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European Journal of Trauma and Emergency Surgery

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Open Access 25-03-2022 | Acetabular Fracture | Original Article

Pipkin fractures: epidemiology and outcome

Authors: Anders Enocson, Olof Wolf

Published in: European Journal of Trauma and Emergency Surgery | Issue 5/2022

Abstract

Purpose

To describe the epidemiology of Pipkin fractures including detailed fracture classification and outcome for joint preservation and death.

Methods

We extracted data on all Pipkin fractures in the Swedish Fracture Register from 2013 to 2020 in patients ≥ 18 years. The cohort was cross-matched with the Swedish Hip Arthroplasty Register to obtain data on primary or secondary treatment with arthroplasty. We analysed data on age, sex, injury mechanism, fracture classification, treatment including secondary operative treatment with arthroplasty and mortality. Primary outcome was joint preservation.

Results

In total 47 Pipkin fractures with a median age of 48 years were included. 74% of the fractures were in males. The median follow-up time was 3.5 years. The most common primary treatment was internal fixation (45%), followed by primary arthroplasty (28%), and excision of fragment (15%). Three of the 34 patients with primary non arthroplasty treatment received secondary treatment with arthroplasty. Two patients died within 30 days, and no further deaths occurred up to 1 year after injury.

Conclusion

Three of four fractures occurred in males and more than half of the fractures were due to high energetic injuries. Half of the patients received internal fixation (predominantly younger patients) and 28% were treated with primary arthroplasty (predominantly older patients). The revision rate was low, and after secondary treatment with arthroplasty two thirds of the patients still had a preserved joint.

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Title: Pipkin fractures: epidemiology and outcome
Authors: Anders Enocson
Olof Wolf
Publication date: 25-03-2022
Publisher: Springer Berlin Heidelberg
Keywords: Acetabular Fracture
Hip-TEP
Hip-TEP
Published in: European Journal of Trauma and Emergency Surgery / Issue 5/2022
Print ISSN: 1863-9933
Electronic ISSN: 1863-9941
DOI: https://doi.org/10.1007/s00068-022-01951-w

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Pipkin fractures: epidemiology and outcome

Abstract

Purpose

Methods

Results

Conclusion

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Abstract

Purpose

Methods

Results

Conclusion

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