Mormor Meir, Matityahu Amir
Orthopaedic Trauma Institute, San Francisco General Hospital, University of California, San Francisco, San Francisco, California 94110, USA.
Orthopedics. 2009 Nov;32(11):854. doi: 10.3928/01477447-20090922-24.
This article presents a case of a 10-year-old boy with a right acetabular fracture secondary to a direct blow to the pelvis and back. He sustained a right hip dislocation and transverse with posterior wall acetabular fracture with a nonconcentric hip joint after reduction. The fracture was treated with right labral and articular segment absorbable suture tie-down and relocation of the right hip into an anatomical position. At 32-month follow-up, the patient had returned to activities of daily living, he had a normal and symmetric gait pattern, and no pain on hip adduction, flexion, or internal rotation. This technique reduced the fracture and labrum, relocated the hip joint, and obviated the need for hardware removal that is typically needed in the pediatric population. This case is distinctive due to the patient's young age and treatment method, which has not been described previously for the treatment of this rare pediatric fracture.
本文介绍了一例10岁男孩的病例，该男孩因骨盆和背部受到直接撞击而导致右侧髋臼骨折。他还伴有右髋关节脱位以及髋臼后壁横行骨折，复位后髋关节呈非同心状态。骨折采用右侧盂唇和关节段可吸收缝线固定，并将右髋关节复位至解剖位置进行治疗。在32个月的随访中，患者已恢复日常生活活动，步态正常且对称，髋关节内收、屈曲或内旋时无疼痛。该技术实现了骨折和盂唇复位，使髋关节复位，并且避免了儿科患者通常需要进行的内固定取出手术。该病例因患者年龄小及治疗方法独特，此前尚未见针对这种罕见儿科骨折治疗的相关报道。
