Bakan Özgür Mert, Dastan Ali Engin, Yagmuroglu Kadir, Aktuglu Kemal
Ege University Faculty of Medicine Department of Orthopaedics and Traumatology, Izmir, Turkey.
Kusadasi State Hospital Orthopaedics and Traumatology Department, Aydin, Turkey.
Trauma Case Rep. 2021 Jun 16;34:100492. doi: 10.1016/j.tcr.2021.100492. eCollection 2021 Aug.
Due to the high probability of infection and avascular necrosis, traumatic open anterior hip dislocation poses a serious orthopedic emergency. Despite the emergency of the issue, it appears to be an under-researched topic in the literature. In this study, we present open anterior hip dislocation with both trochanteric fractures in a child and review other pediatric cases from the literature. Because of rareness, there is no standard surgical and postoperative treatment algorithm. We discussed the mechanism of injury, wound size, time of the reduction, associated injury, type of treatment, type of immobilization, clinical and functional results to present a collective perspective on the literature. Once we have compared all of these situations, dealing with infection is key to satisfactory clinical and functional outcomes. The early reduction was the most important point in both coping with infection and preserving avascular necrosis of the femoral head.
由于感染和缺血性坏死的高发生率，创伤性开放性前髋关节脱位构成了严重的骨科急症。尽管该问题十分紧急，但在文献中似乎是一个研究不足的主题。在本研究中，我们报告了一名儿童开放性前髋关节脱位合并双侧转子骨折的病例，并回顾了文献中的其他儿科病例。由于病例罕见，尚无标准的手术及术后治疗方案。我们讨论了损伤机制、伤口大小、复位时间、合并损伤、治疗方式、固定类型、临床及功能结果，以呈现对该文献的综合观点。在比较了所有这些情况后，应对感染是获得满意临床和功能结果的关键。早期复位是应对感染和预防股骨头缺血性坏死的最重要因素。
