Su Chenxian, Liu Yangbo, Wu Peng, Yuan Jiandong, Lang Junzhe, Wu Congcong, Zhang Yiou, Chen Li, Chen Lei
Department of Orthopedics, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
The University of Melbourne, Melbourne Medical School, Austin Hospital, Heidelberg, Victoria, Australia.
J Orthop Surg (Hong Kong). 2020 Jan-Apr;28(1):2309499019900449. doi: 10.1177/2309499019900449.
Traumatic hip dislocation usually occurs in young patients, with the increasing number of high-energy injuries, and 62-93% of reported adult traumatic hip dislocations were caused by high-speed motor vehicle crashes. However, ipsilateral femoral neck fractures and intertrochanteric fractures with posterior dislocation of the hip are extremely rare, and this injury poses a challenge to orthopaedic surgeons. Here, we report two cases of simultaneous ipsilateral femoral neck fracture, intertrochanteric fracture and posterior dislocation of the hip joint in young patients who were treated with proximal femoral locking compression plate (PFLCP). The long-term follow-up (one patient was followed up for 3 years and the other for 7 years) showed that these patients had excellent functional outcomes with near-normal ranges of hip movement. The authors believe that using smaller plates with the lateral PFLCP is an acceptable method to treat this injury in young patients.
创伤性髋关节脱位通常发生在年轻患者中，随着高能损伤数量的增加，据报道，62%至93%的成人创伤性髋关节脱位是由高速机动车碰撞引起的。然而，同侧股骨颈骨折和粗隆间骨折合并髋关节后脱位极为罕见，这种损伤给骨科医生带来了挑战。在此，我们报告两例年轻患者同时发生同侧股骨颈骨折、粗隆间骨折和髋关节后脱位的病例，采用股骨近端锁定加压钢板（PFLCP）进行治疗。长期随访（1例患者随访3年，另1例随访7年）显示，这些患者的髋关节功能恢复良好，活动范围接近正常。作者认为，使用较小的外侧PFLCP钢板是治疗年轻患者这种损伤的一种可接受的方法。
