DOI: 10.36347/sasjs.2020.v06i06.002

Pages: 253-256

The fracture of the Pipkin femoral head type IV is a rare pathological entity whose treatment is surgical already represented a poor prognosis. That said there are several surgical approaches to treat this delicate pathology. In the literature, the opinions of the authors diverge concerning the choice of the approach initially, but the conservation of the cephalic fragment is the rule. Regardless of the quality of care, poor and fair results are very important, estimated at 50% after 10 years, and long-term arthritis development seems to be inevitable.