265 results match your criteria Joint Reduction Hip Dislocation Posterior

The association of surgical approach and bearing size and type with dislocation in total hip arthroplasty for acute hip fracture.

Bone Joint J 2022 Jul;104-B(7):844-851

Swedish Arthroplasty Register, Vastra Götaland Centre for Registers, Gothenburg, Sweden.

Aims: Patients with femoral neck fractures (FNFs) treated with total hip arthroplasty (THA) have an almost ten-fold increased risk of dislocation compared to patients undergoing elective THA. The surgical approach influences the risk of dislocation. To date, the influence of differing head sizes and dual-mobility components (DMCs) on the risk of dislocation has not been well studied. Read More

View Article and Full-Text PDF

Do Dual-mobility Cups Reduce Revision Risk in Femoral Neck Fractures Compared With Conventional THA Designs? An International Meta-analysis of Arthroplasty Registries.

Clin Orthop Relat Res 2022 Jun 16. Epub 2022 Jun 16.

Institute for Musculoskeletal Health, King George V Building, Royal Prince Alfred Hospital, University of Sydney, Sydney, Australia.

Background: Dual-mobility cups in THA were designed to reduce prosthesis instability and the subsequent risk of revision surgery in high-risk patients, such as those with hip fractures. However, there are limited data from clinical studies reporting a revision benefit of dual-mobility over conventional THA. Collaboration between anthroplasty registries provides an opportunity to describe international practice variation and compare between-country, all-cause revision rates for dual-mobility and conventional THA. Read More

View Article and Full-Text PDF

[Acetabular plasty assisted by 3D printing for the treatment of dislocation of hip joint in children with cerebral palsy].

Zhongguo Gu Shang 2022 Jun;35(6):572-7

Neonatal Medical Center, Children's Hospital of Nanjing Medical University, Nanjing 210000, Jiangsu, China.

Objective: To identify types of acetabular dysplasia, select the most suitable acetabular plasty, and analyze indications and efficacy of three types of acetabular plasty in treating dislocation of hip joint in children with cerebral palsy by 3D printing technology.

Methods: From July 2019 to December 2019, 7 children with cerebral palsy with hip dislocation were treated with acetabular plasty assisted by 3D printing technology, including 3 males and 4 females, aged from 3 from 8 years old;3 patients on the left side, 2 patients on the right side, and 2 patients on both sides. Subluxation of hip joint occurred in 2 patients and dislocation of hip joint occurred in 5 patients. Read More

View Article and Full-Text PDF

The direct posterior gluteal muscle splitting approach for posterior access to acetabular fractures: Surgical technique and case series.

Injury 2022 May 20. Epub 2022 May 20.

Department of Orthopaedic Surgery, UMASS Memorial Medical Center, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA, United States. Electronic address:

We present a minimally invasive direct posterior, gluteal muscle splitting approach (PMS) as an alternative to the traditional Kocher-Langenbeck (KL) approach for posterior access to acetabular fractures. We believe it offers significant advantages and provides improved access while maximizing the range of fracture patterns that can be addressed through a posterior approach. One hundred and eighty-four consecutive patients treated with this approach by the senior author (RMS) between 2001 and 2018 were reviewed. Read More

View Article and Full-Text PDF

Unusual Combination of Hip Dislocation with Ipsilateral Femoral Neck and Acetabulum Fracture: A Rare Case Report.

J Orthop Case Rep 2021 Jun;11(6):93-96

Department of Orthopaedics, Government Medical College Hospital, Chandigarh, India.

Introduction: Traumatic dislocation of hip associated with ipsilateral femur neck and acetabulum fracture is a rare and devastating injury as a result of high-energy trauma, with potential complications of femur head aseptic necrosis and hip joint degenerative arthritis. Patients, postoperatively, may encounter decreased functional outcomes and serious challenge, during activities of daily living. Management guidelines lack clarity, with possible options including fracture fragments fixation or hip joint replacement. Read More

View Article and Full-Text PDF

The survivorship and factors affecting the outcome of the use of spring plates in multifragmentary posterior wall acetabular fractures at a single academic institution.

Eur J Orthop Surg Traumatol 2022 Apr 18. Epub 2022 Apr 18.

Department of Orthopaedic Surgery and Traumatology, El-Hadra Hospital, University of Alexandria, Alexandria, Egypt.

Background: Multifragmentary posterior wall fractures are not uncommon after posterior hip fracture-dislocation. They can be elementary but are commonly associated with transverse acetabular fractures. Specific technical challenges are encountered when managing these fracture patterns. Read More

View Article and Full-Text PDF

[Characteristics and clinical significance of irreducible Pipkin type and femoral head fracture-dislocations].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2022 Mar;36(3):263-267

Department of Orthopedics, General Hospital of Northern Theater Command of Chinese PLA, Shenyang Liaoning, 110016, P. R. China.

