nswolfso at usc
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Sep 26, 2007, 11:47 AM
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Re: [ORT-L] femoral head fx-dislocation
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It is likely anterior fracture dislocation. I still would do pre op CT scan and if it is anterior go from the front: anterior approach.
If fragment is big, as it appears to be, and not to much comminution, I would fix the fracture and reduce the dislocation. If if is not fixable consider arthroplasty. May benifit from the Profix OR table. OR, use any traction intraoperatively for reducion.
Nik
Nikolaj Wolfson, MD, FRCSC
Assistant Professor of Orthopaedic Surgery
Department of Orthopaedic Surgery
Keck School of Medicine
University of Southern California
nswolfso@usc.edu
(323) 226-7346 phone
http://www.usc.edu/medicine/orthopaedic_surgery
----- Original Message -----
From: Jeff Brooks <jjbrooksmd@gmail.com>
Date: Wednesday, September 26, 2007 10:36 am
Subject: [ORT-L] femoral head fx-dislocation
To: ORT-L@www2.aaos.org
> Dear list members,
>
> attached is a (large -- sorry) .ppt of an anterior femoral head
> fx-dislocation with what I think is a stable pelvic ring injury in a
> 300+ lb 50y.o. lady struck by a car last night. dislocation has been
> closed reduced but remains non-concentric with displaced head fragment
> and comminution in the joint.
>
> question is approach to L hip - anterior or posterior?
>
> many thanks
>
> Jeff
>
>
> Jeffrey J. Brooks, MD
> Orthopaedic Surgery & Sports Medicine Center
> 1290 Summer Street, #4400
> Stamford, CT 06905
>
---
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