Severe central fracture-dislocation of the hip migrated deep into the pelvis complicating ileal rupture and ipsilateral comminuted femoral fracture: CT characteristics
✍ Scribed by Kazuhiro Ido; Toru Morita; Kei Kondo; Takeshi Sakamoto; Yoshiyuki Asada; Ryoichi Hayashi; Shinichi Kuriyama
- Publisher
- Elsevier Science
- Year
- 2001
- Tongue
- English
- Weight
- 103 KB
- Volume
- 25
- Category
- Article
- ISSN
- 0895-6111
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✦ Synopsis
A case of severe central fracture-dislocation of the hip migrated deep into the pelvis complicating ileal rupture and ipsilateral comminuted fracture of the proximal femur was described. Plain CT images of the pelvis were distinctive and quite useful for evaluating the severity of the injury. Osteomyelitis of the proximal femur occurred soon after resection of the femoral head and suturing of the peritoneum though laparotomy. Complete closure of the peritoneal laceration and rapid totally diverting colostomy would be recommendable in order to avoid infectious complications in such a severe central fracture-dislocation of the hip.