KMID : 0386420200330020096
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Journal of the Korean Fracture Society 2020 Volume.33 No. 2 p.96 ~ p.100
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Femoral Head Fracture with Hip Dislocation Treated by Autologous Osteochondral Transfer (Mosaicplasty): A Case Report
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Choi Eui-Sung
Shon Hyun-Chul Shon Hyun-Chul Jeong Ho-Seung Yang Jae-Young Hong Seok-Hyun Ahn Byung-Hyun
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Abstract
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Femoral head fractures combined with hip dislocation are very rare injuries. In most cases, they result from high-energy trauma to the hip or lower extremity during traffic accidents. Various therapy options have been suggested to treat these injuries. Especially, different joint-preserving surgical options have been described for the treatment of traumatic osteochondral injury of the femoral head in young, active patients. In this report, we present a case that a traumatic osteochondral lesion to the femoral head after hip dislocation was treated with osteochondral autografts (OATS) from the non-weight-bearing area of the ipsilateral inferior femoral head through a surgical hip dislocation. After 1 year, the clinical and radiological outcome was satisfactory with no evidence of posttraumatic osteoarthritis and no pain of patients.
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KEYWORD
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Femoral head fracture, OATS, Fracture-dislocation
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