Related Experiment Video
Updated: Apr 1, 2026
Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
Published on: June 6, 2025
Is fixation an option for comminuted femoral head fracture?
Mahmoud A Hafez1, Hosamuddin Hamza1
1The Orthopaedic Department, October 6 University, Cairo 11787, Egypt.
Insights
Femoral head fractures, also known as Pipkin fractures, are severe injuries often seen in young adults. This case study documents the surgical fixation and long-term outcomes of a class IV Pipkin fracture.
Area of Science:
- Orthopedic Surgery
- Trauma Care
- Bone Fracture Management
Background:
- Femoral head fractures (Pipkin fractures) are severe injuries typically resulting from high-energy trauma.
- These fractures disproportionately affect younger individuals.
- Current literature lacks a definitive treatment protocol for Pipkin fractures.
Purpose of the Study:
- To present a case of a class IV Pipkin fracture.
- To document the surgical fixation of this specific fracture type.
- To evaluate the immediate and long-term (6-year) outcomes following surgical intervention.
Main Methods:
- A case of a class IV Pipkin fracture was identified.
- Surgical fixation of the femoral head fracture was performed.
- Clinical outcomes were assessed immediately post-surgery and at a 6-year follow-up.
Main Results:
- The surgical fixation procedure was completed.
- Immediate post-operative outcomes were recorded.
- Long-term outcomes at 6 years after surgery were documented, providing insights into the durability of the fixation.
Conclusions:
- Surgical fixation can be a viable option for managing class IV Pipkin fractures.
- Long-term follow-up is crucial for understanding the functional recovery and potential complications.
- This case contributes to the limited literature on Pipkin fracture management and outcomes.
Abstract:
Femoral head fracture (Pepkin fracture) is a serious injury that is usually caused by trauma with more incidences in young age. There is no definitive treatment suggested in literature for Pepkin fracture. In this work, a case with class IV Pipkin fracture is presented. Fixation of the fracture was done and the outcomes of the surgical procedure immediately and 6 years after surgery are documented.
