Open reduction and Herbert screw fixation of Pipkin type IV femoral head fracture in an adolescent: A case report

Figure 1 Preoperative computed tomography scans of the hip. A: Three-dimensional computed tomography scan showed femoral head fracture; B and D: Axial and sagittal computed tomography scans showed the posterior acetabulum with slight displacement (orange arrow); C: Coronal computed tomography scan showed the femoral head fracture extending superior to the fovea centralis (white arrow).

Figure 2 Intraoperative picture showing a major fragment in the anterior and inferior of the femoral head. The patient was in lateral position.

Figure 3 Pelvic radiographs 1 year after operation. A and B: Anteroposterior x-ray images showed union of the fractures with no femoral head necrosis.