247 results match your criteria Joint Reduction Hip Dislocation Posterior


Hip Dislocation After Correction for Scoliosis in an Adolescent with Angelman Syndrome: A Case Report.

JBJS Case Connect 2021 04 20;11(2). Epub 2021 Apr 20.

Department of Orthopaedic Surgery, Kitasato University School of Medicine, Sagamihara City, Kanagawa, Japan.

Case: Although scoliosis is common in Angelman syndrome (AS), there are no reports of hip dislocation as a complication of scoliosis surgery. We experienced a case of hip dislocation after posterior spinal instrumentation and fusion from T4 to L5 because of scoliosis progression in an adolescent girl with AS. Postoperatively, posterior dislocation of the left hip occurred; after closed reduction, instability remained. Read More

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Bilateral irreducible asymmetrical fracture-dislocation of the hip: A case report and literature review.

Int J Surg Case Rep 2021 Apr 20;81:105803. Epub 2021 Mar 20.

Teaching Hospital-Kurunagala, Sri Lanka. Electronic address:

Introduction And Importance: Bilateral hip dislocation is a rare injury. Bilateral asymmetrical fracture-dislocation is an even rarer type of injury. Apart from its rarity, prompt diagnosis of this condition and emergent treatment is necessary to prevent complications. Read More

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Neglected Two-Week-Old Unstable Fracture-Dislocation of the Hip in a 60 Years Old, Managed with Hip Preservation Surgery.

J Orthop Case Rep 2020 Jul;10(4):38-41

Indian Spinal Injury Centre, New Delhi, India.

Introduction: Hip joint fracture-dislocations are rare injuries and usually result from high energy trauma. Femoral head fractures account for only 7-16% of all hip fracture-dislocations. There is always a controversy regarding optimal surgical treatment modality and approach for the treatment of Pipkin type IV fractures. Read More

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Traumatic Obturator Dislocation of the Hip Joint Associated with Greater Trochanter Fracture: A Case Report.

Orthop Surg 2021 Apr 28;13(2):673-677. Epub 2021 Jan 28.

Department of Orthopaedics, Panzhihua Municipal Central Hospital, Panzhihua, China.

Background: Traumatic obturator dislocation of the hip joint associated with greater trochanter fracture is a rare injury. We used the lateral approach through the rectus abdominis to remove the femoral head dislocated into the obturator, and the posterolateral approach was used for reduction and internal fixation of the femoral greater trochanteric fracture and total hip replacement (THR). Good follow-up results were achieved. Read More

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Post-traumatic bilateral posterior hip dislocations with femoral head fracture on one side and acetabular fracture on the other side: a very rare presentation.

BMJ Case Rep 2021 Jan 18;14(1). Epub 2021 Jan 18.

Orthopaedics, Kasturba Medical College, Mangalore Campus, Manipal Academy of Higher Education, Manipal, Karnataka, India.

Hip dislocations are common orthopaedic emergencies which need early intervention to have a better outcome. They usually occur as a result of high energy trauma with motor vehicle accidents being the most common cause followed by fall from height. Posterior hip dislocation is more common than anterior. Read More

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January 2021

As an unusual traumatic presentation, acetabular fracture and concomitant ipsilateral intertrochanteric femur fracture: a retrospective case series of 18 patients.

J Orthop Surg Res 2020 Dec 9;15(1):593. Epub 2020 Dec 9.

Department of Osteonecrosis and Hip Surgery, The Third Hospital of Hebei Medical University, No.139 Ziqiang Road, Shijiazhuang, Hebei, People's Republic of China.

Background: Acetabular fracture and concomitant ipsilateral intertrochanteric femur fracture has been suggested as an unusual traumatic presentation and rarely reported in the literature. The aims of this study were (1) to identify the etiological characteristics, (2) to summarize the treatment strategy, and (3) to present the mid- to long-term results of patients with this rare traumatic presentation.

Methods: In this retrospective study, 18 patients (15 males, 3 females; mean age = 42. Read More

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December 2020

Total Hip Arthroplasty in Adolescents and Young Adults for Management of Advanced Corticosteroid-Induced Osteonecrosis Secondary to Treatment for Hematologic Malignancies.

