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  • 标题:Stress fracture of the femoral neck after Pipkin type IV hip injury
  • 本地全文:下载
  • 作者:Gvozdenović, Nemanja ; Ninković, Srđan ; Jovanović, Mladen
  • 期刊名称:Vojnosanitetski pregled
  • 印刷版ISSN:0042-8450
  • 出版年度:2019
  • 卷号:76
  • 期号:4
  • 页码:442-446
  • DOI:10.2298/VSP170425096G
  • 出版社:Military Medical Academy, INI
  • 摘要:Introduction. Hip fractures/dislocations of Pipkin type IV are rare, often accompanied by complications and poor outcome. We describe a complication in the form of a stress fracture of the femoral neck (SFOFN) after the Pipkin type IV fracture – dislocation of the hip. Case report. A healthy male, TAXI driver, aged 60, was injured in a traffic accident and admitted as a polytraumatised patient with the Pipkin type IV hip injury. Open reduction and internal fixation had been done. Completely recovered, 9 months after the injury during a walk he felt pain in the operated hip and was unable to bear weight. We noted a dislocated subcapital SFOFN which did not form on the site of the previous osteosynthesis. Conclusion. Pipkin type IV hip injury as a result of polytrauma, unstable joint and osteosynthesis, inadequate weight bearning and disposal of physical therapy, increases the risk of complications such as avascular necrosis, or as in our case, a stress fracture (caused by weight overload).
  • 关键词:hip dislocation; hip fracture; multiple trauma; fractures; stress; reoperation
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