Open AccessPeringuinal luxation of the femoral head and neck
Author(s) -
Andreas Schicho,
C. Riepl
Publication year - 2016
Publication title -
journal of orthopaedics and allied sciences
Language(s) - English
Resource type - Journals
eISSN - 2347-436X
pISSN - 2319-2585
DOI - 10.4103/2319-2585.186183
Subject(s) - femoral head , medicine , internal fixation , femoral neck , femur , surgery , reduction (mathematics) , blood supply , scrotum , displacement (psychology) , anatomy , osteoporosis , psychology , endocrinology , geometry , mathematics , psychotherapist
In high-energy accidents, even exceptional multifragmentary fractures can be found in young and healthy individuals. We hereby report a case of a traumatic proximal femur fracture with dislocation of the femoral head and neck fragment to the scrotum. Although the blood supply to the fragment must have been destroyed during the displacement to the scrotum, there were no radiologic signs of femoral head necrosis. Initial open reduction and internal fixation failed within 7 weeks. The revision with a proximal femur nail was stable. A fast progressing osteoarthritis due to accompanying acetabular fracture urges for a total hip replacement