臼蓋・骨頭骨折を合併した外傷性股関節後方脱臼の一例

抄録

Recently we have experienced a case of traumatic posterior dislocation of the left hip associated with fractures of the femoral head and acetabulum, with incomplete sciatic nerve injury and fracture of the proximal end of the tibia.
The patient, a 29-year-old man, was injured in a motorcycle accident. As a closed reduction was unsuccessful, an open reduction was performed at thirty six hours after the accident. The lesser fragment was located in the anteromedial portion of the head and showed about a third of the femoral head in size. The fragment of the head was fixed with two screws and acetabular fragment was reattached with silk.
After the operation, he was managed with traction for eleven weeks. Nine months later, he had no complaints of the hip and knee joints and x-ray films revealed no progressive changes.