Surgical dislocation of the hip for a locked traumatic posterior dislocation with associated femoral neck and acetabular fractures
| Autor: | Mjb Keel, Lorenz Büchler, Johannes Dominik Bastian, Klaus A. Siebenrock |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Adult
Male musculoskeletal diseases medicine.medical_specialty medicine.medical_treatment Avascular necrosis Osteoarthritis Osteotomy Fractures Bone Retinaculum Imaging Three-Dimensional Fracture Fixation medicine Hip Dislocation Humans Orthopedics and Sports Medicine Femur Femoral neck business.industry Acetabulum medicine.disease Femoral Neck Fractures Surgery medicine.anatomical_structure Orthopedic surgery Tomography X-Ray Computed business |
| Zdroj: | The Journal of Bone and Joint Surgery. British volume. :442-446 |
| ISSN: | 2044-5377 0301-620X |
| DOI: | 10.1302/0301-620x.92b3.23016 |
| Popis: | Traumatic posterior dislocation of the hip associated with a fracture of the posterior acetabular wall and of the neck of the femur is a rare injury. A 29-year-old man presented at a level 1 trauma centre with a locked posterior dislocation of the right hip, with fractures of the femoral neck and the posterior wall of the acetabulum after a bicycle accident. An attempted closed reduction had failed. This case report describes in detail the surgical management and the clinical and radiological outcome. Open reduction and fixation with preservation of the intact retinaculum was undertaken within five hours of injury with surgical dislocation of the hip and a trochanteric osteotomy. Two years after operation the function of the injured hip was good. Plain radiographs and MR scans showed early signs of osteoarthritis with some loss of joint space but no evidence of avascular necrosis. The patient had begun skiing and hiking again. The combination of fractures of the neck of the femur and of the posterior wall of the acetabulum hampers closed reduction of a posterior dislocation of the hip. Surgical dislocation of the hip with trochanteric flip osteotomy allows controlled open reduction of the fractures, with inspection of the hip joint and preservation of the vascular supply. |
| Databáze: | OpenAIRE |
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