Ganz’s anterior dislocation for intra-articular firearm projectile extraction and fixation of associated femoral head and neck fractures: case report

Abstract

Hip fractures involving a firearm projectile are serious and complex injuries that represent a significant challenge for healthcare professionals. These fractures usually result from high-impact injuries caused by gunshots and can lead to extensive damage to tissue and bone structures. This type of injury can cause multiple, comminuted fractures as well as damage to nearby blood vessels and nerves. The bullet fragment may remain and lead to poisoning, joint stiffness, pain, and further complications. The Ganz procedure is a surgical approach used in the treatment of femoral neck and head fractures. This method aims to restore the anatomy and biomechanics of the hip, especially in cases of complex or displaced fractures. Unlike traditional techniques, the Ganz procedure uses a less invasive approach, minimizing damage to surrounding tissues and preserving the region's vascularity. Hip fractures associated with gunshot wounds are rarely described in the literature. The objective of the present study is to report the use of the Ganz technique in a femur neck and head fracture associated with a firearm projectile in a 21-year-old male.