30-176
Fractura luxación posterior de cadera asociada a fractura parcelar de la cabeza femoral
Posterior dislocation of the hip associated to femoral head marginal fracture. Case report
R. FERNÁNDEZ GABARDA , E. FERNÁNDEZ GARCÍA, F. GOMAR SANCHO y T. JOLÍN SÁNCHEZ Servicio de Ortopedia y Traumatología. Hospital Clínico Universitario. Departamento de Cirugía. Facultad de Medicina. Universidad de Valencia. Valencia.
Recepción:
06/11/2008
Aceptación:
06/11/2008
Publicación:
06/11/2008
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Resumen (ES)
The posterior traumatic dislocation of the hip associated to femoral head fracture
is an unfrequent lesion. The present report describe a 33-year-old man who sustained a
traffic accident with posterior dislocation of the hip associated to a marginal fracture of the femoral
head located cranealy to the fovea centralis (tipe two of Pipkin's clasification). Open reduction
and inmovilization was performed. At 2-year follow-up the patient is walking with slight
limp and no pain. At this time, radiographic evaluation showed no signs of cephalic necrosis. In
this tipe of traumatic lesions, when closed reduction is unsuccesfull, open reduction can be an
adequate alternative treatment to reduce the cephalic fragment without any osteosinthesis.
is an unfrequent lesion. The present report describe a 33-year-old man who sustained a
traffic accident with posterior dislocation of the hip associated to a marginal fracture of the femoral
head located cranealy to the fovea centralis (tipe two of Pipkin's clasification). Open reduction
and inmovilization was performed. At 2-year follow-up the patient is walking with slight
limp and no pain. At this time, radiographic evaluation showed no signs of cephalic necrosis. In
this tipe of traumatic lesions, when closed reduction is unsuccesfull, open reduction can be an
adequate alternative treatment to reduce the cephalic fragment without any osteosinthesis.
Palabras clave (ES):
Fractura
Posterior
Cadera
Asociada
Luxación
Parcelar
Cabeza
Femoral
Capital
Fractura
Resumen (EN)
The posterior traumatic dislocation of the hip associated to femoral head fracture
is an unfrequent lesion. The present report describe a 33-year-old man who sustained a
traffic accident with posterior dislocation of the hip associated to a marginal fracture of the femoral
head located cranealy to the fovea centralis (tipe two of Pipkin's clasification). Open reduction
and inmovilization was performed. At 2-year follow-up the patient is walking with slight
limp and no pain. At this time, radiographic evaluation showed no signs of cephalic necrosis. In
this tipe of traumatic lesions, when closed reduction is unsuccesfull, open reduction can be an
adequate alternative treatment to reduce the cephalic fragment without any osteosinthesis.
is an unfrequent lesion. The present report describe a 33-year-old man who sustained a
traffic accident with posterior dislocation of the hip associated to a marginal fracture of the femoral
head located cranealy to the fovea centralis (tipe two of Pipkin's clasification). Open reduction
and inmovilization was performed. At 2-year follow-up the patient is walking with slight
limp and no pain. At this time, radiographic evaluation showed no signs of cephalic necrosis. In
this tipe of traumatic lesions, when closed reduction is unsuccesfull, open reduction can be an
adequate alternative treatment to reduce the cephalic fragment without any osteosinthesis.
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