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Table 3 Table showing treatments, complications and outcome of femoral head injury according on pipkin classification

From: Management and outcome of patients with femoral head fractures: the mid-term follow-up with injuries and associated prognostic factors

 

n = 50

Pipkin I (n = 18)

Pipkin II (n = 10)

Pipkin III (n = 8)

Pipkin IV (n = 14)

Treatments

 Non-operative

8 (16%)

5 (28%)

1 (10%)

0 (0%)

2 (14%)

Operative

 ORIF

37 (74%)

13 (72%)

8 (80%)

5 (63%)

11 (79%)

 Immediate THR

5 (10%)

0 (0%)

1 (10%)

3 (37%)

1 (7%)

Complications

 AVN

6 (14%)

0 (0%)

1 (10%)

3 (38%)

2 (14%)

 PTA

16 (33%)

4 (22%)

3 (20%)

3 (38%)

6 (43%)

 HO

8 (16%)

2 (11%)

3 (30%)

0 (0%)

3 (21%)

 Sciatic nerve injury

6(12%)

2 (0%)

0 (0%)

2 (25%)

2 (14%)

Modified Harris Score

 Excellent

2 (4%)

2 (11%)

0 (0%)

0 (0%)

0 (0%)

 Good

16 (32%)

9 (50%)

5 (50%)

0 (0%)

2 (14%)

 Fair

22 (44%)

5 (28%)

4 (40%)

5 (64%)

8 (57%)

 Poor

10 (20%)

2 (11%)

1 (10%)

3 (36%)

4 (29%)

 Secondary THR

4 (8%)

0 (0%)

1 (10%)

2 (25%)

1 (7%)

  1. ORIF open reduction and internal fixation, AVN avascular necrosis, PTA post traumatic arthritis, HO Heterotopic ossification, THR Total Hip Replacement, N number of patients