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罕见的髋关节前脱位、大转子骨折和髋臼前壁骨折三联征:2例报告

Rare Triad of Anterior Hip Dislocation, Greater Trochanter Fracture, and Anterior Acetabulum Fracture: A Report of 2 Cases.

作者信息

Ayoub Mark, Dorfman Edward, Burgess Matthew, Martirosian Armen

机构信息

UCSF-Fresno, Fresno, California.

出版信息

JBJS Case Connect. 2025 May 16;15(2). doi: e25.00063. eCollection 2025 Apr 1.

DOI:10.2106/JBJS.CC.25.00063
PMID:40378256
Abstract

CASE

This report presents 2 extremely rare cases of anterior hip dislocations with associated greater trochanter and acetabular fractures. Both were treated with prompt reduction of the dislocation and open reduction and internal fixation (ORIF) of the greater trochanter fracture. The second patient also underwent ORIF of the acetabulum fracture. Harris Hip Score was 72 at 2.5 years and 95 at 15 years, respectively.

CONCLUSION

We recommend prompt reduction of the hip dislocation, open reduction and internal fixation of the greater trochanter and acetabular fractures, and addressing any associated articular impaction to optimize functionality and outcomes.

摘要

病例

本报告介绍了2例极其罕见的前髋关节脱位合并大转子及髋臼骨折的病例。两例均通过及时复位脱位以及对大转子骨折进行切开复位内固定(ORIF)进行治疗。第二例患者还接受了髋臼骨折的切开复位内固定术。Harris髋关节评分在2.5年时为72分,在15年时为95分。

结论

我们建议及时复位髋关节脱位,对大转子和髋臼骨折进行切开复位内固定,并处理任何相关的关节撞击,以优化功能和治疗效果。

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