Ipsilateral femoral neck and intertrochanteric fractures with posterior dislocation of the hip: A report of two cases.

2020-01

Su, Chenxian

Liu, Yangbo

Wu, Peng

Yuan, Jiandong

Lang, Junzhe

Wu, Congcong

Zhang, Yiou

Chen, Li

Chen, Lei

fracture

hip

posterior dislocation of hip

proximal femoral locking compression plate

trauma

Journal Article

0000-0001-9944-5744

10.1177/2309499019900449

Traumatic hip dislocation usually occurs in young patients, with the increasing number of high-energy injuries, and 62-93% of reported adult traumatic hip dislocations were caused by high-speed motor vehicle crashes. However, ipsilateral femoral neck fractures and intertrochanteric fractures with posterior dislocation of the hip are extremely rare, and this injury poses a challenge to orthopaedic surgeons. Here, we report two cases of simultaneous ipsilateral femoral neck fracture, intertrochanteric fracture and posterior dislocation of the hip joint in young patients who were treated with proximal femoral locking compression plate (PFLCP). The long-term follow-up (one patient was followed up for 3 years and the other for 7 years) showed that these patients had excellent functional outcomes with near-normal ranges of hip movement. The authors believe that using smaller plates with the lateral PFLCP is an acceptable method to treat this injury in young patients.

link

Journal of Orthopaedic Surgery 2020; 28(1): 2309499019900449

Journal of Orthopaedic Surgery