Trikha Vivek, Goyal Tarun, Jha Ram-K
Department of Orthopaedics, Jai Prakash Narayan Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi 110029, India.
Chin J Traumatol. 2011 Apr 1;14(2):104-6.
Traumatic posterior dislocation of hip associated with ipsilateral displaced femoral neck fracture is a rare injury. Moreover, the management of such patients evokes strong views regarding primary replacement or preserving the femoral head. We presented a case of young adult with such an injury. He was operated upon with reduction of the dislocation and fixation of femoral neck fracture with the help of cancellous screws. Two years later, the fracture had united and the patient was asymptomatic. We further proposed the mechanism of injury for such a fracture and discussed the management in the changing trauma scenario of the developing world.
创伤性髋关节后脱位合并同侧股骨颈移位骨折是一种罕见的损伤。此外,对于这类患者的治疗,在一期置换或保留股骨头方面存在很大争议。我们报告了一例患有此类损伤的年轻成年人病例。患者接受了脱位复位及使用松质骨螺钉固定股骨颈骨折的手术。两年后,骨折愈合,患者无症状。我们进一步提出了这种骨折的损伤机制,并讨论了在发展中国家不断变化的创伤情况下的治疗方法。