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双侧不对称性髋关节脱位合并髋臼骨折;病例报告

Bilateral asymmetrical hip dislocations with acetabulum fractures; a case report.

作者信息

Sahito Badaruddin, Abro Awais, Kumar Vijay, Hussain Bakht, Ahmed Khalil, Kamboh Azam, Qadir Abdul, Ali Maratib

机构信息

Department of Orthopaedic Surgery, Dow University of Health Sciences, Ruth K M Pfau Civil Hospital Karachi, Pakistan.

出版信息

Trauma Case Rep. 2021 Mar 11;32:100453. doi: 10.1016/j.tcr.2021.100453. eCollection 2021 Apr.

Abstract

Bilateral hip dislocation is a rare injury and asymmetrical hip dislocations are even very rare entities. We are reporting two cases of bilateral asymmetrical hip dislocations with associated acetabulum fractures. Mechanism of injury in first case was fall from height and in other case road traffic accident. Associated injuries were midshaft femur fracture and sciatic nerve (Peroneal part). Anterior hip dislocation in both cases is reduced closely but posterior hip dislocation in both cases relocated openly due to ipsilateral femur fracture in first case and unstable hip in second case. Acetabulum fractures fixed with reconstruction plate. Postoperative recovery of patient was uneventful except sciatic nerve injury (Peroneal part) lead to foot drop that is supported with ankle foot arthrosis.

摘要

双侧髋关节脱位是一种罕见的损伤,而非对称性髋关节脱位更是极为罕见的情况。我们报告两例伴有髋臼骨折的双侧非对称性髋关节脱位病例。第一例的损伤机制是高处坠落,另一例是道路交通事故。相关损伤包括股骨干中段骨折和坐骨神经(腓骨部分)损伤。两例中的前侧髋关节脱位均成功闭合复位,但由于第一例同侧股骨骨折以及第二例髋关节不稳定,两例中的后侧髋关节脱位均进行了切开复位。髋臼骨折用重建钢板固定。除坐骨神经损伤(腓骨部分)导致足下垂需使用踝足矫形器辅助外,患者术后恢复顺利。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66c5/7985565/d57b1dbcb554/fx1.jpg

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