Ul Haq Rehan, Kumar Jaswant, Dhammi I K, Jain Anil K
Department of Orthopaedics, University College of Medical Sciences and Guru Teg Bahadur Hospital, New Delhi, India.
Department of Orthopedic, Maulana Azad Medical College and LN Hospital, New Delhi, India.
Indian J Orthop. 2016 Sep;50(5):571-576. doi: 10.4103/0019-5413.189614.
Posterior dislocations of the hip are known to be associated with fractures of the femoral head, neck, shaft, or posterior acetabular wall. However, its association with ipsilateral intertrochanteric fracture has only been anecdotally described in the English literature. We report two such cases managed by open reduction (OR) of the hip and internal fixation (IF) of the intertrochanteric fracture. The first case was a 26-year-old male who was managed by OR of the hip with IF of the intertrochanteric fracture with a dynamic hip screw and had a good functional result at 1-year followup. The second case was a 36-year-old female who was also managed by OR of the hip with IF of the head fragments with Herbert screw and IF of the intertrochanteric fracture with a dynamic condylar screw. The patient had a fair, functional result at 1-year followup. With the increase in high energy trauma, these fracture patterns have become more common, and there is an urgent need to review the existing classifications so that these fractures are better categorized, and treatment guidelines defined.
已知髋关节后脱位与股骨头、颈、骨干或髋臼后壁骨折有关。然而，其与同侧粗隆间骨折的关联在英文文献中仅有零星描述。我们报告两例此类病例，均采用髋关节切开复位（OR）及粗隆间骨折内固定（IF）治疗。第一例为一名26岁男性，采用髋关节切开复位及动力髋螺钉内固定治疗粗隆间骨折，1年随访时功能恢复良好。第二例为一名36岁女性，采用髋关节切开复位，Herbert螺钉固定股骨头碎骨块，动力髁螺钉固定粗隆间骨折。该患者1年随访时功能恢复尚可。随着高能量创伤的增加，这些骨折类型变得更为常见，迫切需要重新审视现有分类方法，以便更好地对这些骨折进行分类，并制定治疗指南。
