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Management of Pauwels Type 3 Femur Neck Fracture by Open Reduction Internal Fixation with DHS System and Intertrochanteric Valgus Osteotomy: A Case Series

July 10, 2021/in Volume 7 | Issue 2 | July-December 2021

Vol 7 | Issue 2 | July-December 2021 | page: 18-21 | Neetin P. Mahajan, Pranay P. Kondewar, Lalkar Gadod, Akshay K. S DOI-10.13107/ti.2021.v07i02.020 Author: Neetin P. Mahajan [1], Pranay P. Kondewar [1], Lalkar Gadod [1], Akshay K. S [1] [1] Department of Orthopedics, Grant Government Medical College and Sir J.J Group of Hospital, Mumbai, […]

Adult Traumatic Eight Days Old Anterior Dislocation of the Hip with Ipsilateral Fracture Upper Third Shaft Femur: An Atypical Case Report

July 10, 2021/in Volume 7 | Issue 2 | July-December 2021

Vol 7 | Issue 2 | July-December 2021 | page: 15-17 | Brijesh Sharma, Yajuvendra Kumar Sharma, Rohit Yadav, Chandra Prakash Pal DOI-10.13107/ti.2021.v07i02.019 Author: Brijesh Sharma [1], Yajuvendra Kumar Sharma [1], Rohit Yadav [1], Chandra Prakash Pal [1] [1] Department of Orthopaedics, Sarojini Naidu Medical College, Agra, Uttar Pradesh, India. Address of Correspondence Dr. Chandra […]

Management of Pauwels Type 3 Femur Neck Fracture by Open Reduction Internal Fixation with DHS System and Intertrochanteric Valgus Osteotomy: A Case Series

July 10, 2021/in Volume 7 | Issue 2 | July-December 2021

Adult Traumatic Eight Days Old Anterior Dislocation of the Hip with Ipsilateral Fracture Upper Third Shaft Femur: An Atypical Case Report

July 10, 2021/in Volume 7 | Issue 2 | July-December 2021

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Management of Pauwels Type 3 Femur Neck Fracture by Open Reduction Internal Fixation with DHS System and Intertrochanteric Valgus Osteotomy: A Case Series

July 10, 2021/in Volume 7 | Issue 2 | July-December 2021

Vol 7 | Issue 2 | July-December 2021 | page: 18-21 | Neetin P. Mahajan, Pranay P. Kondewar, Lalkar Gadod, Akshay K. S

DOI-10.13107/ti.2021.v07i02.020

Author: Neetin P. Mahajan [1], Pranay P. Kondewar [1], Lalkar Gadod [1], Akshay K. S [1]

[1] Department of Orthopedics, Grant Government Medical College and Sir J.J Group of Hospital, Mumbai, Maharashtra, India. Address of Correspondence Dr. Pranay Pravin Kondewar, Grant Government Medical College and Sir J. J Group of Hospital, Mumbai, Maharashtra, India. E-mail: pranaypk1@gmail.com

Abstract

Femur neck is anatomically weaker and prone for fractures in all age groups of population.trauma is major cause of fracture in young individuals. Neck of femur fracture are classified based on anatomical location of fracture , pauwels classification system using orientation of fracture line and gardens system based on trabecular alignment in femur head and acetabulum. In young patients open reduction and internal fixation is preferred choice but in elderly we perform arthroplasty. When fracture is more vertical there are chances of non-union due to shear forces across fracture site.In this case series all the patients are having neck of femur fracture pauwels type 3 and are managed with lateral closing wedge valgus osteotomy at level of lesser trochanter to convert shear forces into compression forces which promotes healing of fracture And fixation is done using DHS system and CC screws .all patients were mobilised with Walker by nil weight bearing initially and followed up at 2 weekly interval later gradually weight bearing started as tolerated and all shows union of fracture and osteotomy site at 12 weeks post op. Keywords: Neck of femur fracture, Pauwels type 3, Pauwels angle, DHS system, Valgus osteotomy, Compression forces

