Treatment of Pipkin Type-III Femoral Head Fractures in Young and Middle-Aged Adults with Deep Circumflex Iliac Vascular Pedicled Iliac Bone Flap Transplantation.

A retrospective analysis was conducted on the clinical data of two young and middle-aged male patients with Pipkin Type-III femoral head fractures admitted to our hospital from July 2022 to December 2022. Both patients were admitted due to hip pain and limited mobility caused by traffic accidents. Emergency hip dislocation reduction and femoral traction were performed first; after stabilization, the SP approach was used for bone flap transplantation plus internal fixation with proximal femoral locking plates and cannulated screws.Both patients had primary incision healing. No femoral head avascular necrosis or collapse occurred during two-year follow-up. At the final follow-up, the Harris hip scores were 92 and 94, indicating excellent functional recovery. The combination of deep circumflex iliac vascular pedicled iliac bone flap transplantation and ORIF effectively promotes fracture healing and reduces femoral head necrosis, making it a feasible option for managing this fracture type in young and middle-aged adults.