Wong Rhy, Lim S M, Pang Gmhj
Department of Orthopaedic Surgery, Hospital Queen Elizabeth, Kota Kinabalu, Malaysia.
Malays Orthop J. 2023 Mar;17(1):184-187. doi: 10.5704/MOJ.2303.022.
Fracture-dislocations of the hip is the result of high-energy trauma which necessitates urgent reduction. Closed reduction is usually attempted first and if failed, open reduction is indicated and may require more than one surgical approach. However, there is also the option of managing it with vector traction. This case report details the treatment of a middle-aged gentleman who sustained a left hip central dislocation which was gradually reduced with vector traction prior to surgery and in doing so, diminished the risk of him developing several potentially debilitating complications known to be associated with surgical fixation of such injuries.
髋关节骨折脱位是高能创伤的结果,需要紧急复位。通常首先尝试闭合复位,如果失败,则需进行切开复位,可能需要不止一种手术入路。然而,也可以选择矢量牵引治疗。本病例报告详细介绍了一名中年男性的治疗情况,该患者发生了左侧髋关节中心脱位,在手术前通过矢量牵引逐渐复位,从而降低了他发生几种已知与此类损伤手术固定相关的潜在致残并发症的风险。