VOLUME 5 , ISSUE 1 ( April, 2010 ) > List of Articles
Juan Rodriguez-Martin, Juan Pretell-Mazzini, Miguel Angel Porras-Moreno, Yolanda Hernanz-Gonzalez, Carlos Resines-Erasun
Keywords : Hip dislocation, Femoral head fracture, Heterotopic ossification, Prognosis
Citation Information : Rodriguez-Martin J, Pretell-Mazzini J, Porras-Moreno MA, Hernanz-Gonzalez Y, Resines-Erasun C. A polytrauma patient with an unusual posterior fracture-dislocation of the femoral head: a case report. 2010; 5 (1):47-51.
DOI: 10.1007/s11751-009-0078-8
License: CC BY-NC-SA 4.0
Published Online: 01-06-2019
Copyright Statement: Copyright © 2010; The Author(s).
We report a case of a 27-year-old man who was involved in a high-speed car accident. He sustained multiple organ damage including multiple brain petechiae suggesting diffuse axonal damage, aortic dissection, retroperitoneal haematoma and a fracture-dislocation of the right hip with a femoral head fracture and an ipsilateral intertrochanteric fracture. Due to the general condition of the patient, physiological stabilisation was prioritized, and at 2 weeks the fracture-dislocation of the hip was treated with a proximal femoral nail for the intertrochanteric fracture and Herbert screws for the femoral head fracture. Postoperatively, two episodes of recurrent hip dislocation occurred, and this was stabilized eventually with a Steinman pin inserted across the hip joint and taken out 1 month later. Weight-bearing was allowed according to clinical and radiographical assessments. Heterotopic ossification developed around the hip joint, but without evidence of AVN or osteoarthritis. At 18-months follow-up, the fractures had healed and the patient had a Harris Hip score of 79.1. Anatomical reduction and stable fixation of fracture-dislocations of the hip are important for achieving an acceptable result.
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