Neglected traumatic anterior dislocation of the hip. Open reduction using the Bernese trochanter flip approach — a case report

Young, Sven; Banza, Leonard

doi:10.1080/17453674.2016.1272375

Cited by 7 publications

(10 citation statements)

References 19 publications

(30 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…For old unreduced dislocation, traction is not only to reduce the risk of avascular necrosis, but also to ameliorate soft tissue contracture around the hip joint. The time of traction and non-weight-bearing following hip reduction is highly variable, ranging from 1 wk to 6 wk in traction and 2 wk to 12 wk in non-weight-bearing [ 4 , 5 , 7 , 8 , 11 , 14 , 18 , 20 , 22 , 26 ]. Although a few studies in recent years have shown that traction did not change the risk of avascular necrosis and prognosis[ 5 ], 6-wk skin traction and totally 8-wk non-weight-bearing were applied for our patient.…”

Section: Discussionmentioning

confidence: 99%

Old unreduced obturator dislocation of the hip: A case report

Li¹,

Wang²,

Ni³

et al. 2021

WJCC

View full text Add to dashboard Cite

BACKGROUND Obturator dislocation is a rare type of hip dislocation, accounting for about 2%-5% of all hip dislocations. The occurrence of old unreduced obturator dislocation is even more infrequent, with only 17 cases reported in nine studies, most of which were from the 1950s to 1980s in developing countries. CASE SUMMARY A 38-year-old woman from Hunan Province, China presented with stiffness of the left hip in abduction, flexion, and external rotation after falling from a 2-meter-tall tree onto her left knee 1.5 mo prior. Pelvic radiograph and computed tomography revealed obturator dislocation of the left hip accompanied by impaction fracture at the superolateral aspect of the left femoral head without associated acetabulum fracture. Open reduction was performed, resulting in restoration of the concentric alignment of the left hip. After surgery, 6-wk skin traction was applied and the patient was kept in bed for an additional 2 wk. At 3 mo after surgery, the patient reported experiencing some pain, which did not affect the function of the affected limb, and some movement restriction but no abduction deformity or claudication was present. An X-ray showed that the left hip was homocentric, and there was no sign of posttraumatic arthritis or avascular necrosis. CONCLUSION Open reduction may be an effective treatment strategy for the rare condition of old unreduced obturator dislocation with short neglect time.

show abstract

Section: Discussionmentioning

confidence: 99%

Old unreduced obturator dislocation of the hip: A case report

Li¹,

Wang²,

Ni³

et al. 2021

WJCC

View full text Add to dashboard Cite

show abstract

“…Gupta and Shravat (1977) utilized “heavy traction” with 10–18–kg skeletal traction and sedation of seven patients for around 20 days, and achieved reduction in 6 of the patients. The successful reductions were in patients with dislocations that were <3 months old [ 4 ]. If the neglect is more than 3 months old as which was in our case of around 6 months, the open reduction becomes a difficult option, and preferred treatment approaches mentioned in the literature include THR, modified girdle stone procedure by Nagi and trochanteric osteotomy [ 5 , 6 ].…”

Section: Discussionmentioning

confidence: 99%

“…It becomes cumbersome to manage such cases as the time progresses. The fibrous tissue gets filled up in the acetabulum making closed reduction impossible [ 4 ]. Finding a suitable intermediary measure so as to suit the patients needs and ambulatory functions along with the provision of a more natural hip for later dated final measure joint replacement is of utmost importance.…”

Section: Introductionmentioning

confidence: 99%

A 6-Month-Old Neglected Obturator Inferior Variety of Anterior Hip Dislocation in A Young Male Managed with an Intermediary Salvage Measure Without the Need for Osteotomy or Excision Arthroplasty with A Resultant Ambulatory Natural Hip – A Case Report

