Comments on Chen et al.: Conservative versus surgical management of Pipkin type I fractures associated with posterior dislocation of the hip: a randomised controlled trial.

摘要

We read the article by Chen et al. [2] with great interest. In this randomised controlled trial, the authors concluded that closed reduction followed by surgical fragment excision for Pipkin type 1 fractures is better than closed reduction alone. However, we have several concerns regarding the treatment methods and their outcome evaluation in this study.Before discussing the article by Chen et al., we briefly describe the current strategy for Pipkin fracture-dislocation management focusing mainly on type 1 fracture [1]. The philosophy of Epstein in the management of femoral-head fracture is no longer accepted. Epstein believed that closed reduction was contraindicated for fracture dislocation of the hip when open reduction is planned later.