2018 Volume 32 Issue 3 Pages 407-410
We report a case of a 24-year-old male who suffered a fracture-dislocation of the left femoral head (Pipkin type ２) in an automobile traffic accident. Closed reduction was impossible under general anesthesia, so we performed emergency open reduction surgery. The reduction could not be done by only releasing the posterior soft tissue, and trochanteric flip osteotomy was performed for reduction with internal fixation of the fractured femoral head. After considering the risks to the femoral head blood supply, a trochanteric flip osteotomy was used. This approach provided ample and safe exposure. At 12 months follow-up, the Harris Hip Score was 96/100. If closed reduction is impossible on fracture-dislocation of the femoral head, emergency open reduction and internal fixation by trochanteric flip osteotomy is useful to prevent iatrogenic neck fracture and avascular necrosis of the hip.
