Stres prelom vrata butne kosti nakon zadnjeg iščašenja kuka – tip IV po Pipkinu

  • Nemanja Gvozdenović Medicisnki fakultet, Klinički Centar Vojvodine, Urgentni Centar, Klinika za ortopediju i traumatologiju
  • Srdjan Ninković University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia
  • Mladen Jovanović University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia
  • Dušica Marić University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia
DOI: https://doi.org/10.2298/VSP170425096G
Ključne reči: kuk, iščašenje;, kuk, prelom;, povrede, multiple;, prelomi usled zamora;, ortopedske procedure;, reoperacija.

Sažetak


Uvod. Povrede kuka (fraktura-luksacija) Pipkin tipa IV su retke, često praćene komplikacijama i lošim krajnjim rezultatom. Opisujemo slučaj komplikacije lečenja frakture-luksa­cije kuka tipa Pikin IV u vidu stres preloma vrata butne kosti (SFOFN). Prikaz bolesnika. Taksista star 60 godina, inicijalno zdrav, povređen je u saobraćajnom udesu kao politraumatizovan, sa zadnjim iščašenjem kuka i prelomom zadnjeg zida acetabuluma i glave butne kosti, tipa Pipkin IV. Odmah je operativno zbrinut – načinjena je otvorena repozicija kuka i osteositeza ulomaka solitarnim zavrtnjevima. Poptuno oporavljen, devet meseci nakon inicijalne povrede u toku hoda osetio je bol u predelu operisanog kuka i ne­mogućnost oslonca. Konstatovana je dislokacija i supkapitalna SFOFN koji nije nastao na mestu prethodne osteosinteze. Zaključak. Pipkin tip IV povreda kuka nastala u politraumi, nestabilan kuk i osteosinteza, kasno ili prerano dava­nje oslonca i odlaganje fizikalne terapije povećavaju mo­guć­nost nastanka komplikacija, u vidu avaskularne nekroze ili kao u našem slučaju, stres preloma (preloma preopterećenja).

Biografije autora

Nemanja Gvozdenović, Medicisnki fakultet, Klinički Centar Vojvodine, Urgentni Centar, Klinika za ortopediju i traumatologiju

Srbija

Srdjan Ninković, University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia

Doc. dr

Mladen Jovanović, University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia

Doc. dr

Dušica Marić, University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia

Prof. dr

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Objavljeno
2021/02/10
Broj časopisa
Vol. 76 Br. 4 (2019): Vojnosanit pregl
Rubrika
Prikaz bolesnika