PMC7256206_01
Local State of the Pelvic & Pelvic and Femoral X-Ray in The Emergency Room.
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There is a shortening, internal rotation, adduction, and shortening of the left hip and femur (Fig. 1).
X-Ray After Closed Reduction; A) Allar View; B) Obturator View; C) Anteroposterior View.
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The patient underwent investigations in the form of pelvic x-rays (Fig. 2) and femoral x-rays (Fig. 3), the results showed that the head of the left femur came out of the acetabulum and visible fractures on the posterior wall of the acetabulum.
CT Scan: Evaluation of Fragment Size & Location.
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After closed reduction, the pelvic radiograph of the femoral head appeared to have returned to the acetabulum (Fig. 3).
Internal Fixation through Kocher Langenback Approach & Postoperative X-ray After Surgery.
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In addition to x-rays, a CT scan was also performed on the patient to evaluate the size of the fragment and location (Fig. 4). After surgery, the patient was reevaluated with pelvic x-ray (Fig. 4).
Patients were followed up for 2 years & X-ray after 2 years follow up.
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Kocher Langenback Approach with surgical hip dislocation technique in lateral decubitus position and the surgery conducted with the posterior kocher langenbach approach (Fig. 5). The patient were followed up for 2 years, patient had lost 23 kg of body weight, painless hip, even on mountain climbing, full hip range of motion (Fig. 5). On X-Ray (Fig. 5), there was a solid union at trochanteric osteotomy site, no sign of avascular necrosis, no arthritic changes on the hip joint.