Objective: To summarize the characteristics and clinical significance of irreducible Pipkin type Ⅰ and Ⅱ femoral head fracture-dislocations.

Methods: The clinical data of 4 patients with irreducible Pipkin type Ⅰ and Ⅱ femoral head fracture-dislocations between January 2010 and December 2019 were collected. There were 2 males and 2 females and the age ranged from 24 to 41 years, with an average age of 33. Read More

View Article and Full-Text PDF

Fractures of the femoral head: a narrative review.

EFORT Open Rev 2021 Nov 19;6(11):1122-1131. Epub 2021 Nov 19.

Department of Trauma and Reconstructive Surgery, Eberhard Karls University Tuebingen, BG Trauma Center Tuebingen, Germany.

Fractures of the femoral head are rare injuries, which typically occur after posterior hip dislocation.The Pipkin classification, developed in 1957, is the most commonly used classification scheme to date.The injury is mostly caused by high-energy trauma, such as motor vehicle accidents or falls from a significant height. Read More

View Article and Full-Text PDF
November 2021

Traumatic asymmetrical bilateral hip dislocation: A rare case report.

Jt Dis Relat Surg 2021 19;32(3):767-770. Epub 2021 Nov 19.

West China Hospital of Sichuan University, Orthopaedic Institute, 610044 Chengdu, China.

Traumatic bilateral hip dislocation is a rare phenomenon. Simultaneous traumatic asymmetrical bilateral hip dislocation is even more unusual. There is no report in the literature regarding the mechanism of injury in tramcar squeezing. Read More

View Article and Full-Text PDF
November 2021

Cementless Hip Arthroplasty in Patients with Subchondral Insufficiency Fracture of the Femoral Head.

J Bone Joint Surg Am 2022 04;104(Suppl 2):84-89

Department of Orthopaedic Surgery, Seoul National University Bundang Hospital, Seongnam, South Korea.

Background: Subchondral insufficiency fracture of the femoral head (SIFFH) occurs in elderly patients and might be confused with osteonecrosis of the femoral head (ONFH). Subchondral insufficiency fracture of the femoral head is an insufficiency fracture at the dome of the femoral head and has been known to be associated with osteoporosis, hip dysplasia, and posterior pelvic tilt. This study's aims were to evaluate (1) surgical complications, (2) radiological changes, (3) clinical results, and (4) survivorship of THA in patients with SIFFH. Read More

View Article and Full-Text PDF

Dynamic versus static cast immobilization in children aged 6 to 24 month with developmental dysplasia of the hip treated by closed reduction.

Minerva Pediatr (Torino) 2021 Oct 21. Epub 2021 Oct 21.

Department of Pediatric Orthopedics, GuangZhou Women and Children's Medical Center, Guangzhou, China -

Background: To compare the effects of two types of cast immobilization (human position cast and dynamic cast) on hip development in children with Developmental dysplasia of the hip (DDH) after closed reduction (CR).

Methods: A retrospective study of 60 children (64 hips) with DDH who underwent CR and cast immobilization between January 2015 and December 2016 at our Institution was performed. The average age at the time of CR was 14. Read More

View Article and Full-Text PDF
October 2021

Arthroscopic Treatment of Acetabular Rim Fracture after Traumatic Posterior Hip Dislocation: A Case Series Study.

Orthop Surg 2021 Aug;13(6):1828-1834

Department of Sports Medicine, The First Affiliated Hospital of Shenzhen University, Health Science Center; Shenzhen Second People's Hospital, Shenzhen, China.

Objective: To investigate the clinical and radiographic short-term results of arthroscopic treatment for posterior labrum tears with an attached bony fragment after traumatic posterior hip dislocation.

Methods: Between July 2014 and May 2019, a consecutive series of nine patients diagnosed with a posterior labrum tear with an attached bony fragment after traumatic posterior hip dislocation were treated by hip arthroscopic techniques. The patients had been injured in traffic accidents (n = 6) or high falls (n = 3). Read More

View Article and Full-Text PDF

Percutaneous Reduction of Intra-Articular Posterior Wall Acetabular Rim Fragment: Surgical Technique and Case Series With an Average Follow-Up of 2 Years.

J Orthop Trauma 2022 07;36(7):289-293

Department of Orthopaedic Surgery, Denver Health Medical Center, Denver, CO; and.

