Conservative versus surgical management of Pipkin type I fractures associated with posterior dislocation of the hip: a randomised controlled trial.
The aim of this study was to evaluate the long-term results of conservative and surgical fragment excision treatment in patients with Pipkin type 1 fractures of the femoral head associated with posterior dislocation of the hip by a randomised controlled trial. Sixteen patients were randomly divided into two groups: the conservative group was treated by closed reduction, and the surgical group was treated by closed reduction followed with fragment excision. Functional outcome was determined using the Thompson and Epstein score and the Merle d'Aubigne and Postel score. Outcome of the conservative group was worse than that of the surgical group (p = 0.032). The randomised controlled trial proves surgical fragment excision after closed reduction is an effective treatment for Pipkin type 1 fractures.
Chen
Zhi-wen
ZW
Department of Orthopaedics, the 175th Hospital of PLA, Traumatic Orthopaedics Center of PLA, Zhangzhou Fujian Province, People's Republic of China. czwen175@tom.com
Lin
Bin
B
Zhai
Wen-liang
WL
Guo
Zhi-min
ZM
Liang
Zhou
Z
Zheng
Jia-Peng
JP
Lian
Ke-jian
KJ
Ding
Zheng-qi
ZQ
D000328:Adult; D005270:Femur Head / Q000293:injuries* / Q000601:surgery; D006304:Health Status; D006617:Hip Dislocation / Q000503:physiopathology / Q000601:surgery*; D006620:Hip Fractures / Q000503:physiopathology / Q000601:surgery*; D006621:Hip Joint / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D008297:Male; D008349:Manipulation, Orthopedic / Q000379:methods*; D008875:Middle Aged; D010147:Pain Measurement; D020127:Recovery of Function; D014143:Traction; D016896:Treatment Outcome; D016138:Walking; D055815:Young Adult