Pipkin fractures: fracture type-specific management

Femoral head fractures are rare, which limits the experience of individual surgeons with these injuries. This overview examines historical data, injury mechanisms, and classification systems, as well as epidemiological data from larger patient cohorts. Significant controversies persist regarding the...

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Bibliographic Details
Published in:Archives of orthopaedic and trauma surgery 2024-10, Vol.144 (10), p.4601-4614
Main Authors: Gänsslen, Axel, Lindtner, Richard A., Krappinger, Dietmar, Franke, Jochen
Format: Article
Language:English
Subjects:
Archives & records
Classification
Closed reduction
Epidemiology
Femoral Fractures - classification
Femoral Fractures - surgery
Fractures
Hip dislocation
Hip joint
Humans
Injuries
Medicine
Medicine & Public Health
Orthopedics
Surgeons
Surgery
Trauma
Trauma Surgery
Citations: Items that this one cites
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Description
Summary:Femoral head fractures are rare, which limits the experience of individual surgeons with these injuries. This overview examines historical data, injury mechanisms, and classification systems, as well as epidemiological data from larger patient cohorts. Significant controversies persist regarding the optimal surgical approach and fracture-type-specific treatment for Pipkin fractures. The literature is often inconsistent, as many studies fail to differentiate between specific fracture types and instead report aggregated results, leading to ambiguous conclusions about the most effective treatment strategies. Thus, this article reviews fracture-type-specific outcomes of both non-operative and operative treatments over the past 25 years and summarizes their clinical implications, with the aim of assisting surgeons in their decision-making processes.
ISSN:1434-3916
0936-8051
1434-3916
DOI:10.1007/s00402-024-05576-z