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<p>Acetabular fractures with displaced fragments represent a&#xa0;complex intraoperative challenge. This case report describes the successful treatment of an acetabular fracture with native hip dislocation in a&#xa0;56-year-old man following high-energy trauma. Open reduction and internal fixation using the Kocher-Langenbeck approach was initially unsuccessful due to a&#xa0;posterior wall fragment, necessitating a&#xa0;trochanteric flip osteotomy. The patient developed an avascular necrosis of the femoral head, which is a&#xa0;frequent complication of acetabular fractures associated with hip dislocation. This emphasizes the importance of regular control follow-up. Despite the high-energy mechanism of injury, the patient showed excellent results based on the Harris hip score (HHS).</p>

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Hochrasanztrauma mit komplexer Acetabulumfraktur bei inkarzeriertem Fragment

  • 期刊论文

  • 发表日期：

    2025年8月26日

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  • Mikolaj Bartosik,
  • David Kern,
  • Anne Sofie Vogelsang,
  • Loretta Rother,
  • Eckart Mayr,
  • Ulf Culemann

摘要

Acetabular fractures with displaced fragments represent a complex intraoperative challenge. This case report describes the successful treatment of an acetabular fracture with native hip dislocation in a 56-year-old man following high-energy trauma. Open reduction and internal fixation using the Kocher-Langenbeck approach was initially unsuccessful due to a posterior wall fragment, necessitating a trochanteric flip osteotomy. The patient developed an avascular necrosis of the femoral head, which is a frequent complication of acetabular fractures associated with hip dislocation. This emphasizes the importance of regular control follow-up. Despite the high-energy mechanism of injury, the patient showed excellent results based on the Harris hip score (HHS).