 case as fair. in type-iii,3 cases rated as good,2 cases as fair and 1 case as poor. in type-iv,1 case rated as excellent,1 case as good and 1 case as fair. the overall rate of excellent and good was 73.7%. conclusions: pipkin classification is helpful to make preoperative plan and judging the prognosis in cases of femoral head fracture-dislocation. however,multiple factors such as the time from injury to surgery,the ages of patients,the selection of implants should also be considered,which may affect the clinical results. © 2017,professional medical publications. all rights reserved.