Functional outcome of type 4 Pipkin classification of femoral head fracture operated by open reduction internal fixation by ganz safe surgical dislocation approach management: a case report

Fracture of the femoral head is a severe, relatively uncommon injury; typically, it may have associated with traumatic posterior dislocation hip joint or without acetabulum fracture. The Pipkin classification most commonly used system. Controversies include preferred surgical approach (anterior versus posterior) ganz safe and whether to perform fragment excision internal fixation. Presenting case report 28 years old young male motor vehicle road traffic accident suffered femur fracture on right wall Judet-Letournel type 4 Pipkin’s This patient was undergone for emergency intervention open reduction, fixation through Ganz insertion Herbert screws interfragmentary screw trochanteric osteotomy. followed up 1 year complete range motion at painless daily lifestyle. Type managed timely by provides visualization whole herbert which preserves normal anatomic contour shows appropriate reduction fragments also avoid hemiarthroplasty surgeries. has been poor functional outcome requires management intervention. Specially treated better risk AVN head. Complications subsequent treatment osteonecrosis, post-traumatic osteoarthritis, heterotopic ossification implant failure.