![Pipkin I femoral head fracture Pipkin Type 1 femoral head fracture image](/sites/default/files/Pipkin1.jpg) |
Pipkin Type I
- Femoral head fracture inferior to the fovea centralis
- Nondisplaced: NWB until fracture union
- Displaced: excise if small, or ORIF
- See also AO Classification.
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![Pipkin Type II femoral head fracture Pipkin Type II femoral head fracture image](/sites/default/files/Pipkin2.jpg) |
Pipkin Type II
- Femoral head fracture that extends superior to the fovea centralis
- Treatment = ORIF via anterior Smith-Peterson approach, generally utilize headless screws.
- See also AO Classification.
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![Pipkin Type III femoral head fracture Pipkin Type III femoral head fracture image](/sites/default/files/Pipkin3.jpg) |
Pipkin Type III
- Femoral neck fracture that is associated with either a type I or type II femoral head fracture
- Young, active patient: ORIF of femoral neck and head fractures.
- Elderly, inactive patient: hemi or THA.
- See also AO Classification.
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![Pipkin Type IV femoral head fracture Pipkin Type IV femoral head fracture image](/sites/default/files/Pipkin4.jpg) |
Pipkin Type IV
- Acetabular fracture associated with either a type I or type II femoral head fracture.
- Treatment: ORIF of acetabular and femoral head fractures.
- See also AO Classification.
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