scholarly journals Restoration of neglected fracture dislocation hip in elderly: a case report

2021 ◽  
Vol 8 (1) ◽  
pp. 106
Author(s):  
Praveen Raj ◽  
Kaustav Mukherjee ◽  
Gokul Raj Dhanrajan ◽  
Sundararaja Bhaskar ◽  
Pradeep Jayaram Purushothaman
Keyword(s):  
Hip Fracture ◽  
Femoral Head ◽  
Hip Replacement ◽  
Fracture Dislocation ◽  
Acetabular Fractures ◽  
Trauma Patients ◽  
Fatty Tissue ◽  
Traumatic Fracture ◽  
Fracture Dislocations ◽  
Dislocation Of The Hip

<p class="abstract">Neglected traumatic fracture dislocation of the hip is a challenging problem due to soft tissue contractures, adhesions, fibro fatty tissue filling acetabulum, avascular necrosis, arthritis and myositis ossificans. These types of injury often get missed at initial evaluation in the presence of distracting injuries and in poly trauma patients. Femoral head fractures account for only 7-16% of all hip fracture dislocations, with combined femoral head and acetabular fractures in elderly being even lower. Literature favours primary hip replacement as compared to hip salvage in age above 60 years and in patients with neglected hip fracture dislocations of more than 3 months duration due to high chances of afore mentioned complications. Here, we report a case of 69 years old male with neglected hip fracture dislocation associated with posterior acetabular wall and femoral head fracture for the challenges in management with a total hip replacement.</p>

scholarly journals Femoral Varus Osteotomy for Hip Instability after Traumatic Fracture Dislocations of the Hip Associated with Femoral Head Fractures: A Report of Two Cases

2016 ◽  
Vol 2016 ◽  
pp. 1-8
Author(s):  
Shuichi Miyamoto ◽  
Junichi Nakamura ◽  
Satoshi Iida ◽  
Chiho Suzuki ◽  
Seiji Ohtori ◽  
...  
Keyword(s):  
Femoral Head ◽  
Closed Reduction ◽  
Weight Bearing ◽  
Gait Training ◽  
Fracture Dislocation ◽  
Varus Osteotomy ◽  
Type Iv ◽  
Traumatic Fracture ◽  
Coxa Valga ◽  
Dislocation Of The Hip

Fracture of the femoral head and the acetabulum with traumatic dislocation of the hip is a severe injury representing various types and unfavorable outcome. We showed a 45-year-old man with Pipkin type-IV fracture and coxa valga. An immediate closed reduction was achieved followed by open reduction and internal fixation via a posterior approach 6 days later. However, dislocation occurred three times without traumatic events after three weeks. CT demonstrated no displacement of posterior fragments or implant failure. Femoral intertrochanteric varus osteotomy was performed to gain concentric stability and successfully resolved recurrent dislocation. Another 45-year-old woman with Pipkin type-IV fracture and coxa valga also underwent closed reduction initially and then continued conservative treatment. After eight weeks, when she started gait training, progressive pain became symptomatic. Persistent hip pain at weight bearing was not improved in spite of arthroscopic synovectomy and osteochondroplasty. Two years after injury, femoral intertrochanteric varus osteotomy was indicated and her refractory pain was resolved gradually. We suggest that femoral varus osteotomy should be considered for superolateral subluxation associated fracture dislocation of the hip in Pipkin type-IV and coxa valga.

scholarly journals Central dislocation of the hip secondary to insufficiency fracture

2010 ◽  
Vol 2 (1) ◽  
pp. 5
Author(s):  
Moe Thaya ◽  
Sivan Sivaloganathan ◽  
Andrew Sankey ◽  
Charles E.R. Gibbons
Keyword(s):  
Femoral Head ◽  
Hip Replacement ◽  
Insufficiency Fracture ◽  
Ct Scanning ◽  
Acetabular Defect ◽  
Operative Planning ◽  
Uncemented Total Hip Replacement ◽  
Time Of Presentation ◽  
Fracture Of The Acetabulum ◽  
Dislocation Of The Hip

We present a case report of a 45-year old man who sustained a central dislocation of the hip secondary to an insufficiency fracture of the acetabulum. At the time of presentation he was on alendronate therapy for osteoporosis which had been previously investigated. CT scanning of the pelvis was useful for pre-operative planning which confirmed collapse of the femoral head but no discontinuity of the pelvis. The femoral head was morcellized and used as bone graft for the acetabular defect and an uncemented total hip replacement was performed.

Biochemical and Immunological Markers in Patients with Posttraumatic Avascular Necrosis of the Femoral Head and Extend Fracture-Dislocation of the Hip

TRAUMA ◽  
2016 ◽  
Vol 17 (4) ◽  
pp. 79
Author(s):  
S.E. Bondarenko ◽  
V.A. Filippenko ◽  
F.S. Leontieva ◽  
V.O. Tankut ◽  
A.I. Zhygun ◽  
...  
Keyword(s):  
Femoral Head ◽  
Avascular Necrosis ◽  
Fracture Dislocation ◽  
Immunological Markers ◽  
Dislocation Of The Hip

Traumatic Fracture - Dislocation of the Hip

1997 ◽  
Vol 10 (4) ◽  
pp. 772
Author(s):  
Chung Nam Kang ◽  
Jong Oh Kim ◽  
Dong Wook Kim ◽  
Young Do Koh ◽  
Sang Hoon Ko ◽  
...  
Keyword(s):  
Fracture Dislocation ◽  
Traumatic Fracture ◽  
Dislocation Of The Hip

scholarly journals Complex fracture pattern involving ipsilateral intertrochanteric fracture associated with ipsilateral posterior hip dislocation and posterior acetabular wall fracture: A rare combination of injuries

2021 ◽  
Vol 11 (9) ◽  
Author(s):  
Hind Alraeh ◽  
Hatem Sultan ◽  
Hassan Maghfori ◽  
Abdullah Almanea
Keyword(s):  
Intertrochanteric Fracture ◽  
Road Traffic ◽  
Hip Dislocation ◽  
Fracture Pattern ◽  
Fracture Dislocation ◽  
Acetabular Fractures ◽  
Acetabulum Fractures ◽  
Hip Screw ◽  
Intertrochanteric Femur Fracture ◽  
Dislocation Of The Hip

Introduction:High-energy trauma has increased the incidence of traumatic hip dislocation. In most cases, dislocation of the hip is associated with fractures of the acetabulum. However, its association with ipsilateral intertrochanteric fracture is very rare. Case Report:We present a case of a 54-year-old male who had uncommon fracture pattern involving ipsilateral intertrochanteric femur fracture associated with ipsilateral posterior fracture dislocation of hip following a road traffic accident. He underwent closed reduction of the dislocation followed by an open reduction and internal fixation of the fractures. Through Kocher-Langenbeck approach, the intertrochanteric fracture was reduced and fixed with dynamic hip screw and derotation anti-rotation screw. Acetabulum fractures then fixed after reduction with two reconstruction plates. Conclusion:Early recognition and orthopedic intervention constitute the cornerstones of satisfactory outcomes in cases with such complex injuries. Keywords:Posterior hip dislocation, acetabular fractures, intertrochanteric fracture.

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