Asymmetric Bilateral Hip Fracture-Dislocation: A Case Report and Literature Review

2020 ◽  
Author(s):  
Seyed Mohammad Javad Mortazavi ◽  
Hamed Mazzochy ◽  
Mohammad Ali Ghasemi ◽  
Furqan Mohammed Yaseen Khan
Keyword(s):  
Case Report ◽  
Hip Fracture ◽  
Femoral Head ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Hip Dislocation ◽  
Rare Condition ◽  
Initial Step ◽  
Fracture Dislocation ◽  
Femoral Head Fracture

Background: Asymmetric bilateral hip dislocation is a rare condition, especially when it is accompanied by a bilateral femoral head fracture. Case Report: A 28-year-old man who sustained a motor vehicle accident, was presented to the our center (Imam Khomeini Hospital Complex) with asymmetric bilateral hip fracture-dislocation. In the initial step, closed reduction was performed, followed by bilateral open reduction and fixation of the femoral head fragment by screws. The results were satisfactory after 5 years of follow-up. Conclusion: Although rare, paradoxical femoral head fracture should be considered in patients with hip dislocation. We recommend our therapeutic approach in a similar situation.

scholarly journals A case report of femoral head fracture with osteochondral lesion treated by osteosynthesis and biomimetic scaffold: 2-year clinical and radiological follow-up

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Alessandro Casiraghi ◽  
Claudio Galante ◽  
Marco Domenicucci ◽  
Stefano Cattaneo ◽  
Andrea Achille Spreafico ◽  
...  
Keyword(s):  
Case Report ◽  
Femoral Head ◽  
Articular Surface ◽  
Osteochondral Lesion ◽  
Hip Dislocation ◽  
Fracture Dislocation ◽  
Osteochondral Lesions ◽  
Femoral Head Fracture ◽  
Osteochondral Scaffold

AbstractThe aim of the present study was to present clinical and radiological outcome of a hip fracture-dislocation of the femoral head treated with biomimetic osteochondral scaffold.An 18-year-old male was admitted to the hospital after a motorcycle-accident. He presented with an obturator hip dislocation with a type IVA femoral head fracture according to Brumback classification system. The patient underwent surgery 5 days after accident. The largest osteochondral fragment was reduced and stabilized with 2 screws, and the small fragments were removed. The residual osteochondral area was replaced by a biomimetic nanostructured osteochondral scaffold. At 1-year follow-up the patient did not complain of hip pain and could walk without limp. At 2-year follow-up he was able to run with no pain and he returned to practice sports. Repeated radiographs and magnetic resonance imaging studies of the hip showed no signs of osteoarthritis or evidence of avascular necrosis. A hyaline-like signal on the surface of the scaffold was observed with restoration of the articular surface and progressive decrease of the subchondral edema.The results of the present study showed that the biomimetic nanostructured osteochondral scaffold could be a promising and safe option for the treatment of traumatic osteochondral lesions of the femoral head.Study Design: Case report.

scholarly journals Treatment of fracture dislocation of the femoral head using safe surgical hip dislocation: a case report.

2021 ◽  
Author(s):  
Paa BAIDOO ◽  
Kwasi Twumasi-Baah Jnr ◽  
Kwadwo Anning ◽  
Alex Assim ◽  
Emmanuel Ayodeji ◽  
...  
Keyword(s):  
Case Report ◽  
Femoral Head ◽  
Hip Dislocation ◽  
Fracture Dislocation ◽  
Type I ◽  
Femoral Head Fracture ◽  
Surgical Hip Dislocation ◽  
Posterior Hip Dislocation

We report the clinical and radiological outcomes of a 30-year-old female with femoral head fracture following a posterior hip dislocation. The patient was managed using safe surgical hip dislocation and reviewed the literature on Pipkin type I fractures.

scholarly journals Fractures of the femoral head: a narrative review

2021 ◽  
Vol 6 (11) ◽  
pp. 1122-1131
Author(s):  
Maximilian M. Menger ◽  
Benedikt J. Braun ◽  
Steven C. Herath ◽  
Markus A. Küper ◽  
Mika F. Rollmann ◽  
...  
Keyword(s):  
Femoral Head ◽  
Surgical Approach ◽  
Motor Vehicle ◽  
Hip Dislocation ◽  
High Energy ◽  
Femoral Head Fracture ◽  
Concomitant Injuries ◽  
Vehicle Accidents ◽  
Joint Congruity

Fractures of the femoral head are rare injuries, which typically occur after posterior hip dislocation. The Pipkin classification, developed in 1957, is the most commonly used classification scheme to date. The injury is mostly caused by high-energy trauma, such as motor vehicle accidents or falls from a significant height. Emergency treatment consists of urgent closed reduction of the hip joint, followed by non-operative or operative treatment of the femoral head fracture and any associated injuries. There is an ongoing controversy about the suitable surgical approach (anterior vs. posterior) for addressing fractures of the femoral head. Fracture location, degree of displacement, joint congruity and the presence of loose fragments, as well as concomitant injuries are crucial factors in choosing the adequate surgical approach. Long-term complications such as osteonecrosis of the femoral head, posttraumatic osteoarthritis and heterotopic ossification can lead to a relatively poor functional outcome. Cite this article: EFORT Open Rev 2021;6:1122-1131. DOI: 10.1302/2058-5241.6.210034

scholarly journals Partial vertebrectomy with vertebral shortening for thoraco-lumbar fracture-dislocation. Case report and technical note

2014 ◽  
Vol 21 (2) ◽  
pp. 187-191
Author(s):  
Bogdan Costachescu ◽  
Cezar E. Popescu ◽  
Bogdan Iliescu ◽  
Alexandru Chiriac ◽  
Ramona Filipescu ◽  
...  
Keyword(s):  
Case Report ◽  
Neurological Deficit ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Posterior Instrumentation ◽  
Technical Note ◽  
Fracture Dislocation ◽  
Vehicle Accident ◽  
Fracture Dislocations ◽  
Lumbar Fracture

Abstract Thoraco-lumbar fracture-dislocations represent one of the most instable lesions and are frequently associated with neurological deficit. We present a patient with a T11 - T12 fracture-dislocation with complete neurological deficit - ASIA - A, who underwent partial vertebrectomy, shortening of the spine and posterior instrumentation 21 days after a motor vehicle accident.

scholarly journals Femoral Head Fracture with Hip Dislocation Treated by Autologous Osteochondral Transfer (Mosaicplasty): A Case Report

2020 ◽  
Vol 33 (2) ◽  
pp. 96
Author(s):  
Eui-Sung Choi ◽  
Hyun-Chul Shon ◽  
Ho-Seung Jeong ◽  
Jae-Young Yang ◽  
Seok-Hyun Hong ◽  
...  
Keyword(s):  
Case Report ◽  
Femoral Head ◽  
Hip Dislocation ◽  
Femoral Head Fracture

Traumatic Femoral Head Fracture without Hip Dislocation - A Case Report -

Hip & Pelvis ◽  
2012 ◽  
Vol 24 (3) ◽  
pp. 256 ◽  
Author(s):  
Ji Wan Kim ◽  
Hyun-Wook Chung ◽  
Taek-Soo Jeon ◽  
Hyung-Nam Shim ◽  
Tae-Yeon Yoon ◽  
...  
Keyword(s):  
Case Report ◽  
Femoral Head ◽  
Hip Dislocation ◽  
Femoral Head Fracture
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