Open reduction and Herbert screw fixation of Pipkin type IV femoral head fracture in an adolescent:A case report  

作　　者：Yao Liu Jin Dai Xiao-Dong Wang Zhi-Xiong Guo Lun-Qing Zhu Yun-Fang Zhen 

机构地区：[1]Department of Orthopaedics,Children’s Hospital of Soochow University,Suzhou 215000,Jiangsu Province,China

出　　处：《World Journal of Clinical Cases》2021年第4期898-903,共6页世界临床病例杂志

摘　　要：BACKGROUND Femoral head fracture is extremely rare in children.This may be the youngest patient with femoral head fracture ever reported in the literature.There are few pediatric studies that focus on cases treated with open reduction via the modified Hardinge approach.CASE SUMMARY A 14-year-old female adolescent suffered a serious traffic accident when she was sitting on the back seat of a motorcycle.A pelvic radiograph and computed tomography revealed a proximal femoral fracture and slight acetabular rim fracture.This was diagnosed as a Pipkin type IV femoral head fracture.An open reduction and Herbert screw fixation was performed via a modified Hardinge approach.After 1-year follow-up,the patient could walk without aid and participate in physical activities.The X-ray results showed that the fractures healed well with no evidence of complications.CONCLUSION Open reduction and Herbert screw fixation is an available therapy to treat Pipkin type IV femoral head fractures in children.

关 键 词：Pipkin classification Femoral head fracture ADOLESCENT Fracture fixation Case report 

分 类 号：R726.8[医药卫生—儿科]