Klasen H J, Binnendijk B
J Bone Joint Surg Br. 1984 Jan;66(1):45-8. doi: 10.1302/0301-620X.66B1.6693476.
Two patients are described, each with a fracture-dislocation of the hip combined with a fracture of the neck of the same femur. Open reduction combined with internal fixation was performed in both cases. Eight years later one patient had developed avascular necrosis of the femoral head; no signs of avascular necrosis or associated arthritis have appeared in the other patient after four years. A plea is made for considering this more conservative type of operation for these serious injuries before resorting to total hip replacement.
本文描述了两名患者，均为髋关节骨折脱位合并同侧股骨颈骨折。两例均行切开复位内固定术。8年后，其中1例患者发生股骨头缺血性坏死；4年后，另一例患者未出现缺血性坏死或相关关节炎的迹象。本文呼吁在考虑行全髋关节置换术之前，对于这些严重损伤应考虑采用这种更为保守的手术方式。
