Strategies in Trauma and Limb Reconstruction

Register      Login

VOLUME 12 , ISSUE 3 ( November, 2017 ) > List of Articles

CASE REPORT

Neglected hip dislocation: an unusual presentation, its management and review of the literature

Sandeep Kumar, Anshul Dahuja, M. S. Narula, Sangam Garg, Rashmeet Kaur

Keywords : Constrained, Dislocation, Total hip replacement

Citation Information : Kumar S, Dahuja A, Narula MS, Garg S, Kaur R. Neglected hip dislocation: an unusual presentation, its management and review of the literature. 2017; 12 (3):189-192.

DOI: 10.1007/s11751-017-0285-7

License: CC BY-NC-SA 4.0

Published Online: 30-11-2017

Copyright Statement:  Copyright © 2017; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Neglected traumatic posterior hip dislocation is not an uncommon condition seen in developing countries. Its treatment is fraught with great difficulties and controversies. Here we present a 31-year-old female patient presented to our hospital 2 years after sustaining an accident. She had gone through multiple treatments for her dislocated hip without any success. After arrival to our hospital, patient managed by constrained total hip replacement (THR). Her Harris hip score improved from 48 (preoperative) to 81 (postoperative). On follow-up she had a good range of movement of the hip with no pain, deformity and limb length discrepancy. Constrained THR provides promising results in neglected hip dislocation.


PDF Share
  1. Hougaard K, Thomsen PB (1988) Traumatic posterior fracture- dislocation of the hip with fracture of the femoral head or neck, or both. J Bone Joint Surg Am 70:233-239
  2. Garrett JC, Epstein HC, Harris WH, Harvey JP Jr, Nickel VL (1979) Treatment of unreduced traumatic posterior dislocations of the hip. J Bone Joint Surg Am 61:2-6
  3. D'Angelo F, Murena L, Zatti G, Cherubino P (2008) The unstable total hip replacement. Indian J Orthop 42(3):252-259
  4. Banskota AK, Spiegel DA, Shrestha S, Shrestha OP (2007) Rajbhandary T-open reduction for neglected traumatic hip dislocation in children and adolescents. J Pediatr Orthop 27(2):187-191
  5. Pai VS, Kumar B (1990) Management of unreduced traumatic posterior dislocation of the hip: heavy traction and abduction method. Injury 21:225-227
  6. Verma BP (1975) Management of old unreduced traumatic dislocation of hip. Indian J Orthop 9(2):69-80
  7. Kumar S, Jain AK (2005) Neglected traumatic hip dislocation in children. Clin Orthop Relat Res 431:9-13
  8. Ilyas I, Rabbani SA (2009) Total hip arthroplasty in chronic unreduced hip fracture dislocation. J Arthroplasty 24:903-908
  9. Berend KR, Lombardi AV Jr, Mallory TH, Adams JB, Russell JH, Groseth KL (2005) The longterm outcome of 755 consecutive constrained acetabular components in total hip arthroplasty examining the successes and failures. J Arthroplasty 20(7 Suppl 3):93-102
  10. Yang C, Goodman SB (2009) Outcome and complications of constrained acetabular components. Orthopedics 32(2):115
  11. Goetz DD, Bremner BR, Callaghan JJ, Capello WN, Johnston RC (2004) Salvage of a recurrently dislocating total hip prosthesis with use of a constrained acetabular component: a concise follow- up of a previous report. J Bone Joint Surg Am 86:2419-2423
  12. Eggli S, Hankemayer S, Muller ME (1999) Sciatic nerve palsy after limb lengthening in THR. J Bone Joint Surg Br 81(5):843-845
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.