References

1.Koval KJ, Zuckerman JD. Hip Fractures: I. Overview and Evaluation and Treatment of Femoral-Neck Fractures. J Am Acad Orthop Surg. 1994 May;2(3):141-149. 2. Barney J, Piuzzi NS, Akhondi H. StatPearls [Internet]. StatPearls Publishing; Treasure Island (FL): Jul 6, 2021. Femoral Head Avascular Necrosis. 3.M.H. Meyers, J.P. Harvey Jr., T.M. Moore Treatment of displaced subcapital and transcervical fractures of the femoral neck by muscle-pedicle-bone graft and internal fixation. A preliminary report on one hundred and fifty cases .J Bone Joint Surg Am, 55 (1973), pp. 257-274 4.Pauwels F. Biomechanics of the normal and diseased hip. Springer Science and Business Media: 1976. 5.Muller ME. Intertrochanteric osteotomy: indications, preoperative planning, technique. Berlin: Springer-Verlag; 1984. pp. 25–66. 6.Chen Z, Wang G, Lin J, Yang T, Fang Y, Liu L, Zhang H. [Efficacy comparison between dynamic hip screw combined with anti-rotation screw and cannulated screw in treating femoral neck fractures]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2011 Jan;25(1):26-9. Chinese. PMID: 21351604. 7.Bachiller, Fernando Gómez-Castresana MD, PhD*; Caballer, Antonio Perez MD, PhD**; Portal, Luis Ferrández MD, PhD* Avascular Necrosis of the Femoral Head After Femoral Neck Fracture, Clinical Orthopaedics and Related Research: June 2002 – Volume 399 – Issue – p 87-109 8.Calandruccio RA, Anderson WE 3rd. Post-fracture avascular necrosis of the femoral head: correlation of experimental and clinical studies. Clin Orthop Relat Res. 1980 Oct;(152):49-84. PMID: 7438624. 9.N.K. Magu, R. Singh, R. Mittal, et al.Osteosynthesis and primary valgus intertrochanteric osteotomy in displaced intracapsular fracture neck of femur with osteoporosis in adults Injury, 36 (2005), pp. 110-122, 10.1016/j.injury.2004.02.017

How to Cite this article: Kondewar PP, Lalkar G Management of Pauwels | Type 3 Femur Neck Fracture by Open Reduction Internal Fixation with DHS System and Intertrochanteric Valgus Osteotomy: A Case Series | July-December 2021; 7(2): 18-21.

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Adult Traumatic Eight Days Old Anterior Dislocation of the Hip with Ipsilateral Fracture Upper Third Shaft Femur: An Atypical Case Report

July 10, 2021/in Volume 7 | Issue 2 | July-December 2021

Vol 7 | Issue 2 | July-December 2021 | page: 15-17 | Brijesh Sharma, Yajuvendra Kumar Sharma, Rohit Yadav, Chandra Prakash Pal

DOI-10.13107/ti.2021.v07i02.019

Author: Brijesh Sharma [1], Yajuvendra Kumar Sharma [1], Rohit Yadav [1], Chandra Prakash Pal [1]

[1] Department of Orthopaedics, Sarojini Naidu Medical College, Agra, Uttar Pradesh, India.

Address of Correspondence
Dr. Chandra Prakash Pal,
Professor and Head, Department of Orthopaedics, Sarojini Naidu Medical College, Agra, Uttar Pradesh, India.
E-mail: drcportho@gmail.com

Abstract

Introduction: Anterior or posterior dislocation of hip are usually associated with fracture head of femur but dislocations associated with femoral neck, trochanter and shaft are very rare and among this anterior dislocation of hip with ipsilateral fracture of shaft femur is an extremely rare injury. We reported a case of anterior dislocation of hip associated with ipsilateral fracture shaft femur upper third in adult male.
Case presentation: A 25 yrs male, low socioeconomic status was brought to our emergency department was conscious but unable to mobilize his right lower limb and external rotation deformity was present with some shortening. No neurovascular compromise and was found fracture shaft femur along with anterior dislocation of right hip on x-ray and treated by close reduction of femoral head and internal fixation of fracture shaft femur by intramedullary nail.
Conclusion: Early diagnosis of hip dislocation is essential to prevent avascular necrosis of femur head in future. We concluded that there is no need of open reduction for anterior hip dislocation in every such case. Close reduction of anterior dislocation of hip followed by femur interlocking for femoral shaft fracture is good option for management for such type of injuries.
Keywords: Hip dislocation, Close reduction, Avascular necrosis, Fracture dislocation

