Surgical dislocation of the hip for a locked traumatic posterior dislocation with associated femoral neck and acetabular fractures

Keel, MJB; Bastian, Johannes D.; Büchler, L; Siebenrock, KA (2010). Surgical dislocation of the hip for a locked traumatic posterior dislocation with associated femoral neck and acetabular fractures. Journal of bone and joint surgery - British volume, 92(3), pp. 442-446. London: British Editorial Society of Bone and Joint Surgery 10.1302/0301-620X.92B3.23016

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Traumatic posterior dislocation of the hip associated with a fracture of the posterior acetabular wall and of the neck of the femur is a rare injury. A 29-year-old man presented at a level 1 trauma centre with a locked posterior dislocation of the right hip, with fractures of the femoral neck and the posterior wall of the acetabulum after a bicycle accident. An attempted closed reduction had failed. This case report describes in detail the surgical management and the clinical and radiological outcome. Open reduction and fixation with preservation of the intact retinaculum was undertaken within five hours of injury with surgical dislocation of the hip and a trochanteric osteotomy. Two years after operation the function of the injured hip was good. Plain radiographs and MR scans showed early signs of osteoarthritis with some loss of joint space but no evidence of avascular necrosis. The patient had begun skiing and hiking again. The combination of fractures of the neck of the femur and of the posterior wall of the acetabulum hampers closed reduction of a posterior dislocation of the hip. Surgical dislocation of the hip with trochanteric flip osteotomy allows controlled open reduction of the fractures, with inspection of the hip joint and preservation of the vascular supply.

Item Type:

Journal Article (Further Contribution)

Division/Institute:

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

UniBE Contributor:

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

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0301-620X

Publisher:

British Editorial Society of Bone and Joint Surgery

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 14:08

Last Modified:

29 Jul 2014 16:48

Publisher DOI:

10.1302/0301-620X.92B3.23016

PubMed ID:

20190319

Web of Science ID:

000275006000020

URI:

https://boris.unibe.ch/id/eprint/726 (FactScience: 200587)

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