Femoral Head Fracture with Hip Dislocation Treated by Autologous Osteochondral Transfer (Mosaicplasty) - A Case Report -

Eui-Sung Choi; Hyun-Chul Shon; Ho-Seung Jeong; Jae-Young Yang; Seok-Hyun Hong; Byung-Hyun Ahn

doi:10.12671/jkfs.2020.33.2.96

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Case Report Femoral Head Fracture with Hip Dislocation Treated by Autologous Osteochondral Transfer (Mosaicplasty) - A Case Report -: Eui-Sung Choi, Hyun-Chul Shon, Ho-Seung Jeong, Jae-Young Yang, Seok-Hyun Hong, Byung-Hyun Ahn; Journal of Musculoskeletal Trauma 2020;33(2):96-100.
DOI: https://doi.org/10.12671/jkfs.2020.33.2.96
Published online: April 30, 2020

Department of Orthopedic Surgery, Chungbuk National University College of Medicine, Cheongju, Korea

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Abstract

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.

Keywords: Femoral head fracture, OATS, Fracture-dislocation

J Korean Fract Soc. 2020 Apr;33(2):96-100. Korean.
Published online Apr 28, 2020.
https://doi.org/10.12671/jkfs.2020.33.2.96

Case Report

Femoral Head Fracture with Hip Dislocation Treated by Autologous Osteochondral Transfer (Mosaicplasty): A Case Report

Eui-Sung Choi

, M.D., Ph.D., Hyun-Chul Shon

, M.D., Ph.D., Ho-Seung Jeong

, M.D., Jae-Young Yang

, M.D., Seok-Hyun Hong

, M.D. and Byung-Hyun Ahn

, M.D.

Author information

Author notes

- Department of Orthopedic Surgery, Chungbuk National University College of Medicine, Cheongju, Korea.
Correspondence to: Hyun-Chul Shon, M.D., Ph.D. Department of Orthopedic Surgery, Chungbuk National University Hospital, Chungbuk National University College of Medicine, 776, 1sunhwan-ro, Seowon-gu, Cheongju 28644, Korea. Tel: +82-43-269-6077, Fax: +82-43-274-8719, Email: hyunchuls@chungbuk.ac.kr

Received December 10, 2019; Revised January 07, 2020; Accepted March 16, 2020.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Keywords

Femoral head fracture, OATS, Fracture-dislocation

Figures

Fig. 1
(A) Anteroposterior Hip radiograph shows left femoral head fracture. (B) Axial computed tomography image shows a left hip posterior dislocation with Pipkin type II femoral head fracture.

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Fig. 2
(A) Postreduction axial computed tomography (CT) image shows a correct position of the femoral head. (B) Postreduction coronal CT scan shows a defect of the anterior-superior weight bearing dome of the femoral head.

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Fig. 3
(A) An intraoperative image of the femoral head after a surgical hip dislocation. (B) An intraoperative image showing placement of Acutrak (Acuemd) for fixation of the main fragment after anatomical reduction. A large osteochondral defect in the weight-bearing surface of the femoral head is visible.

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Fig. 4
(A) An intraoperative image showing harvesting 10-mm-diameter two osteochondral plugs from the inferior non-weight-bearing surface. (B) Final image showing a smooth contour after insertion of the donor plugs and greater trochanter autograft.

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Fig. 5
(A) One year follow-up plain radiograph shows no evidence of the collapse of femoral head. (B) Coronal computed tomography image at 1 year postoperatively, showing no evidence of posttraumatic osteoarthritis or the collapse of femoral head.

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Notes

Financial support:None.

Conflict of interests:None.

References

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Femoral head fracture with large crushed defect in weight-bearing area treated with autologous osteochondral transplantation (repositionplasty): A case report
Hyun-Chul Shon, Eic-Ju Lim, Jae-Young Yang, Seung-Jun Jeon
Medicine.2022; 101(52): e32569. CrossRef

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Femoral Head Fracture with Hip Dislocation Treated by Autologous Osteochondral Transfer (Mosaicplasty) - A Case Report -

J Korean Fract Soc. 2020;33(2):96-100. Published online April 30, 2020

DOI: https://doi.org/10.12671/jkfs.2020.33.2.96

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