Gagała Jacek, Tarczyńska Marta, Gawęda Krzysztof
Department of Orthopedic Surgery and Traumatology, Medical University of Lublin, Lubin, Poland.
J Orthop Trauma. 2014 Sep;28(9):e226-30. doi: 10.1097/BOT.0000000000000079.
Posterior fracture dislocation of the femoral head is a rare entity usually requiring open reduction and internal fixation. Results of different fixation methods have been reported, including countersinking screws, headless screws, and bioabsorbable implants. Osteochondral autologous transfer (mosaicplasty) is an established method of treatment of full thickness cartilage defects of the knee, ankle, and elbow. At our institution, posterior fracture-dislocations of the femoral head were treated with femoral head fragment fixation using osteochondral autografts through surgical hip dislocation. Osteochondral plugs were harvested from the non-weight-bearing area of the lateral femoral condyle of the knee and used for fixation of the reduced fragment. This article details the technique and its application.
股骨头后脱位是一种罕见的情况，通常需要切开复位内固定。已有不同固定方法的相关报道，包括埋头螺钉、无头螺钉和生物可吸收植入物。自体骨软骨移植（镶嵌成形术）是治疗膝关节、踝关节和肘关节全层软骨缺损的一种成熟方法。在我们机构，股骨头后脱位采用经手术髋关节脱位，使用自体骨软骨移植进行股骨头碎片固定治疗。骨软骨栓取自膝关节外侧髁的非负重区，用于固定复位后的碎片。本文详细介绍了该技术及其应用。
