Image Challenge, #Hip Trauma

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2015-03-03 23.06.39 2015-03-03 23.07.31 2015-03-03 23.07.59 2015-03-03 23.08.40 2015-03-03 23.09.58 20150303_112920 20150303_112929

A 27 year old man was involved in a Motor Vehicle Accident. After initial Xrays a closed reduction of the hip was performed. A post reduction CT Scan was obtained. What's the Classification of this i

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A 27 year old man was involved in a Motor Vehicle Accident. After initial Xrays a closed reduction of the hip was performed. A post reduction CT Scan was obtained. What's the best treatment?

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Comments

  1. admin says

    This is a classic Pipkin4 fracture with infrafoveal fracture of the femoral head and the acetabular rim fracture. The acetabular rim fracture is too small(less than 20%) and does not compromise hip stability. The only controlled study(high qulaity) available on this is by Swiontkowski et al..http://www.ncbi.nlm.nih.gov/pubmed/1494097 which favours an Anterior approach for fixation of femoral head.

  2. Abid Zaidi says

    Pipkin 4

  3. Abid Zaidi says

    ORIF of acetabulum using Posterior approach and femoral head using Smith Peterson Approach,because Acetabuar # will heal

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