Acute total hip arthroplasty for anterior hip fracture-dislocation: a case report.

Shunsuke Ikezawa, Tomofumi Nishino, Natsuo Yoneda, Kentaro Tayama, Hiroshi Noguchi

Abstract readCase Reports

In one paragraph

Article in Journal of surgical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

5 authors.

Shunsuke IkezawaDepartment of Orthopaedic Surgery, Japanese Red Cross Mito Hospital, Mito, Japan.ORCID https://orcid.org/0009-0003-7328-0031

Tomofumi NishinoDepartment of Orthopaedic Surgery, Institute of Medicine, University of Tsukuba, Tsukuba, Japan.ORCID https://orcid.org/0000-0002-6755-4900

Natsuo YonedaDepartment of Orthopaedic Surgery, Japanese Red Cross Mito Hospital, Mito, Japan.

Kentaro TayamaDepartment of Orthopaedic Surgery, Japanese Red Cross Mito Hospital, Mito, Japan.

Hiroshi NoguchiDepartment of Orthopaedic Surgery, Japanese Red Cross Mito Hospital, Mito, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hip fracture-dislocations accompanied by femoral head or acetabular fractures remain challenging, and the optimal treatment strategy is still controversial. Anterior hip fracture-dislocations are particularly rare, and reports describing acute total hip arthroplasty (THA) for this injury pattern are limited. We report the case of a 74-year-old active woman who sustained an anterior hip fracture-dislocation with femoral head and acetabular anterior wall fractures after a low-energy fall. The injury was classified as Pipkin type IV and Brumback type 4B. Following closed reduction, acute THA was performed via a posterior approach using a dual mobility cup without additional internal fixation, as adequate acetabular coverage and primary stability were achieved intraoperatively. Immediate full weight-bearing was allowed. At 6 months postoperatively, the patient had resumed recreational sports, with a Harris Hip Score of 92 and no complications. Acute THA may be a viable treatment option for selected anterior hip fracture-dislocations.

Indexed as

acute total hip arthroplastyanterior hip fracture–dislocationfix and replace

Identifiers

PMID41821975

DOI10.1093/jscr/rjag138

PMCPMC12978651

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