Stirma Guilherme Augusto, Uliana Christiano Saliba, Valenza Weverley Rubele, Abagge Marcelo
Universidade Federal do Paraná (UFPR), Hospital do Trabalhador SESA, Curitiba, PR, Brazil.
Rev Bras Ortop. 2018 Apr 5;53(3):337-341. doi: 10.1016/j.rboe.2018.03.013. eCollection 2018 May-Jun.
To report a series of cases of patients treated by fracture of the femoral head through the Ganz pathway with controlled dislocation of the hip.
All patients who were surgically treated with a Ganz access route for femoral head fractures were identified in a tertiary referral service for trauma. A review of medical records with X-rays and CT scans was carried out. The radiographic evaluation was classified according to Pipkin and the functional evaluation was performed through the application of the modified Harris Hip Score. Data regarding the quality of reduction, type of fixation, and postoperative complications were collected.
The sample consisted of three men and one woman, with a mean age of 30 years (20-51). Regarding Pipkin's classification, two cases were type I, one type II, and one type IV. Regarding the Harris Hip Score, an average of 65.75 points was obtained (range: 20-86). All cases had anatomical reduction in the intraoperative period. One case presented post-traumatic sciatic nerve praxis and evolved with infection at the surgical site.
Surgical treatment of femoral head fractures through controlled hip dislocation is a viable option and can be considered an alternative to classical approaches.
报告一系列通过Ganz入路治疗股骨头骨折并控制髋关节脱位的患者病例。
在一家三级创伤转诊服务机构中确定所有接受Ganz入路手术治疗股骨头骨折的患者。对病历及X线和CT扫描进行回顾。根据Pipkin对影像学评估进行分类，并通过应用改良Harris髋关节评分进行功能评估。收集有关复位质量、固定类型和术后并发症的数据。
样本包括3名男性和1名女性，平均年龄30岁（20 - 51岁）。关于Pipkin分类，2例为I型，1例为II型，1例为IV型。关于Harris髋关节评分，平均得分为65.75分（范围：20 - 86分）。所有病例在术中均实现解剖复位。1例出现创伤后坐骨神经损伤，并伴有手术部位感染。
通过控制髋关节脱位手术治疗股骨头骨折是一种可行的选择，可被视为经典方法的替代方案。
