Journal of orthopaedic case reports · 2026
Beyond Pipkin IV: Management of Femoral Head-neck Fracture-dislocation with Posterior Acetabular Wall and Peritrochanteric Fracture in an Adolescent Using a Modified Kocher-Langenbeck Approach.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Singh Niraj Narain
Аннотация
INTRODUCTION: Femoral head-neck fracture-dislocation with associated posterior acetabular wall and per-trochanteric fractures represents an extremely rare and severe "beyond Pipkin IV" injury pattern.
CASE REPORT: A 14-year-old boy sustained posterior hip dislocation with femoral head, neck, acetabular, and trochanteric involvement following a road traffic accident. Emergency open reduction and internal fixation was performed using a modified Kocher-Langenbeck posterior approach with trochanteric flip.
RESULTS: Radiological union was achieved by 3 months. At 1-year follow-up, the patient had good hip motion without avascular necrosis or implant failure.
CONCLUSION: Early anatomical reconstruction using a posterior approach can produce excellent outcomes in young patients with this rare injury.
CASE REPORT: A 14-year-old boy sustained posterior hip dislocation with femoral head, neck, acetabular, and trochanteric involvement following a road traffic accident. Emergency open reduction and internal fixation was performed using a modified Kocher-Langenbeck posterior approach with trochanteric flip.
RESULTS: Radiological union was achieved by 3 months. At 1-year follow-up, the patient had good hip motion without avascular necrosis or implant failure.
CONCLUSION: Early anatomical reconstruction using a posterior approach can produce excellent outcomes in young patients with this rare injury.