Summary: Small posterior wall rim fractures are typically stable; however, if incarcerated in the joint, they must be removed. It is possible to reduce the morbidity associated with open approaches by addressing these incarcerated fragments in a percutaneous manner. This allows the restoration of joint congruity and removal of the osteochondral fragment from the joint space. Read More

View Article and Full-Text PDF

Open reduction and internal fixation alone versus open reduction and internal fixation plus total hip arthroplasty for displaced acetabular fractures in patients older than 60 years: A prospective clinical trial.

Injury 2022 Feb 2;53(2):523-528. Epub 2021 Oct 2.

From the R Adams Cowley Shock Trauma Center, Department of Orthopaedics, University of Maryland School of Medicine, Baltimore MD, United States.

Introduction: The optimal treatment of elderly patients with an acetabular fracture is unknown. We conducted a prospective clinical trial to compare functional outcomes and reoperation rates in patients older than 60 years with acetabular fracture treated with open reduction and internal fixation (ORIF) alone versus ORIF plus concomitant total hip arthroplasty (ORIF + THA). Our hypothesis was that patients who had ORIF + THA would have better patient reported outcomes and lower reoperation rates postoperatively. Read More

View Article and Full-Text PDF
February 2022

Evaluation and Management of Posterior Wall Acetabulum Fractures.

J Am Acad Orthop Surg 2021 Nov;29(21):e1057-e1067

From the Department of Orthopaedic Surgery (Perdue, Toney), Christiana Hospital, Newark, DE (Tainter) Virginia Commonwealth University, Richmond, VA, and the Department of Orthopaedic Surgery (Lee), University of California, Los Angeles, Los Angeles, CA.

Posterior wall acetabulum fractures typically result from high-energy mechanisms and can be associated with various orthopaedic and nonorthopaedic injuries. They range from isolated simple patterns to multifragmentary with or without marginal impaction. Determination of hip stability, which can depend on fragment location, size, and displacement, directs management. Read More

View Article and Full-Text PDF
November 2021

Disassembly of Components of a Monoblock Bipolar Hip Prosthesis Following Dislocation: A Case Report and Review on "Bottle Opener Effect".

J Orthop Case Rep 2020 Dec;10(9):90-93

Department of Orthopaedics, (Arthroplasty Division), Star Hospitals Hyderabad, Telangana, India.

Introduction: Bipolar hemiarthroplasty has been reliable and successful treatment for geriatric patients following neck of femur fractures. Dissociation/disassembly of bipolar prosthesis is a rare complication in which separation of outer head from inner head leads to failure of prosthesis and needs revision surgery. The disassembly though commonly seen after years of primary surgery as a result of polyethylene wear leading to fixed varus position of outer head but it can happen in an acute setting anytime in immediate or late post-operative period following posterior dislocation with closed reduction attempt. Read More

View Article and Full-Text PDF
December 2020

Survivorship of the Hip Joint After Acetabulum Fracture.

J Am Acad Orthop Surg 2021 Sep;29(18):781-788

From the Department of Orthopaedic Surgery, MetroHealth Medical Center affiliated with Case Western Reserve University, Cleveland, OH.

Purpose: The purposes of this study were to determine the rate of failure of the hip joint after acetabulum fracture and to identify risk factors.

Methods: Acetabulum fractures treated over 17 years at a level-1 trauma center were reviewed. Patient, injury, and treatment factors were assessed regarding possible association with failure of the hip joint: end-stage arthrosis and/or total hip arthroplasty (THA). Read More

View Article and Full-Text PDF
September 2021

Complications and Functional Outcome of Femoral Head Fracture-Dislocation In Delayed and Neglected Cases.

Indian J Orthop 2021 Jun 3;55(3):595-605. Epub 2021 Jan 3.

Spine Fellow, University Hospital for Wales, Cardiff, CF 144XW UK.

Introduction: Delayed reduction of the hip in femoral head fracture dislocation increases the risk of osteonecrosis and adversely affects the functional outcome.

Materials And Methods: This retrospective study was designed to evaluate the outcome and complications of 138 patients with femoral head fracture dislocation treated by a single surgeon over a period of 22 years. Only seven patients presented within 24 h of injury and remaining all presented late. Read More

View Article and Full-Text PDF

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

View Article and Full-Text PDF

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

View Article and Full-Text PDF

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

View Article and Full-Text PDF

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

View Article and Full-Text PDF

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

View Article and Full-Text PDF
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

View Article and Full-Text PDF
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

View Article and Full-Text PDF

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

Int Orthop 2021 06 27;45(6):1609-1614. 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

View Article and Full-Text PDF

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

View Article and Full-Text PDF
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

View Article and Full-Text PDF

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

View Article and Full-Text PDF
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

View Article and Full-Text PDF