[Personal experience with treatment of Pipkin fractures of the femoral head].
In the introduction the authors analyze the classification and incidence of fractures of the Pipkin type. This is a rare injury which develops as a rule in 10% of posterior type dislocations during motor car crashes. The authors present a theoretical review of all therapeutic possibilities in specific types of fractures. The group comprises 17 patients during a follow-up period of 16 years, mean age of the patients 39.6 years. In 82% the cause of the injury was a car accident. Type IV fractures were most frequent, consistent with data in the literature only one type III fracture was recorded. Sixteen patients were operated incl. three operated after a long time interval following the injury. The authors evaluate nine patients who were at least one year past the injury. The average period which had elapsed since the injury was 7.3 years. From the evaluation patients were eliminated who had primary or secondary prostheses of the hip joint. According to the score based on modified evaluation of Thompson, Epstein and Motta 44 excellent and very good results were achieved, one poor result. Two patients were granted full invalid pensions. In the discussion the authors compare their views and results with those reported in the literature. In the conclusion the authors state that treatment of these fractures should be provided at highly specialized departments.
Lutonský
M
M
Ortopedická klinika FN, Hradec Králové.
Dlask
J
J
Brtková
J
J
D000063:Accidents, Traffic; D000293:Adolescent; D000328:Adult; D005260:Female; D005270:Femur Head / Q000293:injuries*; D005593:Fracture Fixation, Internal; D006617:Hip Dislocation / Q000150:complications; D006620:Hip Fractures / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography
Nase zkusenosti s lécbou zlomenin hlavice femuru Pipkinova typu.