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Closed reduction of hip dislocation associated with ipsilateral lower extremity fractures:A case report and review of the literature

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World Journal of Clinical Cases 2022年第34期10卷 12654-12664页

作者： Yong Xu Ming Lv Shu-Qiang Yu Guang-Ping Liu Department of Orthopaedics Chengdu Second People’s HospitalChengdu 610000Sichuan ProvinceChina Department of Orthopaedics Zibo Central HospitalShandong UniversityZibo 255000Shandong ProvinceChina Department of Orthopaedics The Fourth People's Hospital of ZiboZibo 255000Shandong ProvinceChina

BACKGROUND Traumatic hip dislocation usually occurs following high-velocity *** is imperative that the dislocation be reduced in a timely manner,especially in a closed manner,as an orthopedic ***,closed reduction can hardly be achieved in patients who also have ipsilateral lower extremity ***,we focus on hip dislocation associated with ipsilateral lower extremity fractures,excluding intracapsular fractures(femoral head and neck fractures),present an early closed hip joint reduction method for this injury pattern,and review the literature to discuss the appropriate closed reduction technique for this rare injury *** SUMMARY We report a case of a 37-year-old male who sustained a left acetabular posterior wall fracture,an ipsilateral comminuted subtrochanteric fracture and dislocation of the *** hip dislocation was reduced urgently in a closed manner using the joy-stick technique with a T-shaped Schanz *** fractures were reduced and fixed as a 2nd-stage surgery *** the 17-month postoperative follow-up,the patient had full range of motion of the affected *** Closed reduction of a hip dislocation associated with ipsilateral lower extremity fractures is rarely achieved by regular *** at closed reduction,by means of indirectly controlling the proximal fracture fragment or reconstructing the femoral leverage rapidly with the aid of various external reduction apparatuses,were shown to be effective in some *** open reduction is indicated in cases of failed closed reduction,particularly in irreducible dislocations.

关键词： Trauma hip dislocation Close reduction Open reduction Fracture Case report

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Femoral head fracture without hip dislocation

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Chinese Journal of Traumatology 2013年第5期16卷 304-307页

作者： Aditya K Aggarwal Ashwani Soni Daljeet Singh Department of Orthopaedic Surgery Postgraduate Institute of Medical Education & Research Chandigarh India

Femoral head fractures without disloca- tion or subluxation are extremely rare injuries. We report a neglected case of isolated comminuted fracture of femoral head without hip dislocation or subluxation of one year duration in a 36-year-old patient who sustained a high en- ergy trauma due to road traffic accident. He presented with painful right hip and inability to bear full weight on right lower limb with Harris hip score of 39. He received cementless total hip replacement. At latest follow-up of 2.3 years, functional outcome was excellent with Harris hip score of 95. Such isolated injuries have been described only once in the literature and have not been classified till now. The purpose of this report is to highlight the extreme rarity, pos- sible mechanism involved and a novel classification system to classify such injuries.

关键词： Femur head hip dislocation Classification Arthroplasty, replacement, hip

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Irreducible traumatic posterior hip dislocation with entrapment and a buttonhole effect

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Chinese Journal of Traumatology 2011年第6期14卷 367-370页

作者： Andre-Pierre Uzel Ricardo Bertino Guy Daculsi George Yves Laflamme Department of Trauma and Orthopaedic Surgery CHRU de Pointe-A-Pitre 97159 Pointe-A-Pitre Guadeloupe France CHU Bordeaux CIC-IT INSERM Hospital Xavier Arnozan 33000 Bordeaux France Division of Orthopaedic Surgery Hospital du Sacre Coeur 5400 GouinOuest Local J-3245 Montreal Quebec H4J 1C5 Canada

The authors reported the case of a 27- year-old man who sustained an irreducible postero-lateral traumatic dislocation of the hip with capsular and labral entrapment. Initial X-rays showed only a small acetabular fragment. After two attempts to reduce the hip with muscle paralysis under general anaesthesia failed, the patient was treated by immediate open reduction through a posterolateral approach. Surgical exploration of the hip revealed a small osteochondral fragment attached to a large piece of labrum and capsule, clogging the acetabulum. The femoralhead crossed over the torn capsule with a buttonhole effect. These elements were relieved, the bone fragment was fixed with a 2 mm screw and the capsule was repaired. At the 10- year follow-up, the functional outcome was excellent with a Harris score of 100 points and no signs of necrosis or osteoarthritis. The authors propose a literature review of this uncommon lesion.

