Ipsilateral femoral neck, intertrochanteric and acetabular fractures with posterior dislocation of the hip: A case report and literature review

被引:0
作者
Liu, Dong [1 ]
Yu, Xiaojun [1 ]
Chen, Lin [1 ]
Wang, Zhiqiang [1 ,2 ]
机构
[1] Suining Cent Hosp, Orthoped Ctr 1, Dept Orthoped Trauma, Suining, Peoples R China
[2] Suining Cent Hosp, Orthoped Ctr 1, Dept Orthoped Trauma, Suining 629000, Peoples R China
关键词
acetabulum fracture; femoral neck fracture; intertrochanteric fracture of the femur; posterior dislocation of the hip; proximal femoral locking compression plate (PFLCP); UNUSUAL COMBINATION; SHAFT FRACTURES; FEMUR; HEAD; MANAGEMENT; INJURIES;
D O I
10.1097/MD.0000000000036275
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Introduction:Traumatic hip dislocation with ipsilateral femoral neck fracture, intertrochanteric fracture and acetabular fracture is a rare and serious injury that occurs mostly in young patients and after high-energy trauma. The treatment of these injuries is a major challenge for orthopedic surgeons; it can have devastating consequences if not treated properly, including avascular necrosis of the femoral head and traumatic osteoarthritis of the hip. In previous case reports only internal fixation of femoral neck fracture was performed without revascularisation and there was a lack of long-term follow-up results. In this report, we fixed the fracture revascularised the patient, and obtained good prognostic results at up to 20 months of follow-up.Case presentation:Here, we report an 18-year-old patient with systemic polytrauma resulting from a car accident. The trauma included ipsilateral posterior hip dislocation, acetabular fracture, femoral intertrochanteric fracture, and femoral neck fracture. In addition, the patient also had an ipsilateral open tibiofibula fracture. We chose the surgical treatment of a proximal femoral locking compression plate (PFLCP), femoral quadratus bone flap graft, and cannulated compression screw to treat the proximal femoral fracture. The patient was followed up for nearly 20 months; the range of motion of his hip was close to normal, and his hip function was good.Discussion and Conclusions:Traumatic hip dislocation with ipsilateral femoral neck fracture, intertrochanteric fracture and acetabular fracture is a rare and serious injury, and surgical intervention is often needed. Because of the high risk of femoral head necrosis in such complex injuries, it is very important to protect/restore the blood supply of the femoral head during surgery. Therefore, in younger patients, we believe that the use of a quadratus femoris bone flap graft and PFLCP is an acceptable treatment for this severe injury. We discuss the management of this rare case and review the current literature to provide the best evidence-based recommendations for this injury pattern. We conclude that for patients with complex ipsilateral proximal femoral and acetabular fractures combined with hip dislocation, the key to surgical treatment, in addition to anatomic reduction and good fixation, is the primary reconstruction of the femoral head blood supply.
引用
收藏
页数:7
相关论文
共 50 条
[41]   Successful treatment for bilateral femoral neck insufficiency fractures: a rare lesion case report and an updated review of the literature [J].
Xu-yi Tan ;
Ting Lei ;
Guan-bao Wu ;
Hai-en Luo ;
Gang Huang ;
Can-yu He ;
Min Lu ;
Peng-fei Lei .
BMC Musculoskeletal Disorders, 21
[42]   Femoral neck fracture after femoral head necrosis: a case report and review of the literature [J].
Wenjie Xia ;
Aiqi Zhang ;
Binsong Qiu ;
Yuan Chen ;
Mingxiang Kong .
BMC Musculoskeletal Disorders, 24
[43]   Successful treatment for bilateral femoral neck insufficiency fractures: a rare lesion case report and an updated review of the literature [J].
Tan, Xu-yi ;
Lei, Ting ;
Wu, Guan-bao ;
Luo, Hai-en ;
Huang, Gang ;
He, Can-yu ;
Lu, Min ;
Lei, Peng-fei .
BMC MUSCULOSKELETAL DISORDERS, 2020, 21 (01)
[44]   Femoral neck fracture after femoral head necrosis: a case report and review of the literature [J].
Xia, Wenjie ;
Zhang, Aiqi ;
Qiu, Binsong ;
Chen, Yuan ;
Kong, Mingxiang .
BMC MUSCULOSKELETAL DISORDERS, 2023, 24 (01)
[45]   Acute total hip replacement for acetabular fractures: A systematic review of the literature [J].
De Bellis, Umberto Giovanni ;
Legnani, Claudio ;
Calori, Giorgio Maria .
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 2014, 45 (02) :356-361
[46]   Sequelae of Septic Arthritis of Hip in a Child Presenting with Acetabular Defect and Hip Dislocation: A Rare Case Report and Literature Review on Successful Treatment with Steel Osteotomy [J].
Rana, Rajesh ;
Nayak, Ashutosh K. ;
Nayak, Manmatha ;
Patra, Abhilash .
CUREUS JOURNAL OF MEDICAL SCIENCE, 2023, 15 (07)
[47]   Pipkin type III femoral head fracture-dislocation combined with complicated acetabular fracture A rare case report and literature review [J].
Zhao, Bei ;
Li, Hao ;
Yan, Jun ;
Han, Li-Ren ;
Yang, Xiao-Fei .
MEDICINE, 2017, 96 (50)
[48]   Acetabular osteoid osteoma excision by controlled hip dislocation: a case report [J].
de los Santos, Oscar ;
Filomeno, Paola ;
Rey, Rogelio ;
Cuneo, Alejandro .
JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B, 2013, 22 (03) :195-199
[49]   Central fracture dislocation of the hip associated with fracture of femoral neck treated by femoral head autograft and total hip arthroplasty: A rare case report [J].
Dusak, Wayan Suryanto ;
Dharmayuda, Cokorda Gde Oka ;
Kawiyana, Ketut Siki ;
Afandi, Richard ;
Nugraha, Gede Ketut Alit Satria .
INTERNATIONAL JOURNAL OF SURGERY CASE REPORTS, 2021, 78 :90-95
[50]   Single versus separate implant fixation for concomitant ipsilateral femoral neck and shaft fractures: A systematic review [J].
Mohan, Kunal ;
Ellanti, Prasad ;
French, Helen ;
Hogan, Niall ;
McCarthy, Tom .
ORTHOPEDIC REVIEWS, 2019, 11 (02) :85-92