{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T05:21:53Z","timestamp":1783488113421,"version":"3.55.0"},"reference-count":21,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2017,1,1]],"date-time":"2017-01-01T00:00:00Z","timestamp":1483228800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Orthop Surg (Hong Kong)"],"published-print":{"date-parts":[[2017,1,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>Pipkin type IV femoral head (FH) fracture was thought as poor prognosis. There were several surgical approaches and treatments for this difficult fracture. However, there was no one treatment superior to another. We reviewed a serious of patients with Pipkin type IV FH fracture underwent surgery via a modified Gibson approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We reviewed a consecutive series of nine patients with Pipkin type IV FH fracture under surgery via a modified Gibson approach between 2012 and 2013. The surgical procedure was completely described, and the radiological outcome and the functional outcome were also reviewed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The mean follow-up duration was 17 (12\u201330) months. The mean Merle d\u2019Aubigne score was 16 (8\u201319). Seven patients had anatomical reductions, and two had imperfect reductions by Matta\u2019s grading. There was no early posttraumatic osteoarthritis during the follow-up period. One patient with early post-traumatic osteonecrosis 3 months after index surgery underwent total hip arthroplasty.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Through this surgery approach to fix the FH and the acetabulum, the radiological and the functional results were satisfactory. We still need more patients with prospective study to find an optimal surgical approach for Pipkin type IV FH fracture.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/2309499016684970","type":"journal-article","created":{"date-parts":[[2017,1,30]],"date-time":"2017-01-30T01:35:44Z","timestamp":1485740144000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Surgical treatment for Pipkin type IV femoral head fracture"],"prefix":"10.1177","volume":"25","author":[{"given":"Yi-Hsun","family":"Yu","sequence":"first","affiliation":[{"name":"Division of Orthopedic Traumatology, Department of Orthopedic Surgery, Musculoskeletal Research Center, Chang Gung Memorial Hospital, Taoyuan, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yung-Heng","family":"Hsu","sequence":"additional","affiliation":[{"name":"Division of Orthopedic Traumatology, Department of Orthopedic Surgery, Musculoskeletal Research Center, Chang Gung Memorial Hospital, Taoyuan, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ying-Chao","family":"Chou","sequence":"additional","affiliation":[{"name":"Division of Orthopedic Traumatology, Department of Orthopedic Surgery, Musculoskeletal Research Center, Chang Gung Memorial Hospital, Taoyuan, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I-Chuan","family":"Tseng","sequence":"additional","affiliation":[{"name":"Division of Orthopedic Traumatology, Department of Orthopedic Surgery, Musculoskeletal Research Center, Chang Gung Memorial Hospital, Taoyuan, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chun-Yi","family":"Su","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Chang Gung Memorial Hospital, Keelung, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chi-Chung","family":"Wu","sequence":"additional","affiliation":[{"name":"Division of Orthopedic Traumatology, Department of Orthopedic Surgery, Musculoskeletal Research Center, Chang Gung Memorial Hospital, Taoyuan, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2017,1,27]]},"reference":[{"key":"bibr1-2309499016684970","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198062060-00012"},{"key":"bibr2-2309499016684970","first-page":"218","volume":"265","author":"Yang RS","year":"1991","journal-title":"Clin Orthop Rela Res"},{"key":"bibr3-2309499016684970","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-199610000-00002"},{"key":"bibr4-2309499016684970","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-196244060-00007"},{"key":"bibr5-2309499016684970","first-page":"9","volume":"201","author":"Epstein 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Gibson approach in nine patients"],"short-title":[],"issued":{"date-parts":[[2017,1,1]]},"references-count":21,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2017,1,1]]}},"alternative-id":["10.1177\/2309499016684970"],"URL":"https:\/\/doi.org\/10.1177\/2309499016684970","relation":{},"ISSN":["1022-5536","2309-4990"],"issn-type":[{"value":"1022-5536","type":"print"},{"value":"2309-4990","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,1,1]]},"article-number":"2309499016684970"}}