[Reconstruction of a fracture of the posterior acetabular wall with Pipkin fracture and lesion of the sciatic nerve after dorsal hip dislocation]. / Rekonstruktion einer Fraktur der hinteren Acetabulumwand mit Pipkin-Fraktur und Ischiadicusläsion nach dorsaler Hüftluxation.
Unfallchirurg
; 123(5): 413-418, 2020 May.
Article
en De
| MEDLINE
| ID: mdl-32060596
ABSTRACT
A 50-year-old male suffered a crash landing while paragliding and sustained a posterior dislocation of the hip with a Pipkin fracture type 4 (fracture of the posterior acetabular wall and Pipkin fracture type 2) and a lesion of the sciatic nerve. After primary treatment in an external hospital, the patient was transferred to this hospital 4 days following the trauma. An operative stabilization of the acetabular fracture and the Pipkin fracture was performed using a trochanter flip osteotomy. Despite a large central defect of the femoral head it was decided to attempt a reconstruction. Following fixation of the Pipkin fragment an autologous bone graft harvested from the intertrochanteric region was used to fill the defect. Subsequently, a collagen matrix was applied onto the filled defect and a perineural adaptation of the sciatic nerve was performed.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Luxación de la Cadera
/
Fracturas de Cadera
Límite:
Humans
/
Male
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Middle aged
Idioma:
De
Revista:
Unfallchirurg
Asunto de la revista:
TRAUMATOLOGIA
Año:
2020
Tipo del documento:
Article