Matĕjka J, Koudela K
Klinika ortopedie a traumatolgie pohybového ústrojí FN LF UK, Plzen.
Acta Chir Orthop Traumatol Cech. 2002;69(6):369-71.
The author describes a rare case of bilateral dislocation of the hip joint accompanied by fracture of the femur head. The fracture (Pipkin I) on the left side was treated conservatively and the fracture (Pipkin II) on the right side surgically. At 18 months of follow-up, both fractures were healed but the fragment of the operated femoral head had a tendency to develop osteoporosis. Aseptic necrosis was absent, as evidenced by bone scan. Both hip joints, however, showed signs of developing arthritis, with clinical findings being less serious on the non-operated joint. The author discuses all cases of bilateral Pipkin fractures reported in the literature and be concluded that there is no report on a coincident occurrence of type I and type II fractures. When comparing conservative and surgical approaches to similar types of fractures, the author recommends the use of conservative therapy.
作者描述了一例罕见的双侧髋关节脱位伴股骨头骨折的病例。左侧骨折（皮普金I型）采用保守治疗，右侧骨折（皮普金II型）采用手术治疗。随访18个月时，两处骨折均已愈合，但手术侧股骨头碎片有发生骨质疏松的倾向。骨扫描显示无无菌性坏死。然而，双侧髋关节均显示出关节炎发展的迹象，未手术侧的临床症状较轻。作者讨论了文献中报道的所有双侧皮普金骨折病例，并得出结论，尚无I型和II型骨折同时发生的报告。在比较类似类型骨折的保守和手术治疗方法时，作者推荐采用保守治疗。