关键词： hip dislocation Tears Acetabulum Necrosis

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Traumatic bilateral hip dislocation with bilateral sciatic nerve palsy

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Chinese Journal of Traumatology 2010年第2期13卷 126-128页

作者： Ajay Pal Singh Amarjit Singh Sidhu Arun Pal Singh Department of Orthopaedics Guru Teg Bahadur Hospital University College of Medical Sciences University of Delhi Delhi 110095 India Department of Orthopaedics Rajindra Hospital Government Medical College Punjab 147001 India

Bilateral hip dislocation rarely occurs. In this paper, a case of bilateral hip dislocation associated with bilateral sciatic nerve palsy resulted from a road traffic accident is reported. Both hips were emergently reduced under general anaesthesia. Acetabular reconstruction was done bilaterally due to the unstable hips. The patient subsequently developed heterotopic ossification and avascular necrosis on the left hip and underwent total hip arthroplasty. The sciatic nerve on the right side achieved complete recovery but that on the left side only partly recovered and was augmented by tendon transfer. Such injuries are serious and one should be aware of the complications because they can resurface and so patients should be followed up for a long time. To the best of our knowledge, this kind of injury has not been reported in the English .language literature.

关键词： hip dislocation Sciatic nerve Paralysis Accident, traffic

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Traumatic posterior hip dislocation in a 16-month-old child： a case report and review of literature

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Chinese Journal of Traumatology 2012年第6期15卷 382-384页

作者： Sanjay Meena Tanmay Kishanpuria Shreesh Kumar Gangari Pankaj Sharma Department of Orthopaedics All India Institute of Medi-cal Sciences(AIIMS)Ansari NagarNew Delhi 110029India Department of Orthopaedics Maulana Azad MedicalCollegeNew Delhi 110001India

Traumatic posterior hip dislocation is an uncommon injury in children, constituting less than 5% of paediatric dislocations. In a younger child （〈5 years）, minor trauma such as a slip or fall from a low height may cause a hip dislocation, whereas in an adolescent a dislocation is usually caused by a major trauma such as motor vehicle accident. In this case report we present a rare case of trau- matic hip dislocation in a 16-month-old girl. Early detectionand closed reduction ensured good outcome in our case. A high index of suspicion is necessary to achieve satisfactory reduction within six hours of dislocation because reduction after this period will greatly increase the risk of complications.

关键词： hip dislocation Child Accidents Wounds and injuries

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Functional outcome of hip joint dislocation concomitant femoral head fracture managed by Pipkin classification

Functional outcome of hip joint dislocation concomitant femo...

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2016年浙江省骨科学学术年会

作者： Xiao Yu Qing-jiang Pang Xian-Jun Chen Yun-Wang

Objective:To summarize the functional outcome of the hip joint dislocation concomitant femoral head fracture managed according to Pipkin ***:A total of 19 patients with hip joint dislocation with concomitant femoral head fracture were retrospectively analyzed from Jan 2008 to Jan *** to the classification of Pipkin criteria,there were4 cases in type Ⅰ,6 cases in type Ⅱ,6 cases in type Ⅲ and 3 cases in type Ⅳ Various procedures were taken according to the different types of the fracture,the time of the fracture,and the age of the patients.X-ray was examined during the follow-up period and functional evaluation was carried out by Harris hip Score’s *** clinical therapeutic effects were ***:All the patients got a mean follow-up of 18 months(9-36 months).No patient suffered from infection,skin flap necrosis and X-ray showed there was no implants loosening or *** to the Harris hip Score’s criteria,in type I,4 cases were rated as *** type Ⅱ,2 cases rated as excellent,3 cases as good and 1 case as *** type Ⅲ,3 cases rated as good,2 cases as fair and 1 case as *** type Ⅳ,1 case rated as excellent,1 case as good and 1 case as *** overall rate of excellent and good was 73.7%.Conclusion:Pipkin classification is helpful to make preoperative plan and judging the prognosis in cases of fracture head of femur and concomitant dislocation of the hip ***,besides Pipkin classification,multiple factors such as the time from injury to surgery,the ages of patients,the selection of implants should also be considered,which may affect the functional outcome.

