Clinical and radiological findings: 40 year old skier, sends a cliff in early winter conditions, ends up with this: Pipken 4 femoral head fracture (Pipken 2 + cranial peripheral acetabular fracture). He underwent closed reduction in the ER followed by open reduction internal fixation through a modified anterior approach with buried 2.0 and 2.4 mm lag screws.
Planning remarks:
Following femoral head fixation I did an EUA of the hip to determine if the acetabular rim fracture required fixation for hip stability. The hip was stable on EUA so no acetabular fixation was needed. Originally posted on Instagram by @orthopaedic_trauma.
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27 Nov 2022
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Surname, Initial. (2022). Pipkin 2 + cranial peripheral acetabular fracture. Journal of Orthopaedic Surgery and Traumatology. Case Report 49348840 Published Online Nov 27 2022.