Orthopedic and Traumatology Department, Paris Saint-Joseph Hospital, 185, Rue Raymond Losserand, 75014, Paris, France.
St. Joseph's Hospital and Medical Center, 500W. Thomas Road Suite 850, Phoenix, AZ, 85013, USA.
Eur J Orthop Surg Traumatol. 2024 Apr;34(3):1707-1710. doi: 10.1007/s00590-023-03812-7. Epub 2024 Jan 18.
Femoral head fractures are rare traumatic injuries that are usually associated with hip dislocations. Open reduction and internal fixation are performed when indicated, but can be associated with a higher risk of avascular necrosis. We report the case of a 24-year-old patient with a Pipkin type II fracture dislocation of the femoral head fixed via a minimally invasive three-dimensional navigated internal fixation technique. This technique minimizes deep soft tissue dissection to the hip capsule and associated vascularity and allows for accurate implant positioning.Level of evidence: Therapeutic case report Level IV.
股骨头骨折是一种罕见的外伤性损伤，通常与髋关节脱位有关。有指征时行切开复位内固定，但可伴发更高的股骨头坏死风险。我们报告了一例 24 岁患者，采用微创三维导航内固定技术治疗股骨头 Pipkin Ⅱ型骨折脱位。该技术最大限度地减少髋关节囊和相关血管的深部软组织解剖，并可实现准确的植入物定位。证据等级：治疗性病例报告 IV 级。