J Arthroplasty 2021 04 19;36(4):1352-1360. Epub 2020 Oct 19.

Division of Orthopaedics, Department of Surgery, St. Jude Children's Research Hospital, Memphis, TN.

Background: Osteonecrosis of the femoral head (ONFH) is a potentially severe toxicity associated with glucocorticoid treatment for pediatric hematologic malignancy. We examined clinical outcomes of THA in adolescents and young adults treated for hematologic malignancies who developed advanced ONFH.

Methods: In a single-institution cohort, we retrospectively reviewed medical records and imaging for perioperative complications, reoperations, functional assessment at last follow-up, and radiological outcomes. Read More

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Failed reduction of posterior hip dislocation accompanied by femoral head fracture: causes and resolving strategy.

Int Orthop 2020 Oct 27. Epub 2020 Oct 27.

Department of Orthopaedic Surgery, The Third Hospital of Hebei Medical University, No. 139 Ziqiang Road, Qiaoxi District, Shijiazhuang, 050051, Hebei, China.

Background: We investigated the causes of failure of the Allis manoeuvre for posterior hip dislocations with an associated Pipkin type I femoral head fractures. The effectiveness of a modified Allis manoeuvre was also evaluated.

Methods: From January 2013 to December 2016, we enrolled five patients with a posterior hip dislocation associated by a Pipkin type I femoral head fracture who were treated initially with the Allis manoeuvre that subsequently failed. Read More

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October 2020

Surgical treatment of femoral head fractures.

Biomed J 2020 10 30;43(5):451-457. Epub 2020 Sep 30.

Department of Orthopedic Surgery, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan; College of Medicine, Chang Gung University, Taoyuan, Taiwan.

Background: Femoral head fractures (FHF) are uncommon and generally caused by high-energy injuries. Surgical reduction with stable fixation of large fragments is believed to have the best outcomes. This retrospective study intended to report outcomes with surgical treatment at our institution and tried to establish treatment algorithm. Read More

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October 2020

Trochanteric Flip (Ganz) Anterior Hip Dislocation for Fixation of Pipkin Fracture-Dislocations.

JBJS Essent Surg Tech 2020 Jul-Sep;10(3). Epub 2020 Jul 24.

Rela Institute of Orthopaedics, Dr. Rela Institute & Medical Centre, Chennai, India.

Safe surgical dislocation with a trochanteric flip osteotomy has been shown to be a reliable technique that provides excellent exposure for treating femoral-head fractures with minimal complications. This technique also allows associated labral injuries and acetabular fractures to be treated through the same approach.

Description: The procedure is performed with use of a conventional Kocher-Langenbeck exposure with the patient in the lateral position. Read More

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Contact pressure distribution of the hip joint during closed reduction of developmental dysplasia of the hip: a patient-specific finite element analysis.

BMC Musculoskelet Disord 2020 Sep 8;21(1):600. Epub 2020 Sep 8.

Department of Pediatric Orthopedics, Xin Hua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, 1665 Kongjiang Road, Shanghai, 200092, China.

Background: Developmental dysplasia of the hip (DDH) is the most common deformity of the lower extremity in children. The biomechanical change during closed reduction (CR) focused on cartilage contact pressure (CCP) has not been studied. Thereby, we try to provide insight into biomechanical factors potentially responsible for the success of CR treatment sand complications by using finite element analysis (FEA) for the first time. Read More

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September 2020

Outcome of Open Reduction and Internal Fixation of Posterior Wall Fracture of Acetabulum.

Mymensingh Med J 2020 Jul;29(3):502-508

Dr Md Noor Islam, Assistant Registrar, Orthopaedics, Mymensingh Medical College Hospital (MMCH), Mymensingh, Bangladesh.

Acetabular fracture usually occurs as a result of high velocity injury and often affects the young and economically productive population. Previously, treatment of acetabular fracture was grossly inadequate and many patients were left with incapacitating pain, limitation of movement. Proper management should be given in our set-up to save lives and to minimize long term complications and related disabilities. Read More

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Impact of alignment and kinematic variation on resistive moment and dislocation propensity for THA with lipped and neutral liners.

