Uncemented Total Hip Replacement After Two Years of Neglected Hip Dislocation With Fracture of Posterior Column and Wall of the Acetabulum

Dc, Sundaresh; Ramanath, Sharath Kittanakere; Grover, Amit; Gadi, Daksh

doi:10.5812/traumamon.25301

Cited by 4 publications

(2 citation statements)

References 12 publications

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“…7 Among all these procedures mentioned, total hip replacement is still considered the best option for treatment of neglected hip dislocations. 8 Our case is quite an extreme scenario wherein the hip had been dislocated and neglected for last 18 years, and was eventually managed by a hybrid total hip replacement.…”

Section: Discussionmentioning

confidence: 92%

Restoring a near anatomical hip joint in an 18 year old neglected hip fracture dislocation – A rare case report

Mukherjee

Raja²

2022

IJOS

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Long standing neglected traumatic hip fracture dislocation is a rare clinical condition. Obliteration of the native acetabulum, soft tissue contractures, loss of femoral head congruity and associated hip fractures make this condition challenging to treat. We discuss a case of a middle-aged male presenting to us with pain, shortening and inability to bear weight on left lower limb for last 15 years. Clinical examination revealed an adduction deformity over the left hip, a globular swelling in the left gluteal region and a fixed equinus deformity over left ankle. Movements at the left hip hinted at restricted internal rotation and flexion. Pelvis radiographs revealed a neglected posterior hip dislocation with ipsilateral femur neck non union. Patient underwent initial upper tibial traction for 8 weeks followed by a hybrid Total Hip Arthroplasty. Postoperatively intensive physiotherapy was continued and with correction of the ankle equinus patient was able to ambulate. On five years follow-up, the patient was mobilizing independently, pain-free with a mild short limb gait and some residual foot drop.Treatment of neglected hip fracture dislocation can be challenging. Associated economic restraints may hinder clinicians from higher imaging and make the treatment even difficult. However, an anatomical reconstruction of hip by a total hip arthroplasty has yielded good functional outcomes in long standing neglected dislocations.’

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Section: Discussionmentioning

confidence: 92%

Restoring a near anatomical hip joint in an 18 year old neglected hip fracture dislocation – A rare case report

Mukherjee

Raja²

2022

IJOS

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“…Depending on the situation, usage of the femoral head as a structural graft, impaction bone grafting, or column buttress augment is required. Bulk autograft bone from the femoral head is mainly used in cases of protrusion or when there are columnar defects 12 ) .…”

Section: Discussionmentioning

confidence: 99%

Mid-term Results of Total Hip Arthroplasty for Posttraumatic Osteoarthritis after Acetabular Fracture

Ramanath,

Tribhuvan,

Chandran

et al. 2024

Hip & Pelvis

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Purpose: Purpose: The prognosis of total hip replacement (THR) after open reduction and internal fixation (ORIF) versus THR following non-operative treatment of acetabular fractures is unclear. Few studies have been conducted in this regard. Therefore, the purpose of the current study was to perform an assessment and compare the functional outcomes for study subjects in the ORIF and non-ORIF groups during the follow-up period compared to baseline. Materials and Methods: Materials and Methods: This longitudinal comparative study, which included 40 patients who underwent THR for either posttraumatic arthritis after fixation of an acetabular fracture or arthritis following conservative management of a fracture, was conducted for 60 months. Twenty-four patients had undergone ORIF, and 16 patients had undergone nonoperative/conservative management for acetabular fractures. Following THR, the patients were followed up for monitoring of functional outcomes for the Harris hip score (HHS) and comparison between the ORIF and non-ORIF groups was performed. Results: Results: The HHS showed significant improvement in both ORIF and non-ORIF groups. At the end of the mean follow-up period, no significant variation in scores was observed between the groups, i.e., ORIF group (91.61±6.64) compared to non-ORIF group (85.74±11.56). A significantly higher number of re-interventions were required for medial wall fractures and combined fractures compared to posterior fractures (P<0.05). Conclusion: Conclusion: THR resulted in improved functional outcome during follow-up in both the groups; however, the ORIF group was observed to have better functional outcome. Re-intervention was not required for any of the posterior fractures at the end of the mean follow-up period.

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Primary single stage Total Hip Arthroplasty in a patient 40 years post traumatic Hip dysplasia, a case report

Phatama

Pradana

Mustamsir

et al. 2019

Trauma Case Reports

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Introduction Hip dysplasia refers to an abnormal development of size, shape, or organization of the femoral head, acetabulum, or both. Managing acetabular dysplasia is very challenging in arthroplasty especially in traumatic hip dysplasia case. Mostly, hip dysplasia cases need a special implant, procedure and techniques. Case presentation We performed primary Total Hip Arthroplasty (THA) + partial tenotomy of hamstring, iliotibial band, hip abductor in a 73 year old male. His main complaint was that he was unable to sit due to an increasingly intense pain since 3 months ago and he has been unable to walk properly since 40 years ago when he had a major traffic accident and received inadequate treatment. The procedure had been successfully done using a well press-fit cementless acetabular cup and a cementless narrow stem application 1 cm on leg length discrepancy (LLD). Conclusion Preoperative planning, surgical techniques and a post-surgery rehabilitation are the key to a successful management in this case.

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Uncemented Total Hip Replacement After Two Years of Neglected Hip Dislocation With Fracture of Posterior Column and Wall of the Acetabulum

Cited by 4 publications

References 12 publications

Restoring a near anatomical hip joint in an 18 year old neglected hip fracture dislocation – A rare case report

Restoring a near anatomical hip joint in an 18 year old neglected hip fracture dislocation – A rare case report

Mid-term Results of Total Hip Arthroplasty for Posttraumatic Osteoarthritis after Acetabular Fracture

Primary single stage Total Hip Arthroplasty in a patient 40 years post traumatic Hip dysplasia, a case report

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