Surgical hip dislocation for osteochondral transplantation as a salvage procedure for a femoral head impaction fracture

Bastian, Johannes D.; Büchler, L; Meyer, DC; Siebenrock, KA; Keel, MJ (2010). Surgical hip dislocation for osteochondral transplantation as a salvage procedure for a femoral head impaction fracture. Journal of orthopaedic trauma, 24(12), e113-8. Hagerstown, Md.: Lippincott Williams & Wilkins 10.1097/BOT.0b013e3181dfbb52

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Obturator anterior hip dislocation is very rare. Poor results are described in patients with additional large transchondral fractures and treatment of these injuries remains challenging. Appropriate treatment recommendations are missing in the literature. This case report introduces surgical hip dislocation for osteochondral autograft transplantation with graft harvest from the nonweightbearing area of the head-neck junction as a salvage procedure in a large femoral head defect. We report the treatment and outcome of a 48-year-old man who sustained an anterior dislocation of the left hip after a motorcycle accident. After initial closed reduction in the emergency room, imaging analysis revealed a large osteochondral defect of the femoral head within the weightbearing area (10 × 20 mm, depth: 5 mm). The hip was exposed with a surgical hip dislocation using a trochanteric osteotomy. An osteochondral autograft was harvested from a nonweightbearing area of the femoral head and transferred into the defect. The patient was prospectively examined clinically and radiologically. Two years postoperatively, the patient was free of pain and complaints. The function of the injured hip was comparable to that of the contralateral, healthy hip and showed satisfying radiologic results. Surgical hip dislocation with a trochanteric flip osteotomy is a simple, one-step technique that allows full inspection of the hip to treat osteochondral femoral defects by osteochondral transplantation. The presented technique, used as a salvage procedure in a large femoral head defect, yielded good clinical and satisfying radiologic outcomes at the midterm.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Orthopaedic Surgery

UniBE Contributor:

Bastian, Johannes Dominik; Büchler, Lorenz; Siebenrock, Klaus-Arno and Keel, Marius

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0890-5339

Publisher:

Lippincott Williams & Wilkins

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 14:08

Last Modified:

29 Jul 2014 16:50

Publisher DOI:

10.1097/BOT.0b013e3181dfbb52

PubMed ID:

21076245

Web of Science ID:

000284151800001

URI:

https://boris.unibe.ch/id/eprint/718 (FactScience: 200579)

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