Rafai M, Ouarab M, Largab A, Guerch A, Rahmi M, Trafeh M
Service de Traumatologie-Orthopédie (P32) CHU Ibn Rochd Casablanca-Maroc.
Rev Chir Orthop Reparatrice Appar Mot. 1995;81(2):178-81.
Anterior open traumatic dislocation of the hip in children is rare.
We report the case of a child aged 9 years, who presented following a motor vehicle accident an anterior open dislocation of the left hip associated with a fracture separation of the trochanter, a fracture of the homolateral humerus and a fracture of the contralateral femur. He was treated by open reduction of the dislocation and pinning of the various fractures.
After 15 months functional result of the hip was good. The radiograms showed early signs of necrosis of the femoral head.
The treatment consisted of emergency reduction of the dislocation. Despite this treatment, a review of the literature showed that necrosis of the femoral head is still frequent.
Anterior open dislocation of the hip is a severe disease in the child and its prognosis becomes severe with the opening and the association with a fracture.
儿童髋关节前开放性创伤性脱位较为罕见。
我们报告一例9岁儿童的病例，该儿童在机动车事故后出现左髋关节前开放性脱位，伴有转子骨折分离、同侧肱骨骨折和对侧股骨骨折。对其进行了脱位切开复位及各种骨折的内固定治疗。
15个月后，髋关节功能恢复良好。X线片显示股骨头有早期坏死迹象。
治疗包括紧急脱位复位。尽管进行了这种治疗，但文献回顾显示股骨头坏死仍然很常见。
儿童髋关节前开放性脱位是一种严重疾病，随着开放性损伤及合并骨折，其预后会变差。
