PMC3505894_01
AP pelvis radiograph showing the bullet in the right femoral head. The tip of the paper clip shows the entry wound.
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These revealed the bullet lodged in the femoral head, with associated fractures of the femoral head and the anterior lip of the acetabulum (Figures 1 and 2).
Axial CT scan of the pelvis shows the location of the bullet in the femoral head with accompanying fracture.
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These revealed the bullet lodged in the femoral head, with associated fractures of the femoral head and the anterior lip of the acetabulum (Figures 1 and 2). On CT imaging the femoral head fracture appeared to have multiple fragments (Figure 2).
Intraoperative picture showing the presence of the bullet in the femoral head.
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Upon dislocation of the femoral head, the embedded bullet was noted to be in the posterosuperior region of the femoral head (Figure 3).
Intraoperative picture shows defect in femoral head after removal of bullet, prior to trimming and microfracture.
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However, the osteochondral fracture caused by the bullet was comminuted with no significant fragment large enough for fixation (Figure 4).