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Traumatic Anterior Hip Dislocation With an Open Book Pelvic Fracture and Femoral Artery Compression: An Atypical Case Report.
JBJS Case Connect
October 2024
Department of Orthopedics and Traumatology, Fundación Valle del Lili, Cali, Colombia.
Case: A 34-year-old patient was involved in a motorcycle accident, resulting in an anterior hip dislocation associated with an open book pelvic fracture and compression to the femoral artery. He required an emergent closed reduction of the hip dislocation and open reduction and internal fixation of the pelvic fracture.
Conclusion: This case underscores the importance of maintaining a high level of suspicion for anterior hip dislocation, particularly in patients involved in motorcycle accidents, where a flexed, abducted, and externally rotated hip is common.
[Transcutaneous osseointegrated prosthetic system (TOPS) with an intramedullary prosthesis : Management of the femoral stump with concurrent total hip arthroplasty].
Oper Orthop Traumatol
November 2024
Abteilung Septische Chirurgie, BG-Unfallklink Murnau, Prof. Küntscher-Str. 8, 82418, Murnau, Deutschland.
Objective: Simultaneous implantation of a TOPS (transcutaneous osseointegrated prosthetic system) and THA (total hip arthroplasty) or staged approach.
Indications: Patients with a TOPS who have coxarthrosis. Patients with an existing THA who have required above-knee amputation and need a TOPS.
Management of Pathologic Hip Fracture Secondary to Musculoskeletal Echinococcosis: A Case Report.
Cureus
September 2024
Department of Orthopaedic Surgery, Maimonides Medical Center, Brooklyn, USA.
A 50-year-old female from Uzbekistan presented to our emergency department with severe right hip pain and loss of ambulation. Her history included multiple hepatic echinococcal cyst resections. After a fall, she underwent a proximal femur open reduction and internal fixation (ORIF) and revision in Uzbekistan, which revealed broken screws and cystic lesions.
View Article and Find Full Text PDFA Displaced Atypical Femoral Fracture Healed Without Anti-osteoporotic Agents in a Case of Ankylosing Spondylitis.
Cureus
September 2024
Department of Orthopedics, En Chu Kong Hospital, New Taipei City, TWN.
Bone loss leading to osteoporosis is a well-known feature in patients with ankylosing spondylitis (AS), with the prevalence of osteoporosis varying widely across different studies. However, there is still no consensus on the treatment of osteoporosis in AS patients. A 67-year-old male, a case of AS under medication control, had taken oral bisphosphonate for about seven years for suspected osteoporosis due to compression fracture at T12 and discontinued for disproportionately high dual-energy X-ray absorptiometry T-score (11.
View Article and Find Full Text PDFTreatment of Bisphosphonate-Associated Atypical Femur Fracture With a Combination of Teriparatide and a Novel Surgical Technique.
AACE Clin Case Rep
May 2024
Department of Endocrinology and Metabolism, Westchester Medical Center, Valhalla, New York.
Article Synopsis
- A 64-year-old woman with a long history of bisphosphonate use experienced a displaced atypical femur fracture due to a fall, requiring surgical intervention.
- The patient underwent a unique surgical technique that involved removing abnormal bone at the fracture site and securing the bone with an intramedullary nail, while also starting teriparatide therapy post-surgery.
- Her recovery was notably quick, achieving full fracture healing in 3.5 months, which is significantly faster than the average healing time for atypical femur fractures reported at 10.7 months.
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