LaRoque Michael C, Zeni Ferras, Cole Peter A
Department of Orthopaedic Surgery, University of Minnesota Medical School, Minneapolis, Minnesota.
Department of Orthopaedic Surgery, Regions Hospital, St. Paul, Minnesota.
JBJS Case Connect. 2023 Feb 3;13(1). doi: e22.00408. eCollection 2023 Jan 1.
A 19-year-old man sustained combined, ipsilateral inferior hip and posterior knee fracture-dislocations secondary to a motor vehicle collision. He underwent immediate closed reduction of the knee and delayed open reduction internal fixation but required emergent open hip reduction for an irreducible femoral head incarcerated on a pubic root fracture. At the 1-year follow-up, he demonstrated excellent functional outcome with painless and full hip and knee range of motion.
Irreducible inferior femoral head dislocation in combination with a knee dislocation requires thoughtful staging and treatment but can result in satisfactory outcomes.
一名19岁男性因机动车碰撞导致同侧髋部下方和膝关节后方联合骨折脱位。他立即接受了膝关节闭合复位，随后进行了延迟切开复位内固定，但因股骨头嵌顿在耻骨根部骨折处无法复位，需要紧急进行髋关节切开复位。在1年的随访中，他的功能恢复良好，髋关节和膝关节活动范围无痛且完全正常。
股骨头下方不可复位性脱位合并膝关节脱位需要精心安排分期和治疗，但可取得满意的结果。