关键词： hip dislocation Femoral head fracture Pipkin classification Harris hip Score’s criteria

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Old unreduced obturator dislocation of the hip:A case report

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World Journal of Clinical Cases 2021年第16期9卷 3979-3987页

作者： Wen-Zhao Li Jun-Jie Wang Jiang-Dong Ni De-Ye Song Mu-Liang Ding Jun Huang Guang-Xu He Department of Orthopedics The Second Xiangya Hospital of Central South UniversityChangsha 410011Hunan ProvinceChina

Obturator dislocation is a rare type of hip dislocation,accounting for about 2%-5%of all hip *** 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 *** 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 *** 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 *** reduction was performed,resulting in restoration of the concentric alignment of the left *** surgery,6-wk skin traction was applied and the patient was kept in bed for an additional 2 *** 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 *** X-ray showed that the left hip was homocentric,and there was no sign of posttraumatic arthritis or avascular *** Open reduction may be an effective treatment strategy for the rare condition of old unreduced obturator dislocation with short neglect time.

关键词： hip dislocation Obturator dislocation Unreduced Open reduction Case report

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Posterior dislocation of the hip with ipsilateral displaced femoral neck fracture

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Chinese Journal of Traumatology 2011年第2期14卷 104-106页

作者： Vivek Trikha Tarun Goyal Ram K. Jha Department of Orthopaedics Jai Prakash Narayan Apex Trauma Centre All india Institute of Medical Sciences New Delhi 110029 India

Traumatic posterior dislocation of hip associated with ipsilateral displaced femoral neck fracture is a rare injury. Moreover, the management of such patients evokes strong views regarding primary replacement or preserving the femoral head. We presented a case of young adult with such an injury. He was operated upon with reduction of the dislocation and fixation of femoral neck fracture with the help of cancellous screws. Two years later, the fracture had united and the patient was asymptomatic. We further proposed the mechanism of injury for such a fracture and discussed the management in the changing trauma scenario of the developing world.

关键词： Trauma hip dislocation Femoral neck fractures

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Inferior dislocation of the hip： a case series and litera- ture review

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Chinese Journal of Traumatology 2012年第5期15卷 317-320页

作者： Sameer Aggarwal Vishal Kumar Kishan Ramachandra Bhagwat Vokkaleri Shankaranarayana Shashikanth Holalu Shankaralingegowda Ravikumar Department of Orthopaedic Surgery Post Graduate Institute of Medical Education and Research(PGIMER)Chandigarh 160012India

Inferior hip dislocation is the rarest type among all hip dislocations. Very few cases have been re ported in the English literature. Most of the earlier reported cases involves the pediatric age group. No single case series could be found in the English literature. We came across 4 cases of inferior hip dislocation with a varied age profile （range 10 to 56 years, mean 33.8 years）. Patients with this disease usually complained of pain and kept the thigh flexed and abducted. The diagnosis can be confirmed by radiographs which reveal that the long axis of the femur varies in alignment with respect to the spine from parallel toan angle almost 90° away from the axis. In our series, closed reduction was successful in all patients, either under seda tion or general anaesthesia. Skin traction for a period of 6 weeks was applied in all of them and followup revealed painfree, stable and mobile hips. In this study we present the details of these cases along with a review of literature discussing the various modes and mechanisms that pro duce inferior hip dislocation.

关键词： hip dislocation Therapeutics Traction Weight-bearing

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Bilateral inferior dislocation of the hip a case report

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Chinese Journal of Traumatology 2012年第2期15卷 121-123页

作者： Kishan R Bhagwat Bhavuk Garg Sameer Aggarwal Mandeep S Dhillon Department of Orthopaedic Surgery Post Graduate Institute of Medical Education and Research （PGIMER） Chandigarh 160012 India

Inferior dislocation of the hip is the rarest type in hip dislocation. Very few cases have been reported in the anglophonic literature, most of which involved the pediatric age group. Surprisingly, we came across a 30- year-old patient with a bilateral inferior hip dislocation. He had sustained a road traffic accident and the attitude of both hip joints was flexion and abduction. The diagnosis was confirmed by radiographs which revealed the long axis of the femur at an angle of 1 l0 （right） degrees and 100 （left）degrees respectively away from the axis. Closed reduction under sedation was successfully performed. Skin traction for a period of 6 weeks was advised and the follow-up revealed an excellent result. We present the details of this case, the first of its kind along with a review of the literature, discussing the various modes and mechanisms of injury inducing inferior dislocation of the hip.

关键词： hip dislocation Joints Femur

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