Alhammoud Abduljabbar, Alnouri Masson, Arbash Mahmood Ali, Baco Abdul Moeen
Department of Orthopedics, Hamad Medical Corporation, Doha, Qatar.
J Orthop Case Rep. 2016 Nov-Dec;6(5):44-46. doi: 10.13107/jocr.2250-0685.624.
Complex fractures are increasing because of various traumatic mechanisms. They drift from standard classifications, and their treatment is controversial. Of such cases are hip dislocations with associated fractures of the ipsilateral femur.
This case report describes the condition of a 30-year-old man involved in a motor vehicle collision. Clinical examination, X-rays, and computed tomography scan revealed a posterior hip dislocation with an ipsilateral femoral head and mid-shaft fractures. The patient was treated by closed reduction of hip dislocation using a temporarily applied external fixator followed by intramedullary nailing of the femoral shaft. Achieving a closed reduction is a challenge with ipsilateral fractures but it should be favored over open reduction due to a lower risk of complications. The type of femoral head fracture, in this case, may have aided in an easier reduction.
Hip dislocation is an orthopedic emergency and its treatment is challenging if associated with ipsilateral fractures. The decision of a closed versus an open approach should be made after considering the management plans of other injuries.
由于各种创伤机制，复杂骨折的数量正在增加。它们偏离了标准分类，其治疗存在争议。同侧股骨骨折合并髋关节脱位的病例即属此类。
本病例报告描述了一名30岁男性在机动车碰撞事故中的情况。临床检查、X线和计算机断层扫描显示为后髋关节脱位合并同侧股骨头及股骨干骨折。患者接受了使用临时外固定器进行髋关节脱位闭合复位，随后进行股骨干髓内钉固定的治疗。对于同侧骨折，实现闭合复位是一项挑战，但由于并发症风险较低，应优先于切开复位。在本病例中，股骨头骨折类型可能有助于更轻松地复位骨折。
髋关节脱位是一种骨科急症，如果合并同侧骨折，其治疗具有挑战性。在考虑其他损伤的处理方案后应决定采用闭合还是切开治疗方法。
