Central fracture dislocation of the hip with associated ipsilateral femoral neck fracture is exceedingly rare and presents a formidable management challenge. CASE: A 31-year-old woman sustained this fracture with medial displacement of the femoral head into the pelvic cavity after a high-energy road traffic accident. Within 6 hours, surgical reduction of the femoral head and internal fixation of both femoral neck and acetabulum were performed using a dynamic hip screw and a plate, respectively. At 1 year, the patient demonstrated good functional recovery without avascular necrosis. CONCLUSION: This case highlights the importance of early fixation in preserving femoral head viability in combined acetabular and femoral neck injuries.
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Vikas Bachhal
Utkarsh Kumar Reddy Gopavaram
Arjit Bansal
Post Graduate Institute of Medical Education and Research
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Bachhal et al. (Wed,) studied this question.
www.synapsesocial.com/papers/69f837423ed186a739981663 — DOI: https://doi.org/10.2106/jbjs.cc.25.00615