Salvaging Femur Head in a Pipkin Type III Femoral Head Fracture with Open Reduction and Internal Fixation Using Herbert Screw Fixation: A Rare Case Report

This case underscores the efficacy of ORIF with trochanteric flip osteotomy for Pipkin Type III fractures, offering functional outcomes comparable to other methods. This technique is associated with higher heterotopic ossification rates but may reduce the risk of AVN, early-onset arthritis relative to alternative methods and delay in requirement of hip replacement surgery. Despite a mild-to-moderate progression of osteoarthritis by the 3rd year of follow-up, the patient reported minimal hip pain until this time, highlighting the durability of this approach.