Abstract
We report a case of a 27-year-old man who was involved in a high-speed car accident. He sustained multiple organ damage including multiple brain petechiae suggesting diffuse axonal damage, aortic dissection, retroperitoneal haematoma and a fracture-dislocation of the right hip with a femoral head fracture and an ipsilateral intertrochanteric fracture. Due to the general condition of the patient, physiological stabilisation was prioritized, and at 2 weeks the fracture-dislocation of the hip was treated with a proximal femoral nail for the intertrochanteric fracture and Herbert screws for the femoral head fracture. Postoperatively, two episodes of recurrent hip dislocation occurred, and this was stabilized eventually with a Steinman pin inserted across the hip joint and taken out 1 month later. Weight-bearing was allowed according to clinical and radiographical assessments. Heterotopic ossification developed around the hip joint, but without evidence of AVN or osteoarthritis. At 18-months follow-up, the fractures had healed and the patient had a Harris Hip score of 79.1. Anatomical reduction and stable fixation of fracture-dislocations of the hip are important for achieving an acceptable result.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 47-51 |
| Number of pages | 5 |
| Journal | Strategies in Trauma and Limb Reconstruction |
| Volume | 5 |
| Issue number | 1 |
| DOIs | |
| State | Published - Mar 2010 |
| Externally published | Yes |
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Keywords
- Femoral head fracture
- Heterotopic ossification
- Hip dislocation
- Prognosis
ASJC Scopus subject areas
- Orthopedics and Sports Medicine
Cite this
A polytrauma patient with an unusual posterior fracture-dislocation of the femoral head : A case report. / Rodriguez-Martin, Juan; Pretell, Juan Abelardo Augusto; Porras-Moreno, Miguel Angel; Hernanz-Gonzalez, Yolanda; Resines-Erasun, Carlos.
In: Strategies in Trauma and Limb Reconstruction, Vol. 5, No. 1, 03.2010, p. 47-51.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - A polytrauma patient with an unusual posterior fracture-dislocation of the femoral head
T2 - A case report
AU - Rodriguez-Martin, Juan
AU - Pretell, Juan Abelardo Augusto
AU - Porras-Moreno, Miguel Angel
AU - Hernanz-Gonzalez, Yolanda
AU - Resines-Erasun, Carlos
PY - 2010/3
Y1 - 2010/3
N2 - We report a case of a 27-year-old man who was involved in a high-speed car accident. He sustained multiple organ damage including multiple brain petechiae suggesting diffuse axonal damage, aortic dissection, retroperitoneal haematoma and a fracture-dislocation of the right hip with a femoral head fracture and an ipsilateral intertrochanteric fracture. Due to the general condition of the patient, physiological stabilisation was prioritized, and at 2 weeks the fracture-dislocation of the hip was treated with a proximal femoral nail for the intertrochanteric fracture and Herbert screws for the femoral head fracture. Postoperatively, two episodes of recurrent hip dislocation occurred, and this was stabilized eventually with a Steinman pin inserted across the hip joint and taken out 1 month later. Weight-bearing was allowed according to clinical and radiographical assessments. Heterotopic ossification developed around the hip joint, but without evidence of AVN or osteoarthritis. At 18-months follow-up, the fractures had healed and the patient had a Harris Hip score of 79.1. Anatomical reduction and stable fixation of fracture-dislocations of the hip are important for achieving an acceptable result.
AB - We report a case of a 27-year-old man who was involved in a high-speed car accident. He sustained multiple organ damage including multiple brain petechiae suggesting diffuse axonal damage, aortic dissection, retroperitoneal haematoma and a fracture-dislocation of the right hip with a femoral head fracture and an ipsilateral intertrochanteric fracture. Due to the general condition of the patient, physiological stabilisation was prioritized, and at 2 weeks the fracture-dislocation of the hip was treated with a proximal femoral nail for the intertrochanteric fracture and Herbert screws for the femoral head fracture. Postoperatively, two episodes of recurrent hip dislocation occurred, and this was stabilized eventually with a Steinman pin inserted across the hip joint and taken out 1 month later. Weight-bearing was allowed according to clinical and radiographical assessments. Heterotopic ossification developed around the hip joint, but without evidence of AVN or osteoarthritis. At 18-months follow-up, the fractures had healed and the patient had a Harris Hip score of 79.1. Anatomical reduction and stable fixation of fracture-dislocations of the hip are important for achieving an acceptable result.
KW - Femoral head fracture
KW - Heterotopic ossification
KW - Hip dislocation
KW - Prognosis
UR - http://www.scopus.com/inward/record.url?scp=77949542416&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=77949542416&partnerID=8YFLogxK
U2 - 10.1007/s11751-009-0078-8
DO - 10.1007/s11751-009-0078-8
M3 - Article
C2 - 20360877
AN - SCOPUS:77949542416
VL - 5
SP - 47
EP - 51
JO - Strategies in Trauma and Limb Reconstruction
JF - Strategies in Trauma and Limb Reconstruction
SN - 1828-8936
IS - 1
ER -