A polytrauma patient with an unusual posterior fracture-dislocation of the femoral head: A case report

Juan Rodriguez-Martin, Juan Abelardo Augusto Pretell, Miguel Angel Porras-Moreno, Yolanda Hernanz-Gonzalez, Carlos Resines-Erasun

Research output: Contribution to journalArticle

3 Citations (Scopus)

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 languageEnglish (US)
Pages (from-to)47-51
Number of pages5
JournalStrategies in Trauma and Limb Reconstruction
Volume5
Issue number1
DOIs
StatePublished - Mar 2010
Externally publishedYes

Fingerprint

Multiple Trauma
Thigh
Hip
Femoral Fractures
Hip Joint
Hip Fractures
Heterotopic Ossification
Hip Dislocation
Purpura
Weight-Bearing
Nails
Osteoarthritis
Hematoma
Accidents
Dissection
Fracture Dislocation
Brain

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 journalArticle

Rodriguez-Martin, Juan ; Pretell, Juan Abelardo Augusto ; Porras-Moreno, Miguel Angel ; Hernanz-Gonzalez, Yolanda ; Resines-Erasun, Carlos. / A polytrauma patient with an unusual posterior fracture-dislocation of the femoral head : A case report. In: Strategies in Trauma and Limb Reconstruction. 2010 ; Vol. 5, No. 1. pp. 47-51.
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