Open Reduction and Internal Fixation of Femoral Head Fracture After Firearm Injury: A Case Report.

CASE: A 21-year-old man presented with a femoral head (FH) fracture from a firearm injury. The FH had a comminuted, minimally displaced fracture with intertrochanteric extension and a retained bullet. This patient was treated with surgical hip dislocation (SHD) and open reduction internal fixation (ORIF). This case describes the operative management of a fracture pattern of the FH not covered within the Pipkin classification. The patient was noted to be progressing well at 1-year follow-up.

CONCLUSION

FH fractures from firearm injuries may present with unique fracture patterns. SHD and ORIF is a viable option for these unique fractures.