J Korean Fract Soc.  2020 Apr;33(2):96-100. 10.12671/jkfs.2020.33.2.96.

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

• Choi ES
• Shon HC
• Jeong HS
• Yang JY
• Hong SH
• Ahn BH

• KMID: 2500704
• DOI: http://doi.org/10.12671/jkfs.2020.33.2.96

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.

Keyword

Femoral head fracture; OATS; Fracture-dislocation