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Correction of a Femoral Head Fracture Malunion with Surgical Dislocation of the HipA Case Report
James R. Ross, MD1; John C. Clohisy, MD1
1 Department of Orthopaedic Surgery, Washington University School of Medicine, One Barnes-Jewish Hospital Plaza, Suite 11300 West Pavilion, Campus Box 8233, St. Louis, MO 63110. E-mail address for J.R. Ross: orthodocjimross@gmail.com. E-mail address for J.C. Clohisy: clohisyj@wudosis.wustl.edu
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Investigation performed at the Department of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, Missouri



Disclosure: None of the authors received payments or services, either directly or indirectly (i.e., via his or her institution), from a third party in support of any aspect of this work. One or more of the authors, or his or her institution, has had a financial relationship, in the thirty-six months prior to submission of this work, with an entity in the biomedical arena that could be perceived to influence or have the potential to influence what is written in this work. No author has had any other relationships, or has engaged in any other activities, that could be perceived to influence or have the potential to influence what is written in this work. The complete Disclosures of Potential Conflicts of Interest submitted by authors are always provided with the online version of the article.

Copyright © 2012 by The Journal of Bone and Joint Surgery, Inc.
JBJS Case Connector, 2012 Nov 28;2(4):e71 1-6. doi: 10.2106/JBJS.CC.L.00076
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Extract

Femoral head fractures are uncommon injuries, but appropriate treatment is important to prevent posttraumatic osteoarthritis. Approximately 5% to 15% of posterior dislocations of the hip are associated with femoral head fractures1-3. Since the earliest description of a femoral head fracture in 18694, several case series have been published. However, no firm conclusions have been reached regarding optimal treatment. Historically, these fractures have been associated with poor functional outcomes5. To our knowledge, posttraumatic femoroacetabular impingement (FAI) and surgical correction of a femoral head fracture malunion have not been reported in the literature. We report the case of a femoral head fracture that presented with a painful malunion secondary to an acquired, posttraumatic, cam-type FAI. The patient underwent malunion correction via surgical dislocation of the hip. He was informed that data concerning the case would be submitted for publication, and he provided consent.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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