Ten patients with a Pipkin Type-II fracture of the femoral head
associated with dislocation of the same hip were treated and followed for
two to five years. Five of these ten fractures, which were reduced
anatomically after closed reduction of the dislocation, were treated by
traction. All five healed and no evidence of avascular necrosis was
identified radiographically or clinically at follow-up. Of the remaining
five patients who had an unsatisfactory closed reduction, four were treated
by open reduction and internal fixation with two screws and one, by
excision of the comminuted fragment. Four of these five patients had no
complications and one had avascular necrosis requiring total hip
replacement after one year.