References

1. Sahin V, Karaks ES; Aksu S, Atlihan D et al (2003) Traumatic dislocation and fracture-dislocation of the hip: a long term follow-up study. J Trauma 54:520–529
2. Alexa O, Puha B, Veliceasa B, Paduraru D. Posterior dislocation of the hip associated with ipsilateral trochanteric fracture-a very rare case.Chirurgia (Bucharest, Romania : 1990) [01 Nov 2009, 104(6):761-764].
3. K Yamamoto, M Ko, T Masaoka, T Shishido, A Imakiire traumatic anterior dislocation of hip associated with ipsilateral femoral shaft fracture in a child: A case report. Journal of Orthopaedic Surgery 2004;12(1):126–132
4. Malkawi H. Traumatic anterior dislocation of hip with fracture of shaft of the ipsilateral femur in children: case report and review of the literature. J Pediatrorthop. 1982 Aug;2(3):307-11.
5. Barquet A. Traumatic hip dislocation with fracture of ipsilateral femoral shaft in childhood.Report of a case and review of literature.ArchOrthop Trauma Surg. 1981;98(1):69-72.
6. Chirag TN et al., Traumatic dislocation of hip with ipsilateral femur shaft fracture – A case report. Journal of Orthopaedics and Rehabilitation / January 2011/ vol.1/issue 1.
7. Helal and X. Skevis. Unrecognized dislocation of the hip in fractures of the femoral shaft. Vol. 49B. 2, may1967.
8. sidhasimbandan, obturator dislocation of hip associated with fracture shaft of femur Singapore: case report; medical journal volume 23, NO 5, October 1986.
9. Watson – jones R: Fracture and joint injuries. 4th ed. Baltimore: The Williams and Wilkins Co, 1955;2:678-81.

How to Cite this article: Sharma B, Sharma YK, Yadav R, Pal CP | Adult Traumatic Eight Days Old Anterior Dislocation of the Hip with Ipsilateral Fracture Upper Third Shaft Femur: An Atypical Case Report | July-December 2021; 7(2): 15-17.

Half Sized Blog Element (Single Author Style)

Half Sized Blog Element (Multi Author Style)

Management of Pauwels Type 3 Femur Neck Fracture by Open Reduction Internal Fixation with DHS System and Intertrochanteric Valgus Osteotomy: A Case Series

Adult Traumatic Eight Days Old Anterior Dislocation of the Hip with Ipsilateral Fracture Upper Third Shaft Femur: An Atypical Case Report

Management of Pauwels Type 3 Femur Neck Fracture by Open Reduction Internal Fixation with DHS System and Intertrochanteric Valgus Osteotomy: A Case Series

Adult Traumatic Eight Days Old Anterior Dislocation of the Hip with Ipsilateral Fracture Upper Third Shaft Femur: An Atypical Case Report

Full Sized Blog Element (Big Preview Pic)

Management of Pauwels Type 3 Femur Neck Fracture by Open Reduction Internal Fixation with DHS System and Intertrochanteric Valgus Osteotomy: A Case Series

Author: Neetin P. Mahajan [1], Pranay P. Kondewar [1], Lalkar Gadod [1], Akshay K. S [1]

Abstract

References

(Article Text HTML) (Download PDF)

Adult Traumatic Eight Days Old Anterior Dislocation of the Hip with Ipsilateral Fracture Upper Third Shaft Femur: An Atypical Case Report

Author: Brijesh Sharma [1], Yajuvendra Kumar Sharma [1], Rohit Yadav [1], Chandra Prakash Pal [1]

Abstract

References

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