{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T09:05:20Z","timestamp":1789290320656,"version":"build-2803163510"},"reference-count":0,"publisher":"Indian Orthopaedic Research Group","issue":"8","content-domain":{"domain":["jocr.co.in"],"crossmark-restriction":true},"short-container-title":["Jocr"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:p>Introduction: Femoral head\u2013neck fracture-dislocation with associated posterior acetabular wall and pertrochanteric fractures represents an extremely rare and severe \u201cbeyond Pipkin IV\u201d injury pattern.\n\nCase Report: A 14-year-old boy sustained posterior hip dislocation with femoral head, neck, acetabular, and trochanteric involvement following a road traffic accident. Emergency open reduction and internal fixation were performed using a modified Kocher\u2013Langenbeck posterior approach with a trochanteric flip.\n\nResults: Radiological union was achieved by 3 months. At 1-year follow-up, the patient had good hip motion without avascular necrosis or implant failure.\n\nConclusion: Early anatomical reconstruction using a posterior approach can produce excellent outcomes in young patients with this rare injury.\n\nKeywords: Femoral head fracture, Pipkin IV, hip dislocation, Kocher\u2013Langenbeck approach, adolescent, acetabular fracture, trochanteric fracture.<\/jats:p>","DOI":"10.13107\/jocr.2026.v16.i08.7800","type":"journal-article","created":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T12:07:39Z","timestamp":1786104459000},"page":"92-95","update-policy":"https:\/\/doi.org\/10.13107\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Beyond Pipkin IV: Management of Femoral Head-neck Fracture-dislocation with Posterior Acetabular Wall and Peritrochanteric Fracture in an Adolescent Using a Modified Kocher-Langenbeck Approach"],"prefix":"10.13107","volume":"16","author":[{"given":"Niraj Narain","family":"Singh","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, ESIC Medical College and Hospital, Patna, Bihar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5271","published-online":{"date-parts":[[2026]]},"container-title":["Journal of Orthopaedic Case Reports"],"original-title":[],"deposited":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T08:45:28Z","timestamp":1789289128000},"score":1,"resource":{"primary":{"URL":"https:\/\/jocr.co.in\/wp\/2026\/08\/beyond-pipkin-iv-management-of-femoral-head-neck-fracture-dislocation-with-posterior-acetabular-wall-and-peritrochanteric-fracture-in-an-adolescent-using-a-modified-kocher-langenbeck-approach\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":0,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2026]]},"published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.13107\/jocr.2026.v16.i08.7800","relation":{},"ISSN":["2321-3817"],"issn-type":[{"value":"2321-3817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]},"assertion":[{"value":"Research Article","name":"content_type","label":"Content Type"},{"value":"Yes","name":"crosschecked","label":"CrossChecked"},{"value":"Yes","name":"peer_reviewed","label":"Peer Reviewed"},{"value":"10.13107\/jocr.2026.v16.i08.7800","name":"published","label":"Published"},{"value":"Creative Commons Attribution","name":"license","label":"License","explanation":{"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},"group":{"name":"rights","label":"Rights"}}]}}