Sahu Nabin Kumar, Panda Ananta Narayan, Nayak Satya Prasanna, Swaroop Shakti, Mishra Sourav, Biradar Prasanna
Department of Orthopaedics, IMS and SUM Hospital, Kalinga Nagar, Bhubaneswar, Odisha, India.
J Orthop Case Rep. 2024 Aug;14(8):20-24. doi: 10.13107/jocr.2024.v14.i08.4632.
Floating hip with hip dislocation is a very high-energy, devastating, and rare injury whose treatment is very challenging, and the outcome is usually poor.
A 35-year-old man presented posterior wall fracture acetabulum and dislocation of the hip with ipsilateral distal third shaft femur fracture with intra-articular extension fracture and un-displaced patella fracture. We achieved a reduction of hip dislocation by a knee-spanning external fixator followed by open reduction and internal fixation with anatomical locking plate for distal third femur fracture with intra-articular extension followed by open reduction and internal fixation for posterior wall of acetabulum with recon plate in Kocher-Langenbeck approach in stages. The patient was able to partial weight bear after 12 weeks of the injury and mobilized independently without any support after 5 months.
Floating hip with hip dislocation is difficult to manage but reducing the hip dislocation with knee spanning external fixator and management in stages will reduce the complications and better outcome.
伴有髋关节脱位的漂浮髋是一种高能量、极具破坏性且罕见的损伤，其治疗极具挑战性，预后通常较差。
一名35岁男性出现髋臼后壁骨折、髋关节脱位，同侧股骨干远端三分之一骨折并累及关节内，髌骨无移位骨折。我们先用跨膝关节外固定器复位髋关节脱位，然后采用解剖锁定钢板对累及关节内的股骨干远端三分之一骨折进行切开复位内固定，接着通过Kocher-Langenbeck入路用重建钢板对髋臼后壁进行切开复位内固定，分阶段进行。患者受伤12周后能够部分负重，5个月后无需任何支撑即可独立活动。
伴有髋关节脱位的漂浮髋难以处理，但使用跨膝关节外固定器复位髋关节脱位并分阶段处理可减少并发症并取得更好的预后。
