We analyzed 10 hips of 9 patents with posterior dislocation and femoral head fracture. The patients ranged in age from 19 to 62 years (mean: 27), and were evaluated on average 2.4 years after the injury.
Hips classified as Pipkin type I had better clinical results than Pipkin type II, because type II hips had larger fracture fragments including weight bearing surfaces of the femoral head. Malposition of the femoral head fragments in Pipin type II needs to be correctly reduced and fixed by operative intervention.
Computed tomography derived before and after closed manual reduction may be necessary for treatment of posterior dislocation of the hip with femoral head fracture.
