双侧髋关节创伤性左后右前脱位并单侧股骨头骨折一例  

A report of bilateral hip dislocations(left rear,right front) caused by trauma combined with unilateral fracture of the femoral head in 1 case

作　　者：刘丙立[1] 张宏斌[1] 张立峰[1] 

机构地区：[1]唐山市第二医院关节科,063000

出　　处：《中国骨与关节杂志》2012年第3期327-328,共2页Chinese Journal of Bone and Joint

摘　　要：髋关节脱位在所有关节脱位中所占比例较低，外伤性髋关节脱位约占所有关节脱位的2％～5％，双侧髋关节同时脱位约占所有髋关节脱位的1％～2％，其中一前一后脱位约占40％。此类脱位中以右侧髋关节后脱位、左侧髋关节前脱位居多，并以驾驶员多发。查阅文献，未见关于碾压伤致双髋非对称性脱位的报道。我院收治1例碾压伤致左后右前髋脱位患者，同时伴有左侧股骨头及髋臼骨折，报告如下。Objective To analyze the mechanism and treatment of asymmetric bilateral dislocations of the hip. Methods 1 male patient of asymmetry bilateral hip dislocations caused by crushing injury from the agricultural vehicle was accompanied with the fractures of left acetabulum and femoral head. The dislocations were treated with manipulative reduction, and the fracture of the left femoral head was treated with open reduction and internal fixation. Results The function of bilateral hip recovered to the normal in the 2 years＇ follow-up. HARRIS score： left 95, right 100. Conclusions Asymmetric hip dislocations are rare to see, careful check and proper treatment can insure a satisfactory effect.

关 键 词：髋关节前脱位 股骨头骨折 双侧髋关节 外伤性髋关节脱位 创伤性 髋关节后脱位 单侧 查阅文献 

分 类 号：R683[医药卫生—骨科学]