Bartosik Mikolaj, Kern David, Vogelsang Anne Sofie, Rother Loretta, Mayr Eckart, Culemann Ulf
Klinik für Unfallchirurgie, Allgemeines Krankenhaus Celle, Celle, Deutschland.
Klinik für Orthopädie, Allgemeines Krankenhaus Celle, Celle, Deutschland.
Unfallchirurgie (Heidelb). 2025 Aug 26. doi: 10.1007/s00113-025-01624-4.
Acetabular fractures with displaced fragments represent a complex intraoperative challenge. This case report describes the successful treatment of an acetabular fracture with native hip dislocation in a 56-year-old man following high-energy trauma. Open reduction and internal fixation using the Kocher-Langenbeck approach was initially unsuccessful due to a posterior wall fragment, necessitating a trochanteric flip osteotomy. The patient developed an avascular necrosis of the femoral head, which is a frequent complication of acetabular fractures associated with hip dislocation. This emphasizes the importance of regular control follow-up. Despite the high-energy mechanism of injury, the patient showed excellent results based on the Harris hip score (HHS).
伴有移位骨折块的髋臼骨折是术中的一项复杂挑战。本病例报告描述了一名56岁男性在遭受高能创伤后，成功治疗髋臼骨折合并髋关节脱位的情况。最初采用Kocher-Langenbeck入路进行切开复位内固定，但因后壁骨折块而未成功，因此需要进行转子翻转截骨术。患者出现了股骨头缺血性坏死，这是髋臼骨折合并髋关节脱位常见的并发症。这强调了定期随访的重要性。尽管损伤机制为高能损伤，但根据Harris髋关节评分（HHS），患者仍取得了优异的结果。
