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Femoral Head Fracture with Hip Dislocation Treated by Autologous Osteochondral Transfer (Mosaicplasty): A Case Report

대한골절학회지 2020년 33권 2호 p.96 ~ 100
최의성, 손현철, 손현철, 정호승, 양재영, 홍석현, 안병현,
소속 상세정보
최의성 ( Choi Eui-Sung ) - Chungbuk National University College of Medicine Department of Orthopaedic Surgery
손현철 ( Shon Hyun-Chul ) - Chungbuk National University College of Medicine Department of Orthopaedic Surgery
손현철 ( Shon Hyun-Chul ) - Chungbuk National University College of Medicine Department of Orthopaedic Surgery
정호승 ( Jeong Ho-Seung ) - Chungbuk National University College of Medicine Department of Orthopaedic Surgery
양재영 ( Yang Jae-Young ) - Chungbuk National University College of Medicine Department of Orthopaedic Surgery
홍석현 ( Hong Seok-Hyun ) - Chungbuk National University College of Medicine Department of Orthopaedic Surgery
안병현 ( Ahn Byung-Hyun ) - Chungbuk National University College of Medicine Department of Orthopaedic Surgery

Abstract


Femoral head fractures combined with hip dislocation are very rare injuries. In most cases, they result from high-energy trauma to the hip or lower extremity during traffic accidents. Various therapy options have been suggested to treat these injuries. Especially, different joint-preserving surgical options have been described for the treatment of traumatic osteochondral injury of the femoral head in young, active patients. In this report, we present a case that a traumatic osteochondral lesion to the femoral head after hip dislocation was treated with osteochondral autografts (OATS) from the non-weight-bearing area of the ipsilateral inferior femoral head through a surgical hip dislocation. After 1 year, the clinical and radiological outcome was satisfactory with no evidence of posttraumatic osteoarthritis and no pain of patients.

키워드

Femoral head fracture; OATS; Fracture-dislocation

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