Biomech Model Mechanobiol 2020 Aug 19;19(4):1297-1307. Epub 2020 Jun 19.

Center for Orthopaedic Biomechanics, University of Denver, 2155 E. Wesley Ave, Denver, CO, 80210, USA.

Instability and dislocation remain leading indications for revision of total hip arthroplasty (THA). Many studies have addressed the links between implant design and dislocation; however, an understanding of the impact of alignment and kinematic variability on constraint of modern THA constructs to provide joint stability is needed. The objective of this study is to provide objective data to be considered in the treatment algorithm to protect against joint instability. Read More

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Posterior dislocation of left hip joint with closed fracture of left acetabulum Judet-Letournel type posterior wall, femoral head fracture, management and follow up: A case report.

Int J Surg Case Rep 2020 8;71:85-90. Epub 2020 May 8.

Department of Orthopaedic & Traumatology, Cipto Mangunkusumo National Central Hospital and Faculty of Medicine, Universitas Indonesia, Jalan Diponegoro No. 71, Central Jakarta, Jakarta 10430, Indonesia.

Introduction: Traumatic dislocation of the hip is a very severe injury. Posterior hip dislocation can be associated with acetabular fracture, which can ultimately result in a higher incidence of complications.

Case Presentation: We present a case report of 26-year-old men with a motor vehicle accident and suffered a posterior hip dislocation on left hip joint and acetabular fracture with Judet-Letournel type posterior wall and femoral head fracture. Read More

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A new closed reduction technique using a traction table to treat a traumatic posterior dislocation of the hip joint.

Orthop Traumatol Surg Res 2020 Sep 5;106(5):881-884. Epub 2020 May 5.

Department of orthopaedic surgery, Teikyo university Chiba medical center, 3426-3 Anesaki, 299-0111 Ichihara, Chiba, Japan.

Traumatic hip dislocations should be reduced gently and promptly to prevent complications such as osteonecrosis of the femoral head, heterotopic ossification, incomplete recovery of sciatic nerve injury, and fractures of the femoral neck. Many closed reduction manoeuvres have been reported; however, these manoeuvres require forceful and sustained traction, which places an enormous physical burden on surgeons. The aim of the present technical note is to describe a new reduction manoeuvre that uses a traction table to decrease the physical burden experienced by surgeons. Read More

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September 2020

Piriformis-Sparing Technique in Total Hip Arthroplasty with Posterolateral Approach.

Surg Technol Int 2020 May;36:360-363

Department of Orthopaedic Surgery, NYU Langone Orthopedic Hospital, New York, New York.

Introduction: Hip dislocation is a devastating complication after total hip arthroplasty (THA), which is slightly higher when using the traditional posterior approach. The piriformis tendon is the most important dynamic posterior stabilizing structure. The piriformis-sparing technique provides a reproducible method for THA, greatly reducing the dislocation rate. Read More

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Total hip arthroplasty by direct anterior approach in the lateral position for the treatment of ankylosed hips.

Eur J Orthop Surg Traumatol 2020 Aug 17;30(6):993-1001. Epub 2020 Mar 17.

Department of Orthopaedics, The Second Affiliated Hospital of Anhui Medical University, 678 Furong Avenue, Hefei, 230601, Anhui, People's Republic of China.

Objective: To investigate the clinical efficacy of total hip arthroplasty (THA) via the direct anterior approach (DAA) for the treatment of hip ankylosis in the lateral position.

Methods: A retrospective analysis was performed on the clinical data of 24 patients (39 hips) who underwent THA via the DAA in the lateral position for the treatment of hip ankylosis between January 2016 and December 2018. We performed bilateral THA for fifteen patients and unilateral THA for nine patients. Read More

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Abductor Deficiency-Induced Recurrent Instability After Total Hip Arthroplasty.

JBJS Rev 2020 01;8(1):e0164

Hospital for Special Surgery, New York, NY.

