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Offene pertrochantäre Femurfraktur und posttraumatischer Osteitis beim Kind

Interposition einer gefäßgestielten Fibula zum Hüftkopferhalt

Open pertrochanteric fracture of the femur and post-traumatic osteitis in a child

Interposition of a pedicled vascularized fibula to preserve the femoral head

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Zusammenfassung

Das freie mikrovaskuläre Fibuladiaphysentransplantat als Schenkelhalsersatz mit Erhalt des eigenen Hüftkopfes aufgrund einer schweren Infektsituation nach Trauma stellt eine seltene Indikation in der Behandlung von jungen Patienten dar. In der aktuellen Literatur existieren derartige Operationsverfahren nicht. In dem hier dargestellten Fall dient das freie mikrovaskuläre Fibulatransplantat als Schenkelhalsersatz bei Erhalt des eigenen Hüftkopfs ohne postoperative Beweglichkeitseinschränkung. Der geschilderte Krankenverlauf zeigt die Wirksamkeit dieser Behandlungsform nicht nur bei aseptischen Femurkopfnekrosen, sondern stellt auch bei schweren Infektsituationen nach Trauma einen möglichen Behandlungspfad dar.

Abstract

The free microvascular fibula diaphysis transplant as femoral neck replacement with preservation of the patient’s own femoral head due to a severe infection situation represents a rare indication in the treatment of young patients. In the current literature, such surgical methods do not exist. In the case described here, the free microvascular fibula transplant serves as femoral neck replacement with preservation of the patient’s own femoral head without any postoperative mobility restrictions. The depicted course of the disease not only shows the effectiveness of this form of treatment in aseptic femoral head necrosis, but also represents a possible treatment in severe infection situations after trauma.

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Authors and Affiliations

  1. Klinik für Unfallchirurgie, Universitätsklinikum Essen, Hufelandstraße 55, 45122, Essen, Deutschland

    B. Hußmann, G. Taeger, D. Nast-Kolb & S. Lendemans

  2. Plastische, Rekonstruktive, Ästhetische und Handchirurgie, Körperformung, Narbentherapie und Verbrennung, Universitätsklinikum Essen, Essen, Deutschland

    R. Hierner

Authors
  1. B. Hußmann
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  2. G. Taeger
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  3. R. Hierner
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  4. D. Nast-Kolb
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  5. S. Lendemans
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Correspondence to B. Hußmann.

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Hußmann, B., Taeger, G., Hierner, R. et al. Offene pertrochantäre Femurfraktur und posttraumatischer Osteitis beim Kind. Unfallchirurg 114, 1018–1023 (2011). https://doi.org/10.1007/s00113-011-1993-y

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  • DOI: https://doi.org/10.1007/s00113-011-1993-y

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