Treatment of Fracture Dislocation of the Femoral Head in a Resource Limited Country (Burundi)

• 作者: Christopher Carter Clovis Paulin Baramburiye Gilbert Ndayizeye Jean Claude Niyondiko Sebastien Manirakiza
• 来源期刊: 矫形学期刊(英文)
• 学科: 医学
• 关键词: Fracture Dislocation Femoral Head TREATMENT PROGNOSIS
• 年，卷（期）: 2020,（12）
• 页码范围: 384-394
• 页数: 11页
• 分类号: R68

摘要

<b><span style="font-family:Verdana;">Introduction</span></b><b><span style="font-family:Verdana;">: </span></b><span style="font-family:Verdana;">Fractures of the femoral head are rare injuries which generally follow a traumatic dislocation of the hip or in a poly-trauma scenario. A fracture dislocation of the femoral head is an orthopedic emergency. The most frequent complications after a fracture of the femoral head are osteonecrosis, post traumatic arthritis and heterotopic ossification.</span><span style="font-family:Verdana;"> </span><b><span style="font-family:Verdana;">Objective</span></b><b><span style="font-family:Verdana;">: </span></b><span style="font-family:Verdana;">To focus on the therapeutic aspect of fracture-dislocations of femoral head and their short- and long-term prognoses.</span><span style="font-family:Verdana;"> </span><b><span style="font-family:Verdana;">Materials and Methods</span></b><b><span style="font-family:Verdana;">: </span></b><span style="font-family:Verdana;">This is a prospective study conducted at Kamenge teaching hospital and Rohero Christian medical and surgical clinic from January 2013 to August 2020. All patients diagnosed with fracture-dislocations of the femoral head were included in this study.</span><span style="font-family:Verdana;"> </span><b><span style="font-family:Verdana;">Results</span></b><b><span style="font-family:Verdana;">: </span></b><span style="font-family:Verdana;">Five patients were admitted for fracture dislocation of the femoral head. The mean age was 40.4 years and varied between 25 and 55 years. The dashboard injury was the most common mechanism and was found in four patients</span><span style="font-family:Verdana;"> </span><span style="font-family:Verdana;">(80%). A standard x-ray was performed for the five patients as well as CT scans in two cases. All patients had posterior iliac dislocations with fractures of the femoral head classified as Pipkin I in three patients and Pipkin III in two patients.</span><span style="font-family:Verdana;"> <