» Operative intervention for deficient hip abductor muscles may require muscle transfer or the use of synthetic materials, possibly with biologic augmentation, to help stabilize the hip joint and prevent further dislocation following total hip arthroplasty (THA). » Direct repair of the abductor mechanism onto the greater trochanter can be used in patients who present with instability <15 months following primary THA. » Augmentation of soft tissue with acellular dermal allografts can be considered for patients with abductor avulsion that requires posterior capsular reconstruction. Read More

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January 2020

Management of Neglected Traumatic Hip Dislocation in Children.

J Pediatr Orthop 2020 Aug;40(7):e554-e559

CURE Ethiopia Children's Hospital, Addis Ababa, Ethiopia.

Background: Neglected traumatic hip dislocation in children is uncommon and there is no consensus on appropriate management. Previous studies report varied operative management with high rates of avascular necrosis and postoperative subluxation/dislocation. We report a series of 7 consecutive cases who underwent operative reduction after neglected hip dislocation and describe our technique for treatment. Read More

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[Application of self-made spring plate for treatment of acetabular posterior wall fractures].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2020 Jan;34(1):27-31

Department of Traumatic Orthopedics, the General Hospital of Ningxia Medical University, Yinchuan Ningxia, 750004, P.R.China.

Objective: To investigate the application and effectiveness of self-made spring plate in surgical treatment of acetabular posterior wall fracturejavascript:void(0)s.

Methods: Between June 2013 and June 2017, 38 patients with acetabular posterior wall fractures were treated. There were 27 males and 11 females with an average age of 53 years (range, 28-68 years). Read More

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January 2020

MRI Is Better Than CT Scan for Detection of Structural Pathologies After Traumatic Posterior Hip Dislocations in Children and Adolescents.

J Pediatr Orthop 2020 Feb;40(2):86-92

Departments of Orthopaedics.

Background: Traumatic posterior hip dislocations in children and adolescents requires emergent closed reduction. Postreduction imaging is necessary to assess the concentricity of reduction and structural injuries to the hip. There is no a consensus for which imaging is a modality of choice in such condition. Read More

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February 2020

A case of pathological fracture caused by vitamin D insufficiency in a young athlete and a review of the literature.

Authors:
Lee Jia Ying

J Clin Orthop Trauma 2019 Nov-Dec;10(6):1111-1115. Epub 2019 Mar 24.

Changi General Hospital, 2 Simei Street 3, 529889, Singapore.

Our patient is a 16-year-old boy basketballer with no significant medical history or previous injuries. He fell on his right hip during jogging and sustained a right superior-posterior hip dislocation with a Pipkin type 2 fracture of the femoral head. Manipulation and reduction under sedation then general anaesthesia was unsuccessful he underwent open reduction and internal fixation. Read More

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Novel Treatment for Recurrent Posttraumatic Hip Instability: A Case Report.

JBJS Case Connect 2019 Dec;9(4):e0272

Department of Orthopaedic Surgery, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.

Case: A 26-year-old woman sustained a traumatic right hip dislocation with posterior wall component in a motor vehicle collision. Initial treatment consisted of open reduction internal fixation of her posterior wall fracture. Six years later, she developed low-energy recurrent hip instability. Read More

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December 2019

Ipsilateral Posterior Cruciate Ligament Insertion Avulsion and Femoral Head Fracture Without Dislocation: A Rarest of Rare Dashboard Injury and Principles of Management: A Case Report.

JBJS Case Connect 2019 Jul-Sep;9(3):e0245

Department of Orthopaedics, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Case: A 25-year-old man presented with posterior cruciate ligament (PCL) avulsion and ipsilateral fracture of the femoral head after sustaining a dashboard injury. The hip was not dislocated on presentation, and there were no other injuries; he was managed operatively for both. His hip and knee healed well, with good functioning at 15 months of follow-up. Read More

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Arthroscopically assisted treatment for nonconcentric reduction of hip posterior dislocation caused by acetabular labrum rim fracture: Medium-term clinical and radiological outcomes.

Orthop Traumatol Surg Res 2019 11 5;105(7):1333-1338. Epub 2019 Sep 5.

Department of Orthopaedics, The Second Affiliated Hospital of Kunming Medical University, No374, dianmian road, Kunming, 650101, China.

