髋关节枪伤后髋关节置换的两步序贯管理：一例报告。

Zandi Reza, Talebi Shahin, Ehsani Akbar, Nodehi Saeed

Department of Orthopedic Surgery, Taleghani Hospital Research Development Committee, School of Medicine Shahid Beheshti University of Medical Sciences Tehran Iran.

Shaheed Beheshti University of Medical Science Tehran Iran.

Clin Case Rep. 2023 Jun 17;11(6):e7569. doi: 10.1002/ccr3.7569. eCollection 2023 Jun.

Combined fractures of the femoral head and acetabulum due to hip gunshot injuries (GSI) are rare, and there is no preferred treatment option. We present a 35-year-old male patient who sustained a right hip GSI. Delayed THA with a two-step sequential approach is a feasible management in this situation to manage soft tissue and decrease infection rate. At a 1-year follow-up visit, the pain was relieved, and the function improved significantly, and he had no complaints.

因髋部枪伤（GSI）导致的股骨头和髋臼联合骨折较为罕见，且尚无首选治疗方案。我们报告一名35岁男性患者，其遭受了右髋部枪伤。在这种情况下，采用两步序贯方法进行延迟全髋关节置换术（THA）是一种可行的治疗方式，可处理软组织并降低感染率。在1年的随访中，疼痛缓解，功能显著改善，患者无任何不适主诉。