Pipkin Type I Femoral head fracture inferior to the fovea centralis Nondisplaced: NWB until fracture union Displaced: excise if small, or ORIF See also AO Classification. Pipkin Type II Femoral head fracture that extends superior to the fovea centralis Treatment = ORIF via anterior Smith-Peterson approach, generally utilize headless screws. See also AO Classification. Pipkin Type III Femoral neck fracture that is associated with either a type I or type II femoral head fracture Young, active patient: ORIF of femoral neck and head fractures. Elderly, inactive patient: hemi or THA. See also AO Classification. Pipkin Type IV Acetabular fracture associated with either a type I or type II femoral head fracture. Treatment: ORIF of acetabular and femoral head fractures. See also AO Classification.
