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Sobti AS, Oh KJ. Osteonecrosis of the Femoral Head in the Setting of a Complex Acetabulum Fracture without Hip Dislocation Treated Surgically Using Ilio-inguinal Approach: A Case Report. Hip Pelvis. 2014;26(3):185-8doi: 10.5371/hp.2014.26.3.185.
Sobti, A. S., & Oh, K. J. (2014). Osteonecrosis of the Femoral Head in the Setting of a Complex Acetabulum Fracture without Hip Dislocation Treated Surgically Using Ilio-inguinal Approach: A Case Report. Hip & pelvis, 26(3), 185-8. https://doi.org/10.5371/hp.2014.26.3.185
Sobti, Anshul Shyam, and Oh, Kwang-Jun. "Osteonecrosis of the Femoral Head in the Setting of a Complex Acetabulum Fracture without Hip Dislocation Treated Surgically Using Ilio-inguinal Approach: A Case Report." Hip & pelvis vol. 26,3 (2014): 185-8. doi: https://doi.org/10.5371/hp.2014.26.3.185
Sobti AS, Oh KJ. Osteonecrosis of the Femoral Head in the Setting of a Complex Acetabulum Fracture without Hip Dislocation Treated Surgically Using Ilio-inguinal Approach: A Case Report. Hip Pelvis. 2014 Sep;26(3):185-8. doi: 10.5371/hp.2014.26.3.185. Epub 2014 Sep 29. PMID: 27536578; PMCID: PMC4971145.
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Hip Pelvis. 2014 Sep;26(3):185-8. doi: 10.5371/hp.2014.26.3.185. Epub 2014 Sep 29.

Osteonecrosis of the Femoral Head in the Setting of a Complex Acetabulum Fracture without Hip Dislocation Treated Surgically Using Ilio-inguinal Approach: A Case Report.

Hip & pelvis

Anshul Shyam Sobti, Kwang-Jun Oh

Affiliations

  1. Department of Orthopedic Surgery, Konkuk University School of Medicine, Seoul, Korea.

PMID: 27536578 PMCID: PMC4971145 DOI: 10.5371/hp.2014.26.3.185

Abstract

Osteonecrosis in isolated fractures of the acetabulum without dislocation of hip seems to be a known complication, but to our knowledge it has not been reported adequately. The causative nature of post-traumatic femoral head osteonecrosis has not been studied critically. The pathophysiology of osteonecrosis in this case also eludes us. Striking evidence points towards the intra-operative blood loss and low mean arterial pressure possibly leading to hypo-perfusion of femoral head leading to osteonecrosis. Fractures of the acetabulum pose a difficult problem for the patient and the surgeon because of possible complications. Thus any surgeon involved in surgery for fractures of the acetabulum should be aware of the possibility of this potential complication. Here is a 61-year male, who sustained a complex fracture of the acetabulum without hip dislocation, subsequently was treated surgically with internal fixation using an anterior approach, 10 months after surgery patient developed osteonecrosis of the femoral head.

Keywords: Acetabular fracture; Acetabulum fracture complication; Osteonecrosis of the femoral head

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