AI Article Synopsis
- A 50-year-old male experienced a crash landing while paragliding, resulting in a dislocated hip with complex fractures and a sciatic nerve injury.
- After initial care at another hospital, he was transferred for surgery where doctors stabilized his acetabular fractures through a trochanter flip osteotomy.
- The surgical team aimed to reconstruct the damaged femoral head using an autologous bone graft and a collagen matrix, alongside repairing the sciatic nerve injury.
Article Abstract
A 50-year-old male suffered a crash landing while paragliding and sustained a posterior dislocation of the hip with a Pipkin fracture type 4 (fracture of the posterior acetabular wall and Pipkin fracture type 2) and a lesion of the sciatic nerve. After primary treatment in an external hospital, the patient was transferred to this hospital 4 days following the trauma. An operative stabilization of the acetabular fracture and the Pipkin fracture was performed using a trochanter flip osteotomy. Despite a large central defect of the femoral head it was decided to attempt a reconstruction. Following fixation of the Pipkin fragment an autologous bone graft harvested from the intertrochanteric region was used to fill the defect. Subsequently, a collagen matrix was applied onto the filled defect and a perineural adaptation of the sciatic nerve was performed.
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| http://dx.doi.org/10.1007/s00113-020-00783-w | DOI Listing |
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