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Updated: May 30, 2026

Imaging of the Microstructural Failure Mechanism in the Human Hip
Published on: September 29, 2023
Central dislocation of the hip secondary to insufficiency fracture
H Moe Thaya1, Sivan Sivaloganathan, A Sankey
1Trauma and Orthopaedics, Chelsea and Westminster Hospital, London, UK.
Abstract:
We present a case report of a 45-year old man who sustained a central dislocation of the hip secondary to an insufficiency fracture of the acetabulum. At the time of presentation he was on alendronate therapy for osteoporosis which had been previously investigated. CT scanning of the pelvis was useful for pre-operative planning which confirmed collapse of the femoral head but no discontinuity of the pelvis. The femoral head was morcellized and used as bone graft for the acetabular defect and an uncemented total hip replacement was performed.
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Fractures: Bone Repair
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...