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The Journal of Bone and Joint Surgery 82:867 (2000)
© 2000 The Journal of Bone and Joint Surgery, Inc.

Case Report

Chronic Recurrent Posterior Dislocation of the Hip After a Pipkin Fracture Treated with Intertrochanteric Osteotomy and Acetabuloplasty

A Case Report*

Rene K. Marti, M.D., Ph.D.{dagger} and Peter Kloen, M.D, Ph.D.{dagger}

Investigation performed at the Department of Orthopaedic Surgery, Academic Medical Center, Amsterdam, The Netherlands
*No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article. Funds were received in total or partial support of the research or clinical study presented in this article. The funding sources were an AO Fellowship (P. K.) and a Maurice E. Müller Foundation Fellowship (P. K.).
{dagger}Department of Orthopaedic Surgery, Academic Medical Center, Meibergdreef 9, 1100 AD Amsterdam, The Netherlands.


   Introduction
 
A traumatic dislocation of the hip associated with a femoral head fracture was first described by Birkett1 in 1869. Almost a century later, a classification of these injuries was proposed by Pipkin11, whose name has since been associated with this lesion. The treatment guidelines have evolved on the basis of a relatively limited series of studies2,3,5,8,9,13,15. Emergency reduction of the hip is imperative, regardless of the type or extent of the fracture13,16. Once reduction is accomplished, further evaluation, including computed tomography, is indicated to assess the congruity and stability of the joint. Treatment options include nonoperative treatment, excision of fracture fragments, open reduction and internal fixation, arthroplasty, and arthrodesis. Complications associated with these injuries are avascular necrosis of the femoral head, nonunion of the femoral head fragment, and posttraumatic arthritis2,3,5-9,11-16.

We report on a patient with a Pipkin type-I fracture (fracture of the femoral head distal to the fovea) treated . . . [Full Text of this Article]


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