{"title":"新颖的髋关节固定技术用于创伤后不稳定的髋关节:病例报告","authors":"Reza Firoozabadi, Andrew P Collins","doi":"10.2106/JBJS.CC.24.00436","DOIUrl":null,"url":null,"abstract":"<p><strong>Case: </strong>A 39-year-old woman who was involved in a motor vehicle collision sustained a right hip posterior wall acetabular fracture-dislocation. Subsequent dislocation was noted at the 4-week point with gross instability and heterotopic ossification. She underwent a hip containment technique using a transfemoral neck tunnel through the quadrilateral surface and FiberTape. At 1-year postoperatively, she reported improvement in mobility without evidence of repeat dislocation.</p><p><strong>Conclusion: </strong>This technique can be used for unstable hip sockets with a small posterior wall acetabular fracture to maintain hip stability. This is the first reported technique using an open intrapelvic approach to stabilize the hip.</p>","PeriodicalId":14748,"journal":{"name":"JBJS case connector","volume":"15 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Novel Hip Containment Technique in Setting of Unstable Hip Joint in a Trauma Setting: A Case Report.\",\"authors\":\"Reza Firoozabadi, Andrew P Collins\",\"doi\":\"10.2106/JBJS.CC.24.00436\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Case: </strong>A 39-year-old woman who was involved in a motor vehicle collision sustained a right hip posterior wall acetabular fracture-dislocation. Subsequent dislocation was noted at the 4-week point with gross instability and heterotopic ossification. She underwent a hip containment technique using a transfemoral neck tunnel through the quadrilateral surface and FiberTape. At 1-year postoperatively, she reported improvement in mobility without evidence of repeat dislocation.</p><p><strong>Conclusion: </strong>This technique can be used for unstable hip sockets with a small posterior wall acetabular fracture to maintain hip stability. This is the first reported technique using an open intrapelvic approach to stabilize the hip.</p>\",\"PeriodicalId\":14748,\"journal\":{\"name\":\"JBJS case connector\",\"volume\":\"15 1\",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-02-13\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"JBJS case connector\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.2106/JBJS.CC.24.00436\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"JBJS case connector","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.2106/JBJS.CC.24.00436","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
Novel Hip Containment Technique in Setting of Unstable Hip Joint in a Trauma Setting: A Case Report.
Case: A 39-year-old woman who was involved in a motor vehicle collision sustained a right hip posterior wall acetabular fracture-dislocation. Subsequent dislocation was noted at the 4-week point with gross instability and heterotopic ossification. She underwent a hip containment technique using a transfemoral neck tunnel through the quadrilateral surface and FiberTape. At 1-year postoperatively, she reported improvement in mobility without evidence of repeat dislocation.
Conclusion: This technique can be used for unstable hip sockets with a small posterior wall acetabular fracture to maintain hip stability. This is the first reported technique using an open intrapelvic approach to stabilize the hip.
期刊介绍:
JBJS Case Connector helps improve patient care by providing the medical community with a journal that harnesses technology to provide information tools for discovery and reporting of unusual musculoskeletal problems, findings, treatment, and outcomes. Co-edited by Thomas W. Bauer, MD, PhD, and Ronald W. Lindsey, MD, JBJS Case Connector assists orthopaedic surgeons in the search for precedents, connections, and trends in their efforts to improve patient care. Using this unique journal, surgeons can find the commonalities between cases, benefit from the experience of their peers, and filter case information by many important variables in order to provide the best possible care for orthopaedic patients. This cross-referenced online journal includes thousands of orthopaedic case reports. It compiles symptoms, conditions, and demographic details to empower surgeons to find cases similar to theirs. Surgeons can mine the database to reveal emerging trends and identify patterns, distinguishing between truly rare cases and repeated, related single instances of a larger problem. The JBJS Case Connector Image Quiz feature provides interactive quizzes based on images from content published by JBJS and includes a discussion area for further exploration of ideas and concepts. The JBJS Image Quiz app for iPad and iPhone is available in the App Store. Contributions to JBJS Case Connector are welcomed from anywhere in the world and are considered on their merits. Articles must be written in English and should be submitted as outlined in the Instructions to Authors. All authors must abide by the JBJS ethics policies and all submissions to JBJS Case Connector are covered by the JBJS embargo policy.