Mestdagh H, Butruille Y, Vigier P
Department D of Orthopedic and Traumatic Surgery, University Hospital, Lille, France.
J Trauma. 1991 Oct;31(10):1445-7. doi: 10.1097/00005373-199110000-00027.
Central fracture dislocation of the hip with associated fracture of the femoral neck is rare. Treatment of choice consists of open reduction of the displacement and internal fixation of both fractures. Nevertheless, inadequate reduction of the burst fracture of the acetabulum may lead to hip arthritis, and the surgical approach to the femoral neck jeopardizes its vitality. In elderly patients early full motion and prompt physical rehabilitation can be achieved by total hip arthroplasty after fusion of the displaced femoral head to the acetabular wall.
髋关节中央骨折脱位合并股骨颈骨折较为罕见。治疗的首选方法是对移位进行切开复位并对两处骨折进行内固定。然而，髋臼爆裂骨折复位不充分可能导致髋关节炎，而股骨颈的手术入路会危及股骨头的活力。对于老年患者，在移位的股骨头与髋臼壁融合后行全髋关节置换术可实现早期的完全活动和迅速的身体康复。
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