Fractures Of The Femur Head ,Pipkin Fracture - Everything You Need To Know - Dr. Nabil Ebraheim скачать в хорошем качестве

Fractures Of The Femur Head ,Pipkin Fracture - Everything You Need To Know - Dr. Nabil Ebraheim

Dr. Ebraheim’s educational animated video describes Femoral Head Pipkin fracture classifications. Pipkin fracture is a fracture of the femoral head and dislocation of the hip. There are four fracture types within the pipkin fracture classification Type I Posterior dislocation with femoral head fracture caudad to the fovea. Treatment Nondisplaced: conservative treatment Displaced: reduce and fix or excise the fragment use anterior (smith patersen) approach for better visualization. Type II Posterior dislocation with femoral head fractures cephalad to the fovea. Involves the weight bearing surface ORIF using Herbert screws Type III Posterior dislocation of associated femoral neck fracture High incidence of AVN in type III Open reduction of hip, neck and head. Closed reduction may displace the neck fracture Older patient: use prosthesis Type IV Fracture of the femoral head associated with acetabulum fracture Increased incidence of arthritis. Use appropriate treatment for femoral head and acetabulum. Trochanteric osteotomy may be needed in the treatment of this type of fracture Urgent reduction of the dislocation within 6 hours is essential. CT scan should be obtained after reduction of the hip to evaluate the presence of any loose bodies within the acetabulum and also to evaluate the displacement of the fracture. Become a friend on facebook:   / drebraheim   Follow me on twitter: https://twitter.com/#!/DrEbraheim_UTMC