Background: Nonconcentric reduction of hip posterior dislocation caused by the acetabular labrum rim fracture is rare. There has been very little study on the feasibility of arthroscopically treatment and medium and mid-term evaluation to this pathology. The objectives of the current study were: (1) Is the arthroscopically assisted technique feasible to this manage this injury? (2) What is the effectiveness of arthroscopic treatment for nonconcentric reduction of hip posterior dislocation caused by acetabular labrum rim fracture. Read More

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November 2019

The effects of total hip arthroplasty in treating hip bony fusion in young and middle-aged patients with ankylosing spondylitis.

J Orthop Surg Res 2019 Aug 8;14(1):253. Epub 2019 Aug 8.

Department of Orthopaedics, Gansu Provincial Hospital of TCM, Lanzhou, 730050, China.

Background: This study aims to investigate the curative effects of total hip arthroplasty (THA) in treating hip bony fusion for young and middle-aged patients with ankylosing spondylitis (AS).

Methods: The clinical data of 26 young and middle-aged patients with AS (31 coxae), who were treated with THA and followed-up for more than 3 years in the period between February 1998 and May 2013, were retrospectively analyzed. Among these patients, 22 patients were male (25 coxae) and 4 patients were female (6 coxae). Read More

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[Arthroscopic treatment of irreducible hip posterior dislocation caused by acetabular labrum bony Bankart lesions].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2019 Jun;33(6):676-680

Department of Orthopedics, the Second Affiliated Hospital of Kunming Medical University, Kunming Yunnan, 650101, P.R.China.

Objective: To investigate the effectiveness of arthroscopic treatment for irreducible hip posterior dislocation caused by acetabular labrum bony Bankart lesions.

Methods: Between February 2008 and August 2016, 11 patients with irreducible hip posterior dislocation caused by acetabular labrum bony Bankart lesions, were treated with arthroscopic reduction and fixation of bony Bankart lesions. There were 7 males and 4 females, with an average age of 23. Read More

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Changes in acetabular orientation during total hip arthroplasty.

Bone Joint J 2019 Jun;101-B(6_Supple_B):45-50

Department of Orthopedic Surgery, Washington University School of Medicine/Barnes-Jewish Hospital, St. Louis, Missouri, USA.

Aims: The aims of this study were to determine the change in pelvic sagittal alignment before, during, and after total hip arthroplasty (THA) undertaken with the patient in the lateral decubitus position, and to determine the impact of these changes on acetabular component position.

Patients And Methods: We retrospectively compared the radiological pelvic ratio among 91 patients undergoing THA. In total, 41 patients (46%) were female. Read More

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Surgical Hip Dislocation for Exposure of the Posterior Column.

JBJS Essent Surg Tech 2019 Mar 23;9(1):e2. Epub 2019 Jan 23.

Department of Orthopaedic and Trauma Surgery, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.

Background: Surgical hip dislocation is performed for safe and efficient management of acetabular fractures predominantly involving the posterior column. The dislocation of the femoral head allows for direct visualization of the hip joint during fracture treatment.

Description: The patient is placed in the lateral decubitus position with sterile preparation and draping of the ipsilateral leg to allow for dislocation. Read More

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A Cam-Post Mechanism Is No Longer Necessary in Modern Primary Total Knee Arthroplasty.

J Knee Surg 2019 Aug 1;32(8):710-713. Epub 2019 Mar 1.

Department of Mechanical and Aerospace Engineering, University of Florida, Gainesville, Florida.

Conclusive evidence supporting a clinical difference between posterior-stabilized (PS) and cruciate-retaining (CR) designs in total knee arthroplasty (TKA) does not currently exist, despite both designs being used for decades. Proponents of PS designs that employ a cam-and-post mechanism cite in vivo fluoroscopic data that demonstrate improved posterior rollback; however, optimal rollback has never been correlated to superior clinical outcomes. Recently, anterior-lipped and more conforming CR bearings, such as ultracongruent, medial pivot, and dual-pivot designs, have been used to substitute for the posterior cruciate ligament and obviate the need for the cam-post mechanism of a traditional PS design. Read More

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