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Journal of Bone and Joint Surgery - British Volume, Vol 87-B, Issue 4, 565-567.
doi: 10.1302/0301-620X.87B4.16080  
Copyright © 2005 by British Editorial Society of Bone and Joint Surgery
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Reduction of high dislocation of the hip using a distraction nail before arthroplasty

R. Baumgart, MD, Trauma Surgeon; M. Krammer, MD, Trauma Fellow; A. Winkler, MD, Trauma Fellow; S. Hinterwimmer, MD, Trauma Surgeon; O. Muensterer, MD, Paediatric Surgeon; and W. Mutschler, MD, Trauma Surgeon

Department of Surgery, University of Munich, Nussbaumstrasse 20, D-80336 Munich, Germany.

Correspondence should be sent to Dr R. Baumgart; e-mail: rainer.baumgart{at}med.uni-muenchen.de

We report the case of a 22-year-old woman who underwent plate and screw fixation for a traumatic left acetabular fracture and fixation with cancellous screws for an associated femoral neck fracture. Two months later, the internal fixation became infected and was removed. This resulted in a painful high dislocation of the hip. We solved the problem with continuous soft-tissue distraction using a fully implantable motorised distraction nail in order to reduce the proximal femur prior to total hip arthroplasty. To our knowledge, this is the first time that reduction of a high dislocation of the hip has been performed using such a system.






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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General