Surgical hip dislocation in fixation of acetabular fractures: Extended indications and outcome

Injury ◽  
2021 ◽  
Author(s):  
Mohammad Kamal Abdelnasser ◽  
Omar Refai ◽  
Osama Farouk
Keyword(s):  
Hip Dislocation ◽  
Acetabular Fractures ◽  
Surgical Hip Dislocation

Semiprone Position for Posterior Approaches to Acetabular fractures Allows Intuitive Radiographic Acquisition and Versatility for Surgical Hip Dislocation: A Technical Note and Preliminary Report

2020 ◽  
Author(s):  
Chia-Che Lee ◽  
I-Hsin Chen ◽  
Tzu-Hao Tseng ◽  
Shau-Huai Fu ◽  
Ting-Ming Wang ◽  
...  
Keyword(s):  
Hip Dislocation ◽  
Fracture Pattern ◽  
Technical Note ◽  
Acetabular Fractures ◽  
Surgical Hip Dislocation ◽  
Horizontal Projection ◽  
Randomized Controlled Studies ◽  
Long Term Follow Up

Abstract BackgroundAlthough the pros and cons of prone and decubitus positioning methods, for posterior approaches to acetabular fractures, have been widely discussed, it remains inconclusive whether a particular patient position is superior to the other. Here we present our preliminary experience with placing the patient in the semiprone position for posterior approaches to the acetabulum as a potentially advantageous alternative.MethodsTechnical notes were provided as well as the preoperative, intraoperative and postoperative images of the demonstrative cases. From July 2018 to April 2020, eight selected patients with complex acetabular fractures were surgically treated through posterior approaches in semiprone position. Patient demographics, fracture pattern, poor prognostic factors and associated conditions were recorded. The quality of fracture reduction was assessed by Modified Matta’s criteria. The operative hip’s function was evaluated by the Modified Merle d’Aubigné-Postel score if follow-up was more than 3 months.Result:The Median age of our cohort was 48.55 years (24.3–70.6). The median body mass index was 23.90 kg/ m2 (17.6–26.4). Satisfactory reduction was achieved in 6 of the 8 patients. Intraoperative radiographs obtained by the standard vertical and horizontal projection of the C-arm machine resembled the classic Judet views. Trochanteric flip osteotomy and surgical hip dislocation were feasible. One hip was converted to total hip replacement 5 months after primary fracture surgery due to femoral head osteonecrosis.Conclusion:The preliminary radiographic and reduction quality of our cohort were comparable to those reported in the literature. The advantages of semiprone position include intuitive intraoperative radiographic acquisition, making gravity as a aid for reduction and feasibility of surgical hip dislocation. Long-term follow-up and further case-controlled or randomized controlled studies are necessary to uphold its value.

Midterm results of trochanteric flip osteotomy technique for management of fractures around the hip

2017 ◽  
Vol 28 (2) ◽  
pp. 148-155 ◽  
Author(s):  
Vivek Trikha ◽  
Saubhik Das ◽  
Arkesh Madegowda ◽  
Prabhat Agrawal
Keyword(s):  
Femoral Head ◽  
Excellent Result ◽  
Hip Dislocation ◽  
Posterior Wall ◽  
Acetabular Fractures ◽  
Functional Evaluation ◽  
Midterm Results ◽  
Surgical Hip Dislocation ◽  
Surgical Dislocation ◽  
Trochanteric Flip Osteotomy

Introduction: In this study, we aimed to investigate safety and efficacy of the trochanteric flip osteotomy with surgical hip dislocation technique in selected displaced acetabular and femoral head fractures with clinico-radiological outcome and potential complications. Materials and methods: We retrospectively reviewed 32 patients from January 2009 to June 2014. Selected displaced acetabular fractures with comminution and/or cranial extension of posterior wall, marginal impaction, intraarticular fragment, femoral head fractures and hip fracture-dislocations were operated by this modified approach of trochanteric flip osteotomy and surgical hip dislocation. Patients were evaluated for fracture reduction, femoral head viability, trochanteric union, abduction power, and functional evaluation was done by Merle d’Aubigné-Postel scoring system. Minimum follow-up was 24 months. Results: Reduction was judged to be anatomical in 84.38% of cases, and within 1-3 millimetres in 9.38% of cases. All osteotomies healed in an anatomical position. Heterotopic ossification was found in 2 patients limited to Brooker class I. Osteonecrosis developed in 1 patient. 2 patients developed arthritis of the hip as sequelae of poor reduction. Abduction power was MRC 5/5 in all except in 1 patient (4/5). Mean Merle d’Aubigné-Postel score was 16.18; overall good to excellent result was achieved in 87.5% of cases. Conclusions: Trochanteric flip osteotomy with surgical dislocation allows better intraarticular assessment, control of intraarticular fragments, assists accurate reduction and the fixation of complex acetabular and femoral head fractures, without compromising femoral head vascularity and abductor strength. This technique has provided excellent midterm results in the management of complex injuries around the hip.

Patients undergoing surgical hip dislocation for the treatment of acetabular fractures show favourable long-term outcome

2017 ◽  
Vol 99-B (4) ◽  
pp. 508-515 ◽  
Author(s):  
P. C. Haefeli ◽  
G. S. Marecek ◽  
M. J. B. Keel ◽  
K. A. Siebenrock ◽  
M. Tannast
Keyword(s):  
Hip Dislocation ◽  
Acetabular Fractures ◽  
Surgical Hip Dislocation ◽  
Term Outcome ◽  
Long Term Outcome

Surgical hip dislocation for treatment of synovial chondromatosis of the hip

2021 ◽  
Author(s):  
Sheng Fang ◽  
Huan Li ◽  
Yiming Wang ◽  
Peng Xu ◽  
Han Sun ◽  
...  
Keyword(s):  
Hip Dislocation ◽  
Synovial Chondromatosis ◽  
Surgical Hip Dislocation

Open Surgical Hip Dislocation for an Acetabular Osteoid Osteoma - A Case Report

2022 ◽  
Vol 5 (1) ◽  
pp. 01-04
Author(s):  
Parker J. Prusick ◽  
Steven D. Jones ◽  
Jesse Roberts ◽  
Nathan Donaldson
Keyword(s):  
Case Report ◽  
Osteoid Osteoma ◽  
Proximal Femur ◽  
Benign Tumor ◽  
Hip Dislocation ◽  
Long Bones ◽  
Surgical Hip Dislocation ◽  
Sclerotic Bone

Osteoid osteoma is a benign tumor that accounts for roughly 10-12% of all benign bone forming tumors. This tumor generally occurs within the first three decades of life and occurs more commonly in males. This lesion is painful and is generally worse at night and has relief of symptoms with the use of NSAIDs. Osteoid osteoma is characterized by the production of osteoid surrounded by a rim of sclerotic bone. These lesions most commonly occur in long bones such as the proximal femur, however they can occur anywhere. Rarely, as with our patient, have these lesions been reported in the acetabulum.

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