Neglected Pipkin's fracture dislocation with bilateral femoral shaft fractures: an unusual combination

Panigrahi, Ranajit; Mahapatra, Amita Kumari; Palo, Nishit; Priyadarshi, Ashok

doi:10.1093/jscr/rjv013

Cited by 4 publications

(1 citation statement)

References 6 publications

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“…Anatomically the femoral head is part of the complex structures of the hip. Hip fracture is fast growing due to increase in road accidents [10]. It has been estimated that by 2050 there will be 4.5 to 6.3 million incidence of hip fracture [11,12].…”

Section: Introductionmentioning

confidence: 99%

Body Mass Index as a Predictor for Diagnosis of Associated Injuries in Femoral Head Fracture Patients: A Retrospective Study

Gap¹,

Zhijun²,

Wang³

et al. 2018

Arch Med

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Purpose: To investigate the relationship between associated injuries (AI) suffered at time of accident in femoral head fracture (FHF) patients with age, sex, location of FHF (right or left leg), height, weight and body mass index (BMI) with using Pipkin classification.Method: we retrospectively identified patients between January 2003 to September 2017 with FHF in our hospital database. The patients were divided in two groups; with AI and without AI. These two groups where then statistically studied against selected the variables.Results: 72 patients were eligible with an average followup of 17 months. There were 57 males (79.2%) and 15 females (20.8%). We had 33.8% cases of type I, 28.4% type II, 13.5% type III and 23.3% type IV. We found no association between age, sex, height, weight and location of FHF with the groups with or without AI. The ratio of lighter weight (<57 kg) to heavier weight (>57 kg) patients was 2:3 for AI respectively. Patients with height <167 cm had 72.2% reported cases of AI while 72.3% for those >167 cm. A 50-50% reported cases for with or without AI on left and right leg. However there is a significant association between BMI and the groups with or without AI. Patients with BMI <23 kg/m 2 had higher chances of suffering from AI as well as having longer follow-up than their heavier peers (BMI >23 kg/m 2 ). Conclusion:On the basis of this dataset, the BMI of FHF patient is a critical factor to consider in the diagnosis of associated injuries suffered at time of accident.

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Section: Introductionmentioning

confidence: 99%

Body Mass Index as a Predictor for Diagnosis of Associated Injuries in Femoral Head Fracture Patients: A Retrospective Study

Gap¹,

Zhijun²,

Wang³

et al. 2018

Arch Med

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Irreducible posterior fracture-dislocation of the hip associated with an ipsilateral femoral shaft fracture: A case report and review of the literature

Jadib,

Rachidi,

Abdennaji

et al. 2024

International Journal of Surgery Case Reports

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Closed reduction of hip dislocation associated with ipsilateral lower extremity fractures: A case report and review of the literature

Xu¹,

Liu²,

Yu³

et al. 2022

World J Clin Cases

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BACKGROUND Traumatic hip dislocation usually occurs following high-velocity trauma. It is imperative that the dislocation be reduced in a timely manner, especially in a closed manner, as an orthopedic emergency. However, closed reduction can hardly be achieved in patients who also have ipsilateral lower extremity fractures. Herein, we focus on hip dislocation associated with ipsilateral lower extremity fractures, excluding intracapsular fractures (femoral head and neck fractures), present an early closed hip joint reduction method for this injury pattern, and review the literature to discuss the appropriate closed reduction technique for this rare injury pattern. CASE SUMMARY We report a case of a 37-year-old male who sustained a left acetabular posterior wall fracture, an ipsilateral comminuted subtrochanteric fracture and dislocation of the hip. The hip dislocation was reduced urgently in a closed manner using the joy-stick technique with a T-shaped Schanz screw. The fractures were reduced and fixed as a 2nd-stage surgery procedure. At the 17-month postoperative follow-up, the patient had full range of motion of the affected hip. CONCLUSION Closed reduction of a hip dislocation associated with ipsilateral lower extremity fractures is rarely achieved by regular maneuvers. Attempts at closed reduction, by means of indirectly controlling the proximal fracture fragment or reconstructing the femoral leverage rapidly with the aid of various external reduction apparatuses, were shown to be effective in some scenarios. Mandatory open reduction is indicated in cases of failed closed reduction, particularly in irreducible dislocations.

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Neglected Pipkin's fracture dislocation with bilateral femoral shaft fractures: an unusual combination

Cited by 4 publications

References 6 publications

Body Mass Index as a Predictor for Diagnosis of Associated Injuries in Femoral Head Fracture Patients: A Retrospective Study

Body Mass Index as a Predictor for Diagnosis of Associated Injuries in Femoral Head Fracture Patients: A Retrospective Study

Irreducible posterior fracture-dislocation of the hip associated with an ipsilateral femoral shaft fracture: A case report and review of the literature

Closed reduction of hip dislocation associated with ipsilateral lower extremity fractures: A case report and review of the literature

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