Shaath M Kareem, Shah Harsh, Adams Mark R, Sirkin Michael S, Reilly Mark C
Department of Orthopaedic Surgery, Division of Orthopaedic Trauma, Rutgers New Jersey Medical School, Newark, New Jersey.
JBJS Case Connect. 2018 Jul-Sep;8(3):e64. doi: 10.2106/JBJS.CC.18.00043.
We present the case of a 10-year-old girl who sustained a transepiphyseal femoral neck fracture with posterior dislocation of the femoral epiphysis and an associated transverse posterior wall acetabular fracture, leading to complete separation of the capital femoral epiphysis. She underwent urgent operative intervention; she was followed for 13 years and achieved an excellent outcome.
Pediatric hip fracture-dislocations are complex injuries that should be managed by a competent pelvic reconstructive surgeon in a well-resuscitated patient. If a quality reduction is obtained in a timely manner, the patient has the best chance of achieving a favorable long-term outcome.
我们报告一例10岁女孩,她发生了经骨骺的股骨颈骨折,伴有股骨头骨骺后脱位及相关的髋臼后壁横行骨折,导致股骨头骨骺完全分离。她接受了紧急手术干预;随访13年,结果良好。
小儿髋部骨折脱位是复杂损伤,应由有能力的骨盆重建外科医生在复苏良好的患者中进行处理。如果能及时实现高质量复位,患者获得良好长期预后的机会最大。