Pipkin Type IV fractures, which involve femoral head fractures combined with posterior acetabular wall and femoral neck injuries, present significant surgical challenges and are associated with high complication rates. This case report describes a 34‐year‐old male who sustained a Pipkin Type IV fracture, presenting with ipsilateral floating knee injury (Fraser Type I) and quadriceps tendon rupture following a motor vehicle collision. The treatment approach included a staged surgical protocol involving closed hip reduction, intramedullary nailing for femoral and tibial fractures, quadriceps tendon repair, and acetabular fixation. Despite experiencing substantial blood loss requiring transfusion, the patient achieved functional recovery, with a Harris Hip Score (HHS) of 85 and Lysholm knee score of 78 after 1 year of follow‐up. This case highlights the necessity of a systematic, multidisciplinary approach to managing polytrauma cases. Timely anatomical reduction, comprehensive bony and soft tissue repair, and individualized rehabilitation are essential for optimizing patient outcomes.
Gholipour et al. (Thu,) studied this question.