Vertically Unstable Fracture of the Pelvis Combined with Anterior Dislocation of the Hip Joint: A Case Report

Kap Jung Kim; Ha Yong Kim; Dae Suk Yang; Won Sik Choy

doi:10.12671/jkfs.2007.20.3.272

Journal List > J Korean Fract Soc > v.20(3) > 1037597

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Kim, Kim, Yang, and Choy: Vertically Unstable Fracture of the Pelvis Combined with Anterior Dislocation of the Hip Joint: A Case Report

Case Report

Journal of the Korean Fracture Society 2007; 20(3): 272-276.

Published online: 14 June 2016

DOI: https://doi.org/10.12671/jkfs.2007.20.3.272

Vertically Unstable Fracture of the Pelvis Combined with Anterior Dislocation of the Hip Joint: A Case Report

Kap Jung Kim, M.D., Ha Yong Kim, M.D., Dae Suk Yang, M.D., Won Sik Choy, M.D.

Department of Orthopaedic Surgery, School of Medicine, Eulji University, Daejeon, Korea.

Address reprint requests to: Kap Jung Kim, M.D. Department of Orthopaedic Surgery, Eulji University Hospital, 1306, Dunsan-dong, Seo-gu, Daejeon 302-799, Korea. Tel: 82-42-611-3279, Fax:82-42-259-1289, oskkj@eulji.ac.kr

Abstract

Pelvic fractures result from high energy trauma and often associated with concomitant injuries. But, vertically unstable pelvic fractures combined with anterior dislocation of the hip is far less common. The traumatic dislocation of the hip is a true orthopedic emergency and it should be considered that a femoral head can be exposed to deteriorized vascularity. We report a case of vertically unstable pelvic fractures combined with traumatic anterior dislocation of the hip joint with the review of the literature.

Keywords: Pelvic bone, Hip joint, Anterior dislocation, Vertical compression

Figures and Tables

Fig. 1

Initial pelvis AP (A) and inlet view (B) show anteroinferior dislocation of left femoral head, right pubic fracture and sacral fracture.

Fig. 2

Pelvis CT shows sacral fracture (Type I) (A), anteroinferior dislocation of left femoral head and right pubic fractures (B,C).

Fig. 3

Post reduction pelvis AP radiograph and pelvis CT show concentric reduction of left femoral head (A, B). Concentric reduction was maintained by skeletal traction (A).

Fig. 4

The first postoperative radiograph shows open reduction and internal fixation of the anterior ring of the pelvis by modified Stoppa approach.

Fig. 5

The second postoperative radiograph shows percutaneous iliosacral screw fixation under the CT guided for sacral fracture.

Fig. 6

Complete union of pelvic fractures (A)and no visible evidence of avascular necrosis of left femoral head (B) at the time of final follow-up, postoperative 2 years.

References

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