Rapidly Progressive Osteolysis of the Femoral Head Following An Acetabular Fracture - Case Report
Journal Title: JURNALUL DE CHIRURGIE [JOURNAL of SURGERY] - Year 2017, Vol 13, Issue 2
Abstract
Posttraumatic osteolysis is a rare complication of fractures. We present a case of massive, rapidly progressive osteolysis of the femoral head following a fracture of the acetabulum. A 45 years old male patient suffered a transverse acetabular fracture that involved the posterior wall. Through a Kocher-Langenbeck approach we performed open reduction and internal fixation of the fracture with two reconstruction plates. Postoperative radiologic control showed acceptable fracture reduction. At 45 days after surgery, a routine X-ray control was performed and a massive osteolysis involving about 50% of the femoral head was noticed. Three months after the surgery, quasi-total disappearance of the femoral head with superior dislocation of the remaining blunt was observed. Massive osteolysis of the femoral head is a new entity of post-traumatic osteoarthritis described in a small number of patients which should not be confused with aseptic necrosis or rapidly progressive osteoarthritis.
Authors and Affiliations
Ovidiu Alexa, Radu Ioan Malancea, Bogdan Puha, Dragos Popescu
Keywords
Related Articles
- EP ID EP288514
- DOI 10.7438/1584-9341-13-2-7
- Views 66
- Downloads 0
Laparoscopic Right Colectomy from Up to Bottom
The laparoscopic right colectomy became a well-established technique in the surgical armamentarium of colorectal operations. It has well proved advantages: reduction in postoperative pain, time to return of bowel functio...
Obesity is Linked with Inflammation-Evaluation of Subclinical Inflammatory Status in Obese Patients
Background: Obesity is one of the most important public health; it seems that inflammation is a pathogenic pathway between obesity and its associated comorbidities. The aim of the study was to evaluate the status of seru...
Retrospective Analysis of Facial Dog Bite Injuries and Surgical Management at Plastic Surgery Centre: 10 Years' Experience, Vilnius University Hospital, Lithuania
Introduction: Facial dog bites injuries are high risk of contamination, complex and cosmetic outcome is at its great importance. Methods: 81 consecutive patients (46 adults and 35 children) treated for facial dog bite in...
A Rare and Interesting Case of Mediastinal Fibromatosis
Mediastinal fibromatosis is a rare entity affecting individuals of all age groups, and is extremely rare in children. Fibromatosis can occur anywhere in the body; most commonly in the superficial soft tissues, extremitie...
The Number of 7 Patient’s Clinical Analysis of Duodenal Neuroendocrine Neoplasms
Aim: The aim of this study was to report and analyze outcomes associated 7 patient’s in-hospital evaluation and investigate of the cliniopathological features diagnosis and treatment of duodenal neuroendocrine neoplasms....