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This is an archived page which is no longer updated.
Please visit the main page to look for a current version |
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Femoral Head Fracture Classification
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Pipkin Type I
- Femoral head fracture inferior to the fovea centralis
- Nondisplaced: NWB until fracture union
- Displaced: excise if small, or ORIF
- See also AO Classification.
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Pipkin Type II
- Femoral head fracture that extends superior to the fovea centralis
- Treatment = ORIF via anterior Smith-Peterson approach, generally utilize headless screws.
- See also AO Classification.
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Pipkin Type III
- Femoral neck fracture that is associated with either a type I or type II femoral head fracture
- Young, active patient: ORIF of femoral neck and head fractures.
- Elderly, inactive patient: hemi or THA.
- See also AO Classification.
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Pipkin Type IV
- Acetabular fracture associated with either a type I or type II femoral head fracture.
- Treatment: ORIF of acetabular and femoral head fractures.
- See also AO Classification.
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