Osteochondral Autograft from the Ipsilateral Femoral Head by Surgical Dislocation for Treatment of Femoral Head Fracture Dislocation: A Case Report.
As anatomical reduction of the articular surface of femoral head fractures and restoration of damaged cartilage are essential for good long-term results, many treatment options have been suggested, including fixation of the fracture using various surgical exposures and implants, as well as arthroscopic irrigation and debridement, bone marrow stimulating techniques, osteochondral allograft, autograft, and autogenous chondrocyte implantation. We report a case of osteochondral autograft harvested from its own femoral articular surface through surgical hip dislocation. The osteochondral graft was harvested from the inferior non-weight-bearing articular surface and grafted to the osteochondral defect. One year later, the clinical and radiological results were good, without the collapse of the femoral head or arthritic change. This procedure introduced in our case is considered convenient and able to lessen surgical time without morbidity of the donor site associated with the harvest.
Department of Orthopedic Surgery, College of Medicine, Konyang University, Daejeon, Korea.
Yougun
Y
Won
Department of Orthopedic Surgery, College of Medicine, Konyang University, Daejeon, Korea. gs1899@hanmail.net.
Gi Soo
GS
Lee
Department of Orthopedic Surgery, College of Medicine, Konyang University, Daejeon, Korea.
Sang Bum
SB
Kim
Department of Orthopedic Surgery, College of Medicine, Konyang University, Daejeon, Korea.
Sun Joong
SJ
Kim
Department of Orthopedic Surgery, Yonsei University College of Medicine, Seoul, Korea.
Kyu Hyun
KH
Yang
D000328:Adult; D064592:Autografts; D016025:Bone Transplantation / Q000379:methods*; D019902:Chondrocytes; D005260:Female; D005264:Femoral Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D005270:Femur Head / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D000072039:Fracture Dislocation / Q000000981:diagnostic imaging / Q000601:surgery*; D006617:Hip Dislocation; D006801:Humans; D008297:Male; D010027:Osteotomy / Q000379:methods*; D011859:Radiography; D016879:Salvage Therapy / Q000379:methods*; D014182:Transplantation, Autologous; D016896:Treatment Outcome
Femoral head; autograft transplant; fractures cartilage; hip dislocation