229 results match your criteria Joint Reduction Hip Dislocation Posterior


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 May 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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http://dx.doi.org/10.1016/j.ijscr.2020.04.009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7256206PMC

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

Orthop Traumatol Surg Res 2020 May 5. 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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http://dx.doi.org/10.1016/j.otsr.2020.03.015DOI Listing

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 Mar 17. 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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http://dx.doi.org/10.1007/s00590-020-02655-wDOI Listing

[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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http://dx.doi.org/10.7507/1002-1892.201906063DOI Listing
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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http://dx.doi.org/10.1097/BPO.0000000000001127DOI Listing
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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http://dx.doi.org/10.1016/j.jcot.2019.03.016DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6834942PMC

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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http://dx.doi.org/10.1016/j.otsr.2019.06.015DOI Listing
November 2019
3 Reads

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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http://dx.doi.org/10.1186/s13018-019-1288-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6686551PMC
August 2019
3 Reads

[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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http://dx.doi.org/10.7507/1002-1892.201901059DOI Listing
June 2019
10 Reads

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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https://online.boneandjoint.org.uk/doi/10.1302/0301-620X.101
Publisher Site
http://dx.doi.org/10.1302/0301-620X.101B6.BJJ-2018-1335.R1DOI Listing
June 2019
12 Reads

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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http://dx.doi.org/10.2106/JBJS.ST.18.00048DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6485765PMC
March 2019
17 Reads

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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http://dx.doi.org/10.1055/s-0039-1681030DOI Listing
August 2019
4 Reads

Asymmetric bilateral