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An Irreducible Hip Dislocation with Femoral Head Fracture
J Trauma Inj 2018;31(3):181-188
Published online December 31, 2018
© 2018 The Korean Society of Trauma.

Tae-Seong Kim, M.D.1,2, Chang-Wug Oh, M.D., Ph.D.1,2, Joon-Woo Kim, M.D., Ph.D.1,2, Kyeong-Hyeon Park, M.D.1,2

1Regional Trauma Center, Kyungpook National University Hospital, Daegu, Korea
2Department of Orthopaedic Surgery, School of Medicine, Kyungpook National University, Daegu, Korea
Correspondence to: Chang-Wug Oh, M.D., Ph.D.
Department of Orthopaedic, Kyungpook National University Hospital, School of Medicine, Kyungpook National University, 130 Dongdeok-ro, Jung-gu, Daegu 41944, Korea
Tel: +82-53-420-5630
Fax: +82-53-422-6605
E-mail: cwoh@knu.ac.kr
Received July 9, 2018; Revised September 14, 2018; Accepted September 22, 2018.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Urgent reduction is required in cases of traumatic hip dislocation to reduce the risk of avascular necrosis of the femoral head. However, in cases of femoral head fractures, the dislocated hip cannot be reduced easily, and in some cases, it can even be irreducible. This irreducibility may provoke further incidental iatrogenic fractures of the femoral neck. In an irreducible hip dislocation, without further attempting for closed reduction, an immediate open reduction is recommended. This can prevent iatrogenic femoral neck fracture or avascular necrosis of the femoral head, and save the natural hip joint.
Keywords : Hip dislocation; Closed fracture reduction; Femoral head fractur


December 2018, 31 (3)
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