Open AccessSurgical treatment of iatrogenic femoral neck fracture during closed reduction for posterior fracture dislocation of the hip: A technical note
Author(s) -
Chun-Liang Hsu,
Jung-Jui Chang,
Sin-Jhang Wang,
Chun-Chi Hung,
Leou-Chyr Lin,
Ru-Yu Pan,
Chia-Chun Wu
Publication year - 2014
Publication title -
yīxué yánjiū zázhì/journal of medical sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.176
H-Index - 12
eISSN - 2542-4939
pISSN - 1011-4564
DOI - 10.4103/1011-4564.131908
Subject(s) - medicine , femoral head , avascular necrosis , surgery , reduction (mathematics) , femoral neck , fixation (population genetics) , internal fixation , osteoporosis , population , geometry , mathematics , environmental health , endocrinology
Fracture-dislocation of the hip is a rare event that usually results from high-energy injury. These patients require a systemic trauma survey to uncover concomitant injuries. Early closed reduction within 6 h is recommended to decrease the incidence of avascular necrosis of the femoral head. Iatrogenic complete femoral neck fracture during closed reduction for posterior dislocation of the femoral head is a rare complication. A modified technique, the Kocher-Langenbeck approach, for open reduction of the femoral neck fracture using antegrade guide pins and retrograde cannulated screws fixation can resolute this situation in one stage. This method provides an anatomic reduction and stable fixation for this kind of injury