Ipsilateral open anterior hip dislocation and avulsion fracture of the greater trochanter: An unusual case report

Khalifa, Mohamed A.; Alaya, Zeineb; Hassini, Lassaad; Bouattour, Karim; Osman, Walid; Ayèche, Mohamed Laziz Ben

doi:10.1016/j.arcped.2019.09.005

Cited by 6 publications

(2 citation statements)

References 10 publications

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“…In 2019, Khalifa et al 12 reported a case of a 13-year-old boy who had an open anterior dislocation of the hip with ipsilateral avulsion fracture of the greater trochanter, their treatment consisted of a complete debridement and hip reduction, but osteonecrosis was present at 3 years postoperative. A replacement hip prosthesis was placed when the patient was 18 years old.…”

Section: Discussionmentioning

confidence: 99%

Traumatic obturator–anterior type dislocation of the hip with an ipsilateral ischial tuberosity and greater trochanter fractures: Case report

Sandoval

González

Montero

et al. 2020

Journal of Orthopaedics, Trauma and Rehabilitation

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Anterior hip dislocation is a rare orthopedic emergency, usually following high-energy trauma. This injury is occasionally associated with acetabular fractures, femoral head fractures, or diaphyseal femoral fractures. However, the combination between the anterior hip dislocation and the ipsilateral ischial tuberosity and greater trochanter fractures is extremely rare, and very sparsely reported in the literature. This paper reports a case of an obturator type of anterior hip dislocation associated with a concomitant ipsilateral ischial tuberosity and greater trochanter fracture. The hip dislocation was reduced by closed means under general anesthesia, and the greater trochanter fracture was reduced and internally fixed with tension band in a second stage. Radiological and functional evaluation at 12 months after surgery, using the Harris Hip Score (HHS), was good.

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Section: Discussionmentioning

confidence: 99%

Traumatic obturator–anterior type dislocation of the hip with an ipsilateral ischial tuberosity and greater trochanter fractures: Case report

Sandoval

González

Montero

et al. 2020

Journal of Orthopaedics, Trauma and Rehabilitation

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“…53 Similar to the contemporary literature, our study revealed strong association between heterotrophic ossification and head-chest injury. 8,15,27,32,54,55 However, the association between the same with the direction of dislocation and the degree of soft tissue injury or intervention was not significant.…”

Section: Complication: Heterotrophic Ossificationmentioning

confidence: 96%

Decoding the behaviour of extracapsular proximal femur fracture- dislocation - A systematic review of a rare fracture pattern

Desai

2021

Journal of Clinical Orthopaedics and Trauma

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Proximal femoral extracapsular fractures with associated ipsilateral hip dislocation is an extremely rare pattern of injury. These fractures may be associated with a spectrum of severity from isolated trochanteric fractures to comminuted intertrochanteric and subtrochanteric fractures with hip dislocation. To date, this pattern of injury is not described in any injury classification system and no clear cut guidelines for the same are available. The aim of this review is to provide an evidence based pooled analysis of the existing literature and develop guidelines that help surgeons tackle this rare injury pattern. Methods: A comprehensive review of the literature was undertaken using the PRISMA. Case reports and series of Extracapsular proximal femoral fracture dislocations published in PubMed, EMBASE, Springer, OvidSP, ScienceDirect, Web of Science and Google scholar between inception of journals to May 2020 were included in the review. A pooled analysis comparing the demography, pattern of the fracture, mode and mechanism of injury with the clinical and radiological outcome and complications was performed. Results: 52 cases from 46 case studies were included in the pooled analysis. There was a near significant association between avascular necrosis and mean time to reduction (p ¼ 0.0865). Individuals with compound injury had 10.12 times higher risk of avascular necrosis (p ¼ 0.009). No significant association between the pattern of proximal femur fracture and incidence of avascular necrosis (p ¼ 0.116, chisquare). There was no significant association between polytrauma and poor clinical outcomes. (p ¼ 0.231). Conclusions: Principles of damage control orthopaedics should be followed in unstable patients with this rare fracture dislocation. Percutaneous Schanz screw reduction manoeuvre can be attempted gently with a low threshold to perform an open reduction. Every attempt at salvaging the fractured hip must be performed in young individuals with an arthroplasty standby for comminuted and unreconstructable cases.

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Traumatische Hüftluxation beim Kind

Mayr,

Frei,

Weinberg

et al. 2023

Orthopädie Und Unfallchirurgie

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Ipsilateral open anterior hip dislocation and avulsion fracture of the greater trochanter: An unusual case report

Cited by 6 publications

References 10 publications

Traumatic obturator–anterior type dislocation of the hip with an ipsilateral ischial tuberosity and greater trochanter fractures: Case report

Traumatic obturator–anterior type dislocation of the hip with an ipsilateral ischial tuberosity and greater trochanter fractures: Case report

Decoding the behaviour of extracapsular proximal femur fracture- dislocation - A systematic review of a rare fracture pattern

Traumatische Hüftluxation beim Kind

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