Journal of Orthopedic Education

Among traumatic dislocation of the hip with fracture shaft of the femur on the same side is a very rare injury. Traumatic anterior dislocation of the hip is a relatively rare condition, especially when compared to the more encountered posterior dislocation of the hip joint. We report a case of traumatic anterior dislocation of the hip associated with ipsilateral segmental fracture of the femoral shaft with left ribs fracture and haemothorax in a 45 years old female following road traffic accident.

Scars are a natural part of dermal healing process and they consist of fibrous collagen tissue, laid down in response to dermis. In abnormal scarring excessive collagen is produced and causes the formation of abnormal raised scars known as keloid and hypertrophic scars. Scars can have many significant functional, cosmetic and psychological sequelae. Despite the development of number of treatment modalities, no definitive therapy has been established. In this case report, author presents the experience of using pressure garment therapy in management of abnormal scars.

Background: Femoral neck fracture is a very common injury encountered in orthopedics.The old fracture neck femur fixation is a great challenge to orthopaedic surgeons. The obliquity of the fracture line leads to shearing forces at the fracture site. By doing valgus osteotomy shearing forces are converted into compressive forces and it also compensates for the limb length shortening that occur due to absorption of neck and compressive forces increases healing. In this study, we have assessed the functional outcome of valgus osteotomy and fixation by dynamic hip screw (DHS) in femoral neck fracture patients.

Material and Methods: 10 cases which were diagnosed with fracture non union neck femur were included in this study. The details of history, mode of injury, time since injury, other relevant history for chronic illness, clinical and radiological examination, Harris Hip Score (HHS) were noted at the time of admission. All patients underwent valgus osteotomy and fixed using 135° angled dynamic hip screw and barrel plate assembly. Post operatively x-rays were done at 1 month, 3 months, 6 months and 1 year. At each visit Harris hip score was taken.

Results: In our study the time taken for fracture union was 5.00 ± 0.82 months with union seen in all the patients at the end of 12 months. HHS in 3 patients was excellent, good in 6 patients and fair in 1 patient. Mean HHS at end of 12 months was 84.30 ± 5.79.