雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

検索

書誌情報 詳細検索 by 医中誌

Japanese

Subtrochanteric Fracture with a Congenitally/Developmentally Dislocated Hip. Case Report Kazuhiro Imai 1 1Department of Orthopaedic Surgery, Yokohama Sports Medical Center Keyword: 殿筋内脱臼股 , congenitally/developmentally dislocated hip , 大腿骨転子下骨折 , subtrochanteric fracture , 高齢女性 , elderly woman pp.285-288
Published Date 2008/3/25
DOI https://doi.org/10.11477/mf.1408101251
  • Abstract
  • Look Inside
  • Reference

 An 87-year-old woman with a congenitally/developmentally dislocated hip suffered a subtrochanteric fracture of the ipsilateral femur. The left femoral head and lesser trochanter were absent. The left femoral neck was short and the proximal femoral shaft was narrow. The fracture was treated by open reduction and internal fixation with a 95-degree DCS plate. Partial weight bearing was started at 4 weeks and full weight bearing at 6 weeks, and the patient recovered her pre-fracture walking ability by 3 months after surgery. When total hip arthroplasty is performed on a patient with a dislocated hip, the acetabular component should be placed in the anatomical position and the femur should be shortened to prevent excessive limb lengthening or sciatic nerve injury. In view of the patient's age and cardiopulmonary status, however, we did not choose to perform that procedure. The patient's general condition, pre-fracture walking ability, hip joint configuration, and fracture pattern should be considered when treating a proximal femoral fracture with a congenitally/developmentally dislocated hip.


Copyright © 2008, Igaku-Shoin Ltd. All rights reserved.

基本情報

電子版ISSN 1882-1286 印刷版ISSN 0557-0433 医学書院

関連文献

もっと見る

文献を共有