Obturator dislocation of the hip associated with ipsilateral quadrilateral plate fracture: A rare case report

Lorenzo, Ceri; Zanna, Luigi; Buzzi, Roberto; Biase, Pietro De

doi:10.1016/j.tcr.2021.100451

Cited by 2 publications

(2 citation statements)

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“…It's a therapeutic emergency that often requires a reduction of the dislocation, by external manoeuvres, under anaesthesia in good conditions. Sometimes, the presence of associated lesions, specifically, fracture of the femoral head or the femoral neck, or due to fragmentary incarceration, makes the dislocation irreducible and requires a surgical approach to reduce and synthesise [2] , [10] , [11] , [12] , [13] , [14] , [15] . It's a serious lesion because it involves the prognosis of the femoral head in the medium and long term with the main complications dominated by the risk of osteoarthritis and post-traumatic necrosis.…”

Section: Discussionmentioning

confidence: 99%

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Traumatic obturator dislocation of the hip joint: About 2 cases and review of the literature

Zengui

Adaoui

Fargouch

et al. 2022

International Journal of Surgery Case Reports

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Section: Discussionmentioning

confidence: 99%

“…Delayed emergency computed tomography of the hip is systematically done. It allows a careful lesion assessment, specifically very frequent chondral injuries before or after reduction such as fractures of the acetabulum, of the head, or intraarticular fragments that have gone unnoticed [11] , [12] , [15] .…”

Section: Discussionmentioning

confidence: 99%

Traumatic obturator dislocation of the hip joint: About 2 cases and review of the literature

Zengui

Adaoui

Fargouch

et al. 2022

International Journal of Surgery Case Reports

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Outcome of surgically treated acetabular fractures: risk factors for postoperative complications and for early conversion to total hip arthroplasty

Zanna

Lorenzo

Scalici

et al. 2022

Eur J Orthop Surg Traumatol

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Introduction: Acetabular fractures (AFxs) are rare injuries considering their incidence. The gold standard of treatment is open reduction and internal xation (ORIF). Surgical treatment represents a challenge for orthopedic surgeons. Our purpose is to assess the short-to medium-term functional outcomes and complications of surgically treated AFx. We analysed the factors in uencing clinical outcomes, the incidence of complications and the predictors of conversion in total hip arthroplasty (THA).Materials and Methods: We retrospectively analysed 102 patients with AFx treated between December 2017 and September 2020. The inclusion criteria were AFx treated with ORIF and more than 12 months of follow-up (FU). We evaluated the quality of reduction with X-ray measuring residual displacement, classi ed into 3 groups (Matta Radiological Score). Postoperative super cial and deep infections, neurological sequelae and deep vein thrombosis were documented. X-rays were performed to con rm the adequacy of xation and complications. At the nal FU, the radiographs were graded according to Matta's Radiological Outcome Grading, and the clinical outcomes were graded using the Oxford Hip Score (OHS).Results: Of 102 patients, 62 patients were enrolled. The statistical analysis revealed that OHS was in uenced by quality of reduction (P=0.033), injury severity score (ISS) (P=0.005) and age (> 75 years) (P=0.029). A signi cant correlation between the patient's BMI and the OHS was recorded. The late sequelae were heterotopic ossi cation (HO) in 13 patients, osteoarthritis (OA) in 22 and avascular necrosis (AVN) in 4. HO was signi cantly affected by the posterior approach (P=0.031) and by an ISS > 15 (P= 0.0003). The analysis showed a correlation between AVN and posterior hip dislocation (P=0.004).OA had a correlation with postoperative quality of reduction (P=0.014). Eight patients required THA. Comparing patients with and without THA, a signi cant correlation between THA and posterior dislocation (P=0.022), isolated posterior wall fracture (P=0.039) and ISS > 15 (P=0.029) was recorded.Conclusion: Despite the improvement of surgical techniques and perioperative care, a high rate of patients with AFx still develop complications and require THA. Identifying negative predictors to help the management of fractures in elderly individuals is needed. Furthermore, the presence of negative predictors could represent an indication for primary THA.

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Obturator dislocation of the hip associated with ipsilateral quadrilateral plate fracture: A rare case report

Cited by 2 publications

References 10 publications

Traumatic obturator dislocation of the hip joint: About 2 cases and review of the literature

Traumatic obturator dislocation of the hip joint: About 2 cases and review of the literature

Outcome of surgically treated acetabular fractures: risk factors for postoperative complications and for early conversion to total hip arthroplasty

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