Periacetabular osteotomy for stabilization of recurrent post-traumatic dislocation of the hip.
This article reports on the case of a twenty-eight-year-old woman who developed recurrent hip dislocation after open reduction and internal fixation of a posterior wall hip fracture-dislocation with an associated femoral head fracture. Because of the posterior wall deficiency, a modified periacetabular osteotomy was performed to stabilize the hip. At the two-year follow-up, there was no evidence of osteonecrosis in the remaining femoral head and the joint space was maintained. There has been no recurrence of dislocation. This procedure may be indicated in a patient with an unreconstructable posterior wall deficiency and persistent instability after a traumatic hip dislocation.
Crowther
James D
JD
Department of Orthopaedics, University of North Carolina, Chapel Hill, North Carolina 27599-7055, USA.
Chudik
Steve C
SC
Dahners
Laurence E
LE
D000077:Acetabulum; D000328:Adult; D005260:Female; D006617:Hip Dislocation / Q000209:etiology / Q000601:surgery*; D006620:Hip Fractures / Q000150:complications*; D006801:Humans; D010027:Osteotomy / Q000379:methods*; D012008:Recurrence