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A 4 year-old child with posterior hip dislocation and simultaneous subtrochanteric and anterior column fracture
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Alireza موسویان   , Mohamad Housein طراز جمشیدی , Hami اشرف , Jafar رضازاده , A. li بیرجندی نژاد |
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Abstract: (8397 Views) |
| Traumatic hip dislocation is an uncommon injury in
children and consists of less than 5% of their dislocations but it’s one of
the real orthopedic urgency. Its mechanism is low energy trauma in below 6
years old and high energy trauma above it. One of the common associated complications with hip
dislocation is posterior wall injuries but column fractures are very rare. We reported
an uncommon case of posterior hip dislocation with simultaneous subtrochanteric
fracture and anterior column fracture, in which close reduction was
impossible. Because of sever associated injuries surgery was done with
48 hours delay including open reduction of dislocation and fracture, and
internally fixation of the subtrochanteric fracture with 3.5mm locked plate. In 6 month follow up that was done in ICU, range
of motion and stability was good and :::union::: sign was visible on
radiography. After 15 months the patient general conditions was good and no
sign of avascular necrosis was seen |
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| Keywords: Hip dislocation, Hip fracture, Preschol child |
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Full-Text [PDF 577 kb]
(2053 Downloads)
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Type of Study: case report |
Subject:
General
Received: 2012/07/19 | Accepted: 2013/09/8 | Published: 2013/09/10
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