Acta Ortopédica Mexicana

Paredes-Vázquez R, Avitia-Enríquez DE, Castellanos-Alfaro A, Chavajay-Cox CG
Iatrogenic femoral head fracture during a closed reduction of posterior dislocation of hip. Case report
Acta Ortop Mex 2018; 32 (4)

Language: Español
References: 19
Page: 234-239
PDF: 509.74 Kb.

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The fracture dislocation of the hip is a rare lesion described up to 4 to 17% of the cases and usually secondary to automobile accidents. Generally of poor prognosis and with already well documented complications such as avascular necrosis of the femoral head, osteoarthritis and heterotopic ossification. The iatrogenic fracture of the neck or head of the proximal femur is a complication even more rare and is not documented its incidence in the world literature. Having as probable causes the irreducibility of a dislocation of hip, more than one attempt of closed reduction, inadequate technique and some problems with the anesthesia and relaxation of the patient. We present the case of a young patient attended in the first eight hours after his accident with an iatrogenic fracture of the femoral head with follow up to 18 months and emphasizing the importance of making an anatomic open reduction and stable fixation in order to get favorable results.

Key words: Hip dislocation, closed reduction, femoral head fracture, posterior.