Neglected Two-Week-Old Unstable Fracture-Dislocation of the Hip in a 60 Years Old Managed with Hip Preservation Surgery

摘要

Hip joint fracture-dislocations are rare injuries and usually result from high energy trauma. Femoral head fractures account for only 7–16% of all hip fracture-dislocations. There is always a controversy regarding optimal surgical treatment modality and approach for the treatment of Pipkin type IV fractures. In a 60 years old individual, various reports favor primary hip arthroplasty as compared to open reduction and internal fixation (ORIF). The posterior approach is preferred because it provides adequate exposure of the acetabular fracture and an opportunity for simultaneous repair of the femoral head and acetabular fractures. Another benefit is that anterior vascular supply to the femoral head and abductor function can be preserved.