Avascular necrosis of the femoral head in the patients with posterior wall acetabular fractures associated with dislocations of the hip

Milenković, Saša; Mitković, Milorad; Saveski, Jordan; Micić, Ivan; Stojiljković, Predrag; Stanojkovic, M.; Mitković, Milan; Stamenić, Sonja; Spalević, Marija

doi:10.2298/aci1302065m

Cited by 10 publications

(7 citation statements)

References 10 publications

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“…Any patient experiencing hip dislocation should be reduced urgently in the first 24 h to reduce the risk of avascular necrosis of the femoral head. 25 The decision of which surgical approach to perform is directly related to the type of fracture. 26,27 For transverse fractures, posterior column and posterior wall, a Kocher-Langenbeck approach is recommended, and in the case of anterior wall fracture and/or anterior column fractures, an ilioinguinal approach is preferred.…”

Section: Discussionmentioning

confidence: 99%

Early reduction of acetabular fractures decreases the risk of post-traumatic hip osteoarthritis?

Cahueque

Martinez

Cobar

et al. 2017

Journal of Clinical Orthopaedics and Trauma

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Section: Discussionmentioning

confidence: 99%

Early reduction of acetabular fractures decreases the risk of post-traumatic hip osteoarthritis?

Cahueque

Martinez

Cobar

et al. 2017

Journal of Clinical Orthopaedics and Trauma

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“…According to one of our studies, the incidence of the femoral head osteonecrosis after acetabular fracture-dislocations in which the hip was reducted within 24 h of injury was 5.55%, while in hip reducted in a time interval after 24 h of injury, osteonecrosis was 27.77% [41].…”

Section: Femoral Head Osteonecrosismentioning

confidence: 78%

Fractures of the acetabulum - surgical treatment and complications

2020

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Acetabular fractures represent severe injuries that mostly occur in car accidents, or after falling from greater heights, most often in the working male population. Acetabular fractures are present in our clinical practice and require a good education and surgical training. Surgical experience is one of the prerequisites for achieving good treatment results, because these fractures are accompanied by numerous complications. In order to acquire knowledge and skills in this field of surgery, it is necessary to have a national center for education at one of the Medical Faculties in Serbia. All dislocated acetabular fractures (? 2mm), require early surgery, anatomical reduction and stable internal fixation of acetabular fracture. Acetabular fracture-dislocation requires urgent reduction of the dislocated femoral head. The anatomic reduction of the fracture is related to the time of definitive bone fixation of the fracture. After 14 days from the fracture, anatomic reduction is more difficult to achieve. In addition to these factors that positively affect the final results of treatment, there are negative factors as well, that result in poor outcomes. They are directly correlated to the initial trauma that occurs at the time of injury. Fracture comminution, large dislocation (> 20mm), injury of the femoral head, posterior dislocation of the hip, impaction, traumatic or iatrogenic sciatic nerve palsy, are factors that negatively affect the results and are responsible for complications, as opposed to positive factors.

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“…However, our case presented with a more complex fracture of the femoral neck which was different from the other two cases. The complexity of our injury was severe and such injuries have shown to be associated with a high chance of avascular necrosis (AVN) of the femoral head [ 10 ]. In our case, the AVN was addressed at the later stage with a total hip replacement.…”

Section: Discussionmentioning

confidence: 99%

Ipsilateral Acetabular Fracture with Displaced Femoral Head and Femoral Shaft Fracture: A Complex Floating Hip Injury

Rajasekaran

Jayaramaraju

Palanisami

et al. 2018

Case Reports in Orthopedics

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Floating hip injuries involving the acetabulum, femoral head, and the femoral shaft are a very rare presentation. A complex floating hip injury comprising of an ipsilateral acetabular fracture associated with a displaced femoral head fracture and a femoral shaft fracture following a high-velocity road traffic accident presented to us where all the fractures were addressed with internal fixation during the primary surgery. Postoperatively, the patient suffered a dislocation of the femoral head which eventually went on to avascular necrosis at 5 months from the initial presentation. Then, the patient underwent a total hip replacement with an acetabular reconstruction following which he went on to have a good functional outcome. Our experience in dealing with such a complex case shows that it is difficult to set a protocol for such injuries and they need to be addressed on a case-to-case basis depending on the complexity of the injury.

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Avascular necrosis of the femoral head in the patients with posterior wall acetabular fractures associated with dislocations of the hip

Cited by 10 publications

References 10 publications

Early reduction of acetabular fractures decreases the risk of post-traumatic hip osteoarthritis?

Early reduction of acetabular fractures decreases the risk of post-traumatic hip osteoarthritis?

Fractures of the acetabulum - surgical treatment and complications

Ipsilateral Acetabular Fracture with Displaced Femoral Head and Femoral Shaft Fracture: A Complex Floating Hip Injury

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