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同侧髋膝关节同时脱位:治疗与结果——一例报告

Simultaneous ipsilateral hip and knee dislocation: Management and outcome - A case report.

作者信息

Falgons Christian G, Warner Stephen J

机构信息

Investigation performed at McGovern Medical School at UTHealth Houston, United States of America.

出版信息

Trauma Case Rep. 2024 Jul 15;53:101079. doi: 10.1016/j.tcr.2024.101079. eCollection 2024 Oct.

Abstract

CASE

This clinical case report presents a 40-year-old male who sustained an ipsilateral hip and knee dislocation with ipsilateral femoral head fracture and incomplete femoral neck fracture following a motorcycle collision.

CONCLUSION

This report describes acute and later definitive orthopedic care and management, with focus on urgent interventions and timing of immediate treatments. Given the presented patient's favorable clinical outcomes, return to baseline activities, and absence of significant sequelae following injury, the considerations from the acute management and surgical planning of this patient's injuries can be used as a reference for treating the rare injury of ipsilateral knee and hip dislocations.

摘要

病例

本临床病例报告介绍了一名40岁男性,该患者在摩托车碰撞后发生同侧髋部和膝部脱位,并伴有同侧股骨头骨折和股骨颈不完全骨折。

结论

本报告描述了急性及后续的确定性骨科护理与管理,重点关注紧急干预措施及即时治疗的时机。鉴于该患者取得了良好的临床疗效,伤后恢复至基线活动水平且无明显后遗症,对该患者损伤的急性处理及手术规划的考量可作为治疗同侧膝部和髋部脱位这种罕见损伤的参考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1672/11321382/8581c9071928/gr1.jpg

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本文引用的文献

2
Triple Blow Injury to a Limb: Ipsilateral Hip and Knee Dislocation with Vascular Occlusion.
J Emerg Trauma Shock. 2020 Oct-Dec;13(4):309-311. doi: 10.4103/JETS.JETS_25_20. Epub 2020 Dec 7.
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Simultaneous Ipsilateral Dislocation of the Hip and the Knee: A Case Report.
JBJS Case Connect. 2017 Oct-Dec;7(4):e85. doi: 10.2106/JBJS.CC.17.00036.
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J Orthop Trauma. 2018 Feb;32(2):82-87. doi: 10.1097/BOT.0000000000001027.
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Ipsilateral Hip and Knee Dislocation with Open Tibial Fracture: A Case Report of a Limb Threatening Injury.
J Orthop Case Rep. 2016 Nov-Dec;6(5):47-50. doi: 10.13107/jocr.2250-0685.626.
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Ipsilateral hip and knee dislocation: Case report and review of literature.
J Clin Orthop Trauma. 2016 Apr-Jun;7(2):115-21. doi: 10.1016/j.jcot.2016.02.012. Epub 2016 Mar 8.
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Management of simultaneous ipsilateral dislocation of hip, knee, and ankle.
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