title: Internal fixation of femoral head fractures (Pipkin I) using hip arthroscopy.
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).
authors.affiliation: Department of Orthopedic Surgery, Biomedical Research Institute of Clinical Medicine, Chonbuk National University Hospital, Chonju, 561-712, Korea, hugo999@naver.com.
authors.forename: Myung-Sik
authors.initials: MS
authors.lastname: Park
authors.forename: In-Sung
authors.initials: IS
authors.lastname: Her
authors.forename: Hong-Man
authors.initials: HM
authors.lastname: Cho
authors.forename: Young-Yool
authors.initials: YY
authors.lastname: Chung
mesh_terms: D000063:Accidents, Traffic; D001182:Arthroscopy; D005260:Female; D005264:Femoral Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D005270:Femur Head / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery*; D005593:Fracture Fixation, Internal; D006617:Hip Dislocation / Q000000981:diagnostic imaging / Q000601:surgery*; D006621:Hip Joint / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D011859:Radiography; D016896:Treatment Outcome