Tzurbakis Matheus, Morakis Emmanouil, Mouzopoulos Georgios, Lasanianos Nikolaos, Georgilas Ioannis
1st Orthopaedic Department of 'Evaggelismos' General Hospital, Athens, Greece.
Cases J. 2010 Jan 12;3(1):19. doi: 10.1186/1757-1626-3-19.
We report a rare case of posterior hip dislocation after a low energy trauma. The patient sustained a trochanteric fracture in the same hip six months ago, which was fixed using a sliding hip screw and had healed. At surgery a deep wound infection was found and a methicillin-resistant Staphylococcus epidermidis (MRSE) was cultured. After thorough debridement, an excisional arthroplasty was decided. The patient received specific intravenous antibiotics and after six weeks a total hip arthroplasty was done. In three years follow-up the patients presented with a fully functional hip without any signs of infection. Hip dislocation after a trochanteric fracture internal fixation is rare complication associated with high morbidity and mortality. Infection eradication and a second stage arthroplasty can be life and limb saving.
我们报告一例低能量创伤后罕见的髋关节后脱位病例。该患者六个月前在同一髋关节处发生转子骨折，采用滑动髋螺钉固定，现已愈合。手术时发现深部伤口感染，培养出耐甲氧西林表皮葡萄球菌（MRSE）。经过彻底清创后，决定行切除性关节成形术。患者接受了特定的静脉抗生素治疗，六周后进行了全髋关节置换术。在三年的随访中，患者髋关节功能完全恢复，无任何感染迹象。转子骨折内固定术后发生髋关节脱位是一种罕见的并发症，具有较高的发病率和死亡率。根除感染和二期关节成形术可挽救生命和肢体。
