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Article type: Case Report
Authors: Qi, Bao-Changa | Zhao, Yia | Wang, Cheng-Xuea | Wang, Tie-Juna | Zhang, Ji-Tinga | Ju, Wei-Nab; * | Sun, Da-Huia; *
Affiliations: [a] Division of Orthopedic Traumatology, The First Hospital of Jilin University, Changchun, Jilin, China | [b] Department of Neurology, The First Hospital of Jilin University, Changchun, Jilin, China
Correspondence: [*] Corresponding authors: Da-Hui Sun, Division of Orthopedic Traumatology, The First Hospital of Jilin University, No.71 Xinmin Street, Changchun 130021, Jilin, China. Tel.: +86 13843144350; E-mail: [email protected]. Wei-Na Ju, Department of Neurology, The First Hospital of Jilin University, No.71 Xinmin Street, Changchun 130021, Jilin, China. Tel.: +86 13756303856; E-mail: [email protected]
Abstract: Posterior hip dislocation with concomitant femoral fracture is very rare. Here, we report a rare case of a 43-year-old man who was injured in a car accident. The patient sustained right posterior hip dislocation with concomitant right acetabular transverse and posterior wall fracture, ipsilateral femoral shaft fracture, and contralateral proximal femoral fracture (AO type 31-A3). Closed reduction of the hip was attempted, but failed. The acetabular fracture and posterior hip dislocation were reduced and acetabular fracture was fixed using plates through the Kocher-Langenbeck approach. The ipsilateral femoral fracture was treated with closed reduction and intramedullary nailing. The contralateral femoral fracture was treated with closed reduction and Gamma 3 nailing. Postoperative X-rays revealed reduction of the fractures. The patient achieved bone union and recovered function of the hip 4 months after surgery.
Keywords: Hip dislocation, femoral fractures, acetabulum, multiple trauma
DOI: 10.3233/THC1111
Journal: Technology and Health Care, vol. 24, no. 2, pp. 281-286, 2016
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