PMC5022068_01
X-ray and C-scan showing complete transphyseal separation and dislocation of the femoral head associated with anterior column fracture of left acetabulum.
gr1.jpg
PMC5022068_01_gr1.jpg
fig0005
Radiological assessment, including x-rays and computed tomography (CT) scans, revealed a complete transphyseal posterior dislocation and a left anterior column fracture of the acetabulum with a displacement of less than five millimeters (Fig. 1).
Post-operative AP and lateral X-ray views revealing the fixation with the two cannulated screws.
gr2.jpg
PMC5022068_01_gr2.jpg
fig0010
The internal fixation was maintained by two cannulated 6.5 mm screws (Figure 2, Figure 3).
Axial and coronal CT cuts demonstrating a well reduced epiphysis.
gr3.jpg
PMC5022068_01_gr3.jpg
fig0015
The internal fixation was maintained by two cannulated 6.5 mm screws (Figure 2, Figure 3).
X-ray images of the left hip after one month, four months and six months respectively.
gr4.jpg
PMC5022068_01_gr4.jpg
fig0020
The patient was seen in the clinic after one month, two months, four months, and six months and radiographic assessments were performed each time (Fig. 4).
A post-operative X-ray image of the left hip taken after removing the two cancellous screws.
gr5.jpg
PMC5022068_01_gr5.jpg
fig0025
After ten months from his surgery, the patient was readmitted for a removal of the cannulated screws (Fig. 5) and at the same admission a magnetic resonance imaging (MRI) of the left hip was performed confirming the presence of avascular necrosis (AVN).