Avascular Necrosis of the Femur Head after the Installation of Internal Fixation of the Posteriol Wall of the Acetabulum: A Case Report
Avascular Necrosis of the Femur Head
DOI:
https://doi.org/10.59747/smjidisurabaya.v3i2.104Kata Kunci:
Avascular necrosis hip; Fracture of the posterior wall of the acetabulum; Good health and well-being; Hip arthroplasty; Post-internal complication fixation.Abstrak
Background: One of the most common acetabular fracture was the posterior wall of the acetabulum, with the complication of avascular necrosis (AVN) of the femoral head. Several factors influence the development of AVN, including the severity of the trauma, delays in treatment, and the type of surgical intervention chosen.
Objective: To describe a patient with a posterior wall acetabular fracture with further developed to AVN for six months, and followed by an open reduction and internal fixation (ORIF).
Case: A 63-year-old male patient visited the RSD Dr. Soebandi Clinic in Jember for a follow-up after undergoing ORIF on his right acetabulum due to acetabular rim fracture. He reported experiencing pain and stiffness in his right groin for the past two weeks; however, he noted that the pain had subsided, and he had regained mobility. The patient smokes 1-2 packs of cigarettes daily, has no history of long-term steroid use, and does not consume alcohol. As a result of his condition, he underwent total hip arthroplasty and reconstruction. One year after the surgery, the patient was able to walk, and there was an improvement in his Harris hip score.
Conclusion: The fracture of the posterior wall of the acetabulum is a serious injury that can lead to several complications, including avascular necrosis (AVN). Total hip replacement (THR) is the preferred surgical treatment for patients with AVN when the femoral head and acetabulum are no longer viable. Patients with AVN who have undergone THR have shown positive outcomes in this and previous studies.
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