Atchi Walla, Anani Abalo, Yannick Dellanh, Gamal Ayouba, Assang Dossim
Department of Orthopaedics, Tokoin Teaching Hospital, Lome, Togo.
Clin Orthop Surg. 2016 Jun;8(2):214-7. doi: 10.4055/cios.2016.8.2.214. Epub 2016 May 10.
Anterior traumatic dislocations of the hip are much less common than posterior dislocations. To date, 14 cases of open anterior dislocation of the hip associated with such injuries, acetabular and femoral head fractures and femoral vascular and nerve damage have been reported. We present a case of a 23-year-old male who sustained open anterior dislocation of the hip with ipsilateral fracture of the greater trochanter after an accident on the public highway. Additional lesions included an iliac wing fracture and a perineal wound. We report this case because of the rarity and seriousness of this injury due to its progressive complications and difficulties related to its management, which are typical to a developing country like ours.
髋关节前脱位比后脱位少见得多。迄今为止,已有14例开放性髋关节前脱位合并髋臼和股骨头骨折以及股血管和神经损伤的病例报道。我们报告一例23岁男性,在公共道路上发生事故后,发生开放性髋关节前脱位并伴有同侧大转子骨折。其他损伤包括髂骨翼骨折和会阴伤口。我们报告此病例是因为这种损伤罕见且严重,因其会出现进行性并发症以及处理上的困难,而这些在我们这样的发展中国家很典型。