Traumatic hip dislocation in Cotonou

Chigblo, Pascal; Tidjani, Iréti Fiacre; Lawson, Éric; Hans-Moevi, A

doi:10.1016/j.jor.2016.06.006

Cited by 4 publications

(5 citation statements)

References 9 publications

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“…Chigblo et al reported the mean age of the patient was 39.6 years and males were 82.6%. 14 Lima et al 1 reported the mean age of 34.4 years and 90% of the male suffered, which are similar to our reports. In our study, the right hip dislocated more than the left which accounted for 62.96% of cases.…”

Section: Discussionsupporting

confidence: 91%

Traumatic Hip Dislocation: An Experience from a Public General Hospital of Brunei

Devkota¹,

Ahmad²

2022

Journal of Orthopedics and Joint Surgery

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Computed tomography (CT) scan was not done regularly and also not required. Inclusion criteria were:(1) Patient managed at the hospital with TDH, dislocation reduced closely and surgical intervention done for acetabular fractures or other associated injuries; (2) Information available of the patient of 1 year after a dislocation. Exclusion criteria were: Dislocation of the hip due to pathological and congenital reasons, dislocation reduced by open surgical intervention, dislocation with acetabular fractures which was operated and adequate information not available on the records of the patient. Emergency reduction done and immobilization with skin tractions for 3 weeks in the hospital done. Discharged from the hospital and advised for non-weight bearing (NWB) crutch walk for another 3 weeks advised.We analyzed the epidemiological parameters like gender, age, and nationalities for each patient. The common causes of dislocations, a pattern of dislocation and associated injuries, IntroductIonTraumatic dislocation of the hip (TDH) is an orthopedic emergency that is commonly due to high-energy trauma and it can cause serious permanent disability. 1 Road traffic accidents (RTA) is the major cause of the TDH, and the condition is worsened when associated with the acetabular or femoral head fracture. 2,3 The incidence of hip dislocation is 5.2% and it is the most common joint to dislocate in the lower extremity. 4 Prompt recognition and early reduction with adequate stabilization is crucial for the successful functional outcome. 5 Traumatic dislocation of the hip is classified as anterior, posterior, central, and posterior dislocation is the commonest one. 6 The posterior dislocation is caused by forced adduction with internal rotation and some degree of flexion of the hip. 7 The hip dislocation with or without acetabular fracture is largely dependent on the direction of the femoral head at the time of injury and the increased flexion, adduction is more likely to cause a simple dislocation with the femoral anteversion may predispose patients to simple hip dislocations. 8 Generally, isolated hip dislocations are treated by closed reduction with immobilization. The delay in the reduction may result in avascular necrosis (AVN) of the femoral head, post-traumatic arthritis, and ankylosis of the hip joint. 9 Irreducible dislocations, incongruent reductions, and associated fractures may require successive operative intervention. 10 This study aimed to review the common causes of traumatic hip dislocation, the demography, and the pattern of dislocations with associated fractures, injuries in a public general hospital. MaterIals a n d MethodsThis is a descriptive retrospective observational study of cases hospitalized for traumatic hip dislocation at a public general hospital

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Section: Discussionsupporting

confidence: 91%

Traumatic Hip Dislocation: An Experience from a Public General Hospital of Brunei

Devkota¹,

Ahmad²

2022

Journal of Orthopedics and Joint Surgery

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“…Hip dislocations are prevalent in younger males between 14 or 16 years to 40, happening in subjects till 72 years. 116,[129][130][131] PTOA is the most common long-term sequelae of a simple hip dislocation. 116,127,132 Posttraumatic osteoarthritis might usually appear two years after the initial injury, being more common after ten years, where it might be present in up to 24% of cases.…”

Section: Hip Dislocationmentioning

confidence: 99%

“…116,127,132 Posttraumatic osteoarthritis might usually appear two years after the initial injury, being more common after ten years, where it might be present in up to 24% of cases. 116,130,131,133 Some authors recommend a closed dislocation reduction in less than six hours of the injury, considering this a risk factor for bad outcomes, including OA. 131 Others recommend arthroscopic repair or debridement of labral tears to reduce the risk of posttraumatic osteoarthritis; however, most authors agree that delayed reduction increases the risk of OA.…”

Section: Hip Dislocationmentioning

confidence: 99%

A review of Risk Factors for Post-traumatic hip and knee osteoarthritis following musculoskeletal injuries other than anterior cruciate ligament rupture.

et al. 2022

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Post-traumatic osteoarthritis (PTOA) is a common form of osteoarthritis that might occur after any joint trauma. Most PTOA publications mainly focus on anterior cruciate ligament (ACL) injuries. However, many other traumatic injuries are associated with PTOA, not only for the knee but also for the hip joint. We aim to identify and summarize the existing literature on the musculoskeletal injuries associated with knee and hip PTOA and their risk factors in determining those with a worse prognosis, excluding ACL injuries. Despite the narrative nature of this review, a systematic search for published studies in the last twenty years regarding the most relevant injuries associated with a higher risk of PTOA and associated risk factors for OA was conducted. This review identified the six more relevant injuries associated with knee or hip PTOA. We describe the incidence, risk factors for the injury and risk factors for PTOA of each. Meniscal injury, proximal tibial fracture, patellar dislocation, acetabular, femoral fractures and hip dislocations are all discussed in this review.

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“…Traumatic fracture-dislocation of the hip usually occurs in young adults and is the etiology for approximately 0.8 % of hospitalizations in this age group [1]. The most common type is the posterior dislocation, which accounts for 90% of all dislocations.…”

Section: Introductionmentioning

confidence: 99%

Dislocation Does Not Seem To Be an Absolute Factor Effecting the Short- to Medium-Term Poor Prognosis of Patients with Acetabular Posterior Wall Fracture

Yao,

Ye,

Fang

et al. 2024

Z Orthop Unfall

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Dislocation is a complication of acetabular fractures involving the posterior wall, but whether dislocation is an absolute factor impacting the short- to medium-term prognosis of the hip joint remains controversial. This study aimed to compare the short- to medium-term clinical and radiological results among patients diagnosed with an acetabular fracture involving the posterior wall, with or without dislocation.Seventy-nine patients diagnosed with an acetabular fracture involving the posterior wall were retrospectively divided into posterior dislocation and non-dislocation groups. All fractures were open reduction + internal fixation with a plate screw combination through the single Kocher-Langenbeck approach. The short- to medium-term radiographic outcomes of follow-up were evaluated using the Matta radiologic grading system, while the clinical outcomes were evaluated using the modified Merle d’Aubigné-Postel evaluation system.The mean follow-up duration for all patients was 43.90 (range 24–75) months. Both groups achieved similar short- to medium-term clinical and radiographic results. There seems to be no significant differences between the two groups regarding the short- to medium-term assessment of clinical and radiographic results and the occurrence of postoperative complications (p > 0.05).In patients with acetabular fractures involving the posterior wall, hip dislocation is probably not an absolute determinant of a poor outcome. Even with early reduction, the short- to medium-term prognosis results appear similar to those of patients without dislocation.

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Traumatic hip dislocation in Cotonou

Cited by 4 publications

References 9 publications

Traumatic Hip Dislocation: An Experience from a Public General Hospital of Brunei

Traumatic Hip Dislocation: An Experience from a Public General Hospital of Brunei

A review of Risk Factors for Post-traumatic hip and knee osteoarthritis following musculoskeletal injuries other than anterior cruciate ligament rupture.

Dislocation Does Not Seem To Be an Absolute Factor Effecting the Short- to Medium-Term Poor Prognosis of Patients with Acetabular Posterior Wall Fracture

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