Osteonecrosis of the Femoral Head in the Setting of a Complex Acetabulum Fracture without Hip Dislocation Treated Surgically Using Ilio-inguinal Approach: A Case Report

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.

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Revascularization of the necrotic femoral head after traumatic open anterior hip dislocation in a child: a case report

Journal of Medical Case Reports ◽

10.1186/s13256-019-2192-7 ◽

2019 ◽

Vol 13 (1) ◽

Author(s):

Kenta Momii ◽

Satoshi Hamai ◽

Goro Motomura ◽

Kensuke Kubota ◽

Masato Kiyohara ◽

...

Keyword(s):

Case Report ◽

Femoral Head ◽

Hip Dislocation ◽

Anterior Hip Dislocation

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Delayed diagnosis of traumatic posterior hip dislocation in a 6-year-old girl with 6 years follow up: a case report

International Surgery Journal ◽

10.18203/2349-2902.isj20174526 ◽

2017 ◽

Vol 4 (10) ◽

pp. 3511

Author(s):

Paa Kwesi Baidoo ◽

Boniface Adegah

Keyword(s):

Case Report ◽

Femoral Head ◽

Avascular Necrosis ◽

Delayed Diagnosis ◽

Hip Dislocation ◽

Traumatic Hip Dislocation ◽

Left Posterior ◽

Posterior Hip Dislocation

Though uncommon, cases of traumatic hip dislocation have been reported in children worldwide. Averagely, it is recommended that the acceptable duration for reduction after such dislocations is about 6 hours. Even with that there is about 5% documented chance of developing avascular necrosis of the head of the femur. The incidence of avascular necrosis increases with delayed relocation of the femoral head. We report a case involving a 6-year-old girl with a 2-week delayed diagnosis of a left posterior hip dislocation that was reduced and followed up for 6 years.

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Internal Fixation for Fracture of Femoral Head Associated A-Posterior Hip Dislocation: A Case Report

OALib ◽

10.4236/oalib.1102846 ◽

2016 ◽

Vol 03 (07) ◽

pp. 1-4

Author(s):

Rachid Ait Mouha ◽

Ricardo Rosa Dasilva ◽

Mwyniane Narcisse Dabire ◽

Eric Bacheville ◽

Jean Hani Tawil

Keyword(s):

Case Report ◽

Femoral Head ◽

Internal Fixation ◽

Hip Dislocation ◽

Posterior Hip Dislocation

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

10.22541/au.161065666.67122667/v1 ◽

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.

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Anterior Hip Dislocation in a Football Player: A Case Report

Case Reports in Medicine ◽

10.1155/2009/363461 ◽

2009 ◽

Vol 2009 ◽

pp. 1-3 ◽

Cited By ~ 5

Author(s):

Alexander Schuh ◽

Sylvia Doleschal ◽

Thomas Schmickal

Keyword(s):

Case Report ◽

Femoral Head ◽

Closed Reduction ◽

Hip Dislocation ◽

Football Player ◽

Medial Aspect ◽

Anterior Hip Dislocation ◽

Sporting Activities ◽

The Right

Hip dislocations during sporting activities represent only 2%–5% of all hip dislocations. Most hip dislocations in sports can be categorised as “less complicated traumatic hip dislocations” by the Stewart-Milford classification due to the fact that minimal force is involved. The incidence of avascular necrosis of the femoral head greatly increases if the time to reduction is more than six hours. We report the case of a 38-year-old football player who suffered hip dislocation while kicking the ball with the medial aspect of the right foot in an external rotated manner of the right hip. Closed reduction was performed within 2 hours; postoperative follow-up was uneventful. Six months later the patient is out of any complaints; there is no sign of AVN of the femoral head.

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