Koshire¹,

Koshire²,

Jain³

2021

JOCR

View full text Add to dashboard Cite

Introduction: Among all the traumatic hip dislocations, anterior hip dislocation is a rarity in which the obturator inferior variety is one of the rarest to be documented [1]. Here we present to you the case of our patient, a 35-year-old male with a six month neglected obturator variety of anterior hip dislocation treated by salvage procedure of open reduction without the need for intertrochanteric osteotomy and resultant preserved natural hip for ambulation as an intermediary procedure. Case Report: Mr. SH a 35-year-old male had a fall from 15 feet in his village and was treated by a local quack, Meanwhile the patient continued to experience pain and difficulty walking and after an ordeal of nearly 6 months during the lockdown period in coronavirus disease pandemic, showed up in our emergency room and was diagnosed with an obturator type anterior hip dislocation for which we carried out open reduction aided with Murphys skid through an anterolateral approach and stabilization using two Steinman pins and further immobilization by Thomas splint for a period of 15 days, which was done after confirmation of intact head vascularity under general anesthesia after which gradual mobilization was initiated. 3 months post operative, now patient is ambulatory with stick support with no deformity, no pain and with early radiological features of avascular necrosis (AVN) for which Total Hip Replacement (THR) is planned at a later date. Conclusion: Utilisation of salvage procedures and moreover those with minimal operative complications will result in better, natural long-term intermediary measure outcome with a resultant delay in joint replacement procedure which is in the better interest of the patient. Keywords: Anterior hip dislocation, open reduction, obturator inferior type, neglected dislocation, Anterolateral approach.

show abstract

“…Early recognition and a prompt reduction is of great importance [3, 4] because delayed diagnosis may lead to long-term complications including avascular necrosis of the femoral head (AVN) and osteoarthritis [5]. Neglected hip dislocations are rare in adults, especially in high-income countries [6]. However, in developing countries, patients may not seek medical attention or visit the hospital many days after trauma because of financial strain and neglected hip dislocations are not uncommon [7].…”

Section: Introductionmentioning

confidence: 99%

External fixation-assisted reduction for the treatment of neglected hip dislocations with limb length discrepancy: a retrospective study of 13 cases

Tao

Song

et al. 2019

BMC Musculoskelet Disord

View full text Add to dashboard Cite

BackgroundThe purpose of this study was to evaluate a new method for treating neglected hip dislocation with limb length discrepancy by using external fixation-assisted pre-reduction.MethodsThirteen patients admitted between January 2010 to February 2018 with a mean duration from injury to surgery of 5.0 ± 2.1 months and an average preoperative leg-length discrepancy of 7.7 ± 2.3 cm were enrolled in this study. The dislocation and associated acetabular fracture type, clinical outcomes and residual limb length discrepancy were evaluated.ResultsAll patients had posterior dislocations, and nine patients presented with acetabular fractures and were followed-up for at least 12 months. The average traction duration of external fixators was 28.8 ± 8.0 days and all patients received second-stage open reduction and internal fixation. Six patients showed residual limb length discrepancy within 2 cm. Patients showed significant improvement in hip function and pain relief. Complications including avascular femoral head necrosis and osteoarthritis occurred in three patients.ConclusionEffective correction of limb length discrepancy and improved function were observed in patients with neglected hip dislocations and limb equality using traction by external fixation combined with second-stage open reduction. Further follow-up is required to determine long-term outcomes.

show abstract

Neglected traumatic anterior dislocation of the hip. Open reduction using the Bernese trochanter flip approach — a case report

Cited by 7 publications

References 19 publications

Old unreduced obturator dislocation of the hip: A case report

Old unreduced obturator dislocation of the hip: A case report

A 6-Month-Old Neglected Obturator Inferior Variety of Anterior Hip Dislocation in A Young Male Managed with an Intermediary Salvage Measure Without the Need for Osteotomy or Excision Arthroplasty with A Resultant Ambulatory Natural Hip – A Case Report

External fixation-assisted reduction for the treatment of neglected hip dislocations with limb length discrepancy: a retrospective study of 13 cases

Contact Info

Product

Resources

About