Sobczyk Jakub, Drwięga Michał, Banasiewicz Jakub, Laskowski Jacek
Carolina Medical Center, Warszawa, Polska / Carolina Medical Center, Warsaw, Poland.
Ortop Traumatol Rehabil. 2019 Jun 30;21(3):219-226. doi: 10.5604/01.3001.0013.2937.
This article describes the case of an 18-year-old male after hip dislocation caused by snowboard injury, which resulted in osteochondral fracture of the head of femur with displacement of a loose body. CT as well as MRI confirmed the presence of a loose osteochondral fragment (20x14x4mm) fractured from the weight-bear-ing superoanterior part of head of femur (Pipkin type II). The surgical management undertaken was only arthroscopic, this representing a very rare case when com-par-ed to the literature. The article describes in detail the technical aspects of the procedure. At 4 months post-surgery, the replanted fragment had healed properly and the patient was pain-free and had the full range of movements. A low-invasive arthroscopic procedure is associated with less local tissue damage, reduced risk of infection and less blood loss. With this approach, it is possible to fix an osteochondral fragment without unnecessary defects in the cartilaginous surface.
本文描述了一名18岁男性因单板滑雪受伤导致髋关节脱位的病例，该损伤致使股骨头骨软骨骨折并伴有游离体移位。CT以及MRI证实存在一个从股骨头负重的上前部断裂的游离骨软骨碎片（20×14×4mm）（皮普金II型）。所采取的手术治疗仅为关节镜手术，与文献相比，这是一个非常罕见的病例。本文详细描述了该手术的技术细节。术后4个月，移植的碎片愈合良好，患者无痛且活动范围正常。低侵入性关节镜手术造成的局部组织损伤较小，感染风险降低且失血较少。通过这种方法，可以固定骨软骨碎片而不会在软骨表面造成不必要的缺损。
