PMC5394188_01
Preoperative X-ray and Computed tomography images of the patient demonstrating ipsilateral femur intertrochanteric, lateral condyle and acetabulum fractures with posterior dislocation of the femoral head.
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An X-ray examination of the pelvis and left femur and a computerised tomography (CT) scan of the hip are performed and they confirm the diagnosis posterior hip dislocation associated with ipsilateral acetabular fracture (Type B1 transverse and posterior wall according to the AO classification), displaced intertrochanteric fracture of the femur, greater trochanter and lateral condyle fracture. (Fig. 1).
Intraoperative photograph of the femoral head lying free between muscle fibers and fixation of the femoral head.
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Then with posterolateral approach after opening the fascia of the gluteus maximus muscle, the femoral head was found lying free between the muscle fibers (Fig. 2).
Postoperative radiography demonstrating reduction of the femoral head and stabilization of all fracture 3 month after the surgery.
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Acetabular fracture was anatomically reduced and fixed with a reconstruction plate and screws (Fig. 3). Radiographic examination was performed 3 months (Fig. 3) and 12 months (Fig. 4) after the operation.