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A Hip 14 Years after a Non-surgiclly-treated Pipkin Type-II Fracture of the Femoral Head - A Case Report -  

Lee, Young-Kyun (Department of Orthopedic Surgery, Seoul National University Bundang Hospital)
Ha, Yong-Chan (Department of Orthopedic Surgery, Chung-Ang University College of Medicine)
Koo, Kyung-Hoi (Department of Orthopedic Surgery, Seoul National University Bundang Hospital)
Publication Information
Journal of Trauma and Injury / v.25, no.1, 2012 , pp. 25-27 More about this Journal
Abstract
A 30-year-old, male truck driver had a traffic accident and visited a hospital due to left hip pain. The patient's femoral head was fractured, and he was treated conservatively. For 14 years afterwards, he walked without a limp, had no pain, and drove his truck. He was involved in another traffic accident and experienced a comminuted fracture of the left distal femur 14 years after the initial injury. Although he was symptom-free, while being treated by open reduction and internal fixation for the distal femur fracture, he was concerned about the status of his left femoral head. Pelvis radiographs and reconstructed CT images were done, and they showed a spur change around the femoral head which had a dense sclerotic band within and revealed a slight depression of subchondral bone of the medial portion of the femoral head. The diagnosis was a Pipkin type-II fracture of the femoral head.
Keywords
Femoral head; Fracture; Conservative treatment; Longterm follow-up;
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