Reduction of high dislocation of the hip using a distraction nail before arthroplasty.
We report the case of a 22-year-old woman who underwent plate and screw fixation for a traumatic left acetabular fracture and fixation with cancellous screws for an associated femoral neck fracture. Two months later, the internal fixation became infected and was removed. This resulted in a painful high dislocation of the hip. We solved the problem with continuous soft-tissue distraction using a fully implantable motorised distraction nail in order to reduce the proximal femur prior to total hip arthroplasty. To our knowledge, this is the first time that reduction of a high dislocation of the hip has been performed using such a system.
Baumgart
R
R
Department of Surgery, University of Munich, Nussbaumstrasse 20, D-80336 Munich, Germany. rainer.baumgart@med.uni-muenchen.de
Krammer
M
M
Winkler
A
A
Hinterwimmer
S
S
Muensterer
O
O
Mutschler
W
W
D000077:Acetabulum / Q000601:surgery; D000328:Adult; D019644:Arthroplasty, Replacement, Hip; D001858:Bone Nails; D005260:Female; D005265:Femoral Neck Fractures / Q000601:surgery; D050723:Fractures, Bone / Q000601:surgery; D006617:Hip Dislocation / Q000601:surgery*; D006801:Humans; D019857:Osteogenesis, Distraction / Q000379:methods*; D012086:Reoperation / Q000379:methods