PMID: 22568323May 10, 2012Paper

Analysis of influencing factors of hip functional recovery after Pipkin fracture surgery

Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery
Hai HuQiang Wang

Abstract

To investigate the influencing factors of the hip functional recovery after Pipkin fracture surgery. The clinical data were retrospectively analysed, from 37 patients with Pipkin fracture between May 2002 and February 2009. There were 32 males and 5 females, aged 26 to 98 years (median, 43 years). The causes of injury were traffic accident in 31 cases, a falling in 4 cases, and falling from height in 2 cases. The time from injury to operation was 1-28 days (mean, 8.6 days). According to the Pipkin classification criteria, there were 23 cases of type II, 8 cases of type III, and 6 cases of type IV. Open reduction and internal fixation (ORIF) were performed in 27 cases, total hip arthroplasty (THA) in 10 cases. The relationships between gender, age, time from injury to surgery, type of fracture, treatment way and the hip functional recovery were analysed statistically. All patients achieved healing of incision by first intention, no infection and deep venous thrombosis occurred. All patients were followed up 10 to 94 months with an average of 40.5 months. Bone fusion was observed at 5-11 months (mean, 8.9 months) in patients undergoing ORIF by X-ray examination; no prosthetic loosening or subsidence occurred in patients undergoin...Continue Reading

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