PURPOSE OF THE STUDY: The authors present their experience in the treatment of @entity174 -dislocation of @entity2738 --the Pipkin @entity174 . MATERIAL: The group includes 11 @entity1 treated in the period of 9 years (1991-2000). The average age was 46 years (range, 23-63 years). The average follow-up was 3.2 years (range, 6 months-9 years). According to the Pipkin classification four times we diagnosed Type 2, four times Type 3 (three times iatrogenic during closed reduction), three times Type 4. In 10 @entity1 it was a case of a @entity130 of drivers or passengers. In one @entity1 it was industrial accident. METHODS: Ten @entity1 were treated surgically, of which six times total hip arthroplasty was primarily used. In three @entity1 we reconstructed the @entity174 with internal fixation, of this in two @entity1 with Type 2 @entity174 the fragment from the head was fixed by two and three Krischner wires. In one @entity1 the fragment of the head was extirpated. RESULTS: The evaluation after Thompson-Epstein included only five @entity1 as the @entity1 treated by total hip arthroplasty were excluded. Good result was recorded four times and poor result once. DISCUSSION: As for diagnosis the authors recommend apart from standard radiographs also CT. The basis of the treatment of @entity174 -dislocations of @entity2738 is the reduction of the dislocated hip joint, optimally within 6 hours after the injury. A timely reduction prevents the onset of @entity2530 of the @entity2738 . Another issue is the choice of an optimal surgical approach to the hip joint during the treatment of @entity174 of the Pipkin type. In all @entity1 indicated to internal fixation or extirpation of the fragment the authors used anterolateral approach after Watson-Jones. CONCLUSION: In the conclusion the authors point out the possibility of the incidence of unfavourable third type of the Pipkin @entity174 during closed reduction of Types 1, 2 and 4.

[The Pipkin XXXX ].

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fractures', 'fracture'] @entity2738 :: ('MESH:D005271', 'Disease') :: ['femoral head'] @entity130 :: ('MESH:D014947', 'Disease') :: ['dashboard injury'] @entity2530 :: ('MESH:D010020', 'Disease') :: ['avascular necrosis']
@entity174 :: (MESH:D050723,Disease) :: ['fracture']
