Prisma Health-Upstate, Greenville, South Carolina.
JBJS Case Connect. 2021 May 27;11(2):01709767-202106000-00093. doi: e20.00242.
We describe 3 cases of septic hip arthritis with a dislocation after failed, cephalomedullary nail (CMN) fixation following fragility intertrochanteric (IT) hip fractures that were treated with antibiotic spacer placement.
Septic hip arthritis and compromised hip abductors can contribute to dislocation of the hip after CMN for IT fractures. This case report presents a treatment plan to address this rare complication, not yet reported after CMN for IT fractures in the literature, to control infection and optimize function.
我们描述了 3 例在脆弱性股骨转子间骨折后使用cephalomedullary nail (CMN) 固定失败并发感染性髋关节炎和脱位的病例，这些病例随后进行了抗生素 spacer 置放治疗。
感染性髋关节炎和髋关节外展肌功能受损可能导致股骨转子间骨折后使用 CMN 固定时髋关节脱位。本病例报告提出了一种治疗方案，以解决这一罕见并发症，该并发症在文献中尚未报道过，旨在控制感染并优化功能。
