Dusak Wayan Suryanto, Dharmayuda Cokorda Gde Oka, Kawiyana Ketut Siki, Afandi Richard, Nugraha Gede Ketut Alit Satria
Orthopaedics and Traumatology Department, Faculty of Medicine, Udayana University, Sanglah General Hospital, Indonesia.
Orthopaedics and Traumatology Department, Faculty of Medicine, Udayana University, Sanglah General Hospital, Indonesia.
Int J Surg Case Rep. 2021 Jan;78:90-95. doi: 10.1016/j.ijscr.2020.11.148. Epub 2020 Dec 2.
Central Fracture Dislocation of the Hip is a rare condition requiring more attention in its management, caused by high-energy trauma and is often associated with other injuries. This case report presents a 57-years old female who was injured in a traffic accident and diagnosed with polytrauma, abdominal blunt trauma with 7th zone liver laceration, central fracture dislocation of the left hip associated with closed fracture left acetabulum anterior column and closed fracture left neck femur. Until now, there is no mandatory management to treat this kind of injury. Several surgical techniques were explained in previous literatures to treat this condition such as Open Reduction and Internal Fixation (ORIF) procedure and Total Hip Arthroplasty (THA). Some studies chose THA as a treatment for similar condition in older population due to high risk of nonunion and avascular necrosis of the femoral head, especially in cases of significant displacement and devitalization of the femoral head. In this case, we performed femoral head autograft and total hip arthroplasty as a definitive treatment.
髋关节中央骨折脱位是一种罕见的病症，因其由高能量创伤引起且常伴有其他损伤，在治疗中需要更多关注。本病例报告介绍了一名57岁女性，她在交通事故中受伤，被诊断为多发伤、腹部钝性创伤伴肝第七区裂伤、左髋关节中央骨折脱位并伴有左髋臼前柱闭合性骨折和左股骨颈闭合性骨折。到目前为止，对于这类损伤尚无强制性的治疗方法。先前的文献中解释了几种治疗这种病症的手术技术，如切开复位内固定（ORIF）手术和全髋关节置换术（THA）。一些研究选择THA作为老年人群中类似病症的治疗方法，因为股骨头不愈合和缺血性坏死的风险较高，尤其是在股骨头明显移位和失活的情况下。在本病例中，我们进行了股骨头自体移植和全髋关节置换术作为最终治疗方法。
