Traumatic dislocation of the hip with separation of the capital epiphysis: 5 adolescent patients with 3-9 years of follow-up

We reviewed 5 cases of type I epiphyseal fracture with dislocation of the femoral head from the acetabulum in adolescent patients. All children had an open reduction and screw fixation. In all cases, the femoral head developed avascular necrosis. The clinical result after a mean of 3-9 years' f...

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Bibliographic Details
Published in:Acta orthopaedica Scandinavica 2003-02, Vol.74 (1), p.49-52
Main Authors: ODENT, Thierry, GLORION, Christophe, PANNIER, Stéphanie, BRONFEN, Corinne, LANGLAIS, Jean, POULIQUEN, Jean-Claude
Format: Article
Language:English
Subjects:
Accidents, Traffic
Adolescent
Biological and medical sciences
Child
Epiphyses - diagnostic imaging
Epiphyses - injuries
Female
Femur Head - diagnostic imaging
Femur Head - injuries
Follow-Up Studies
Hip Dislocation - diagnostic imaging
Hip Dislocation - etiology
Hip Dislocation - surgery
Humans
Male
Medical sciences
Orthopedic surgery
Radiography
Retrospective Studies
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
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Summary:We reviewed 5 cases of type I epiphyseal fracture with dislocation of the femoral head from the acetabulum in adolescent patients. All children had an open reduction and screw fixation. In all cases, the femoral head developed avascular necrosis. The clinical result after a mean of 3-9 years' follow-up was good according to the Merle d'Aubigné-Postel scale. Despite necrosis, 2 heads developed spherically after treatment: one which had a primary physeal resection and fixation, the other after an autogenous bone graft in the screw track following removal of the screw.
ISSN:0001-6470
DOI:10.1080/00016470310013653