关键词: Ipsilateral close reduction posterior hip dislocation shaft femur fracture

来  源:   DOI:10.13107/jocr.2024.v14.i03.4274   PDF(Pubmed)

Abstract:
UNASSIGNED: The incidence of ipsilateral fracture of the shaft of the femur and dislocation of the hip are extremely rare injuries. However, the incidence of complex fractures is increasing day by day due to an increasing variety of traumatic mechanisms. This type of injury constitutes various diagnostic and treatment difficulties for the surgeon. Such injuries should be managed on an urgent basis for better functional outcomes.
UNASSIGNED: We hereby describe two such cases: First case hip was reduced using external fixator pins, stabilization of the shaft femur fracture was done with an external fixator and the second case hip was reduced with bone holding clamps and the shaft femur fracture was fixed with interlocking nail.
UNASSIGNED: Fixator-assisted closed reductions are the first line of treatment in the management of posterior dislocation hip complicated with ipsilateral femoral shaft fractures. If closed reduction fails, fracture site can be opened and direct forces can be applied to the proximal femur to aid hip reduction with minimum complications.
摘要:
股骨轴同侧骨折和髋关节脱位的发生率极为罕见。然而,由于各种创伤机制的增加,复杂骨折的发生率日益增加。这种类型的损伤构成了外科医生的各种诊断和治疗困难。应紧急管理此类伤害,以获得更好的功能结果。
我们在此描述两种情况:第一种情况下,使用外部固定销减少髋部,股骨干骨折的稳定是通过外固定器完成的,第二例髋骨用固定夹复位,股骨干骨折用交锁钉固定。
固定器辅助闭合复位是治疗髋关节后脱位并发同侧股骨干骨折的第一线治疗方法。如果闭合还原失败,可以打开骨折部位,并可以对股骨近端施加直接力,以帮助减少并发症。
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