Yu Xiang, Li Yu-Zhi, Lu Hai-Jian, Liu Bing-Li
Department of Orthopedics, Shanghai Seventh People's Hospital, Shanghai 200000, China.
World J Orthop. 2024 Oct 18;15(10):973-980. doi: 10.5312/wjo.v15.i10.973.
This article presents a rare case of a complex hip fracture involving the ipsilateral femoral neck, trochanter, and femoral head, that was accompanied by hip dislocation. Currently, there is no established standard treatment method for this specific type of fracture. Therefore, it is crucial to comprehensively consider factors such as patient age, fracture type, and degree of displacement to achieve a successful outcome.
A 38-year-old man sustained a comminuted fracture of his right hip as a result of a car accident. The injuries included a fracture of the femoral head, a fracture of the femoral neck, an intertrochanteric fracture of the femur, and a posterior dislocation of the hip on the same side. We opted for a treatment approach combining the use of a proximal femoral locking plate, cannulated screws, and Kirschner wires. Following the surgery, we developed an individualized rehabilitation program to restore patient limb function.
For this complex fracture, we selected appropriate internal fixation and formulated individualized rehabilitation, which ultimately achieved good results.
本文介绍了一例罕见的复杂髋部骨折病例，该骨折累及同侧股骨颈、转子和股骨头，并伴有髋关节脱位。目前，对于这种特定类型的骨折尚无既定的标准治疗方法。因此，全面考虑患者年龄、骨折类型和移位程度等因素对于取得成功的治疗结果至关重要。
一名38岁男性因车祸导致右髋部粉碎性骨折。损伤包括股骨头骨折、股骨颈骨折、股骨转子间骨折以及同侧髋关节后脱位。我们选择了使用股骨近端锁定钢板、空心螺钉和克氏针相结合的治疗方法。手术后，我们制定了个性化的康复计划以恢复患者肢体功能。
对于这种复杂骨折，我们选择了合适的内固定方法并制定了个性化康复方案，最终取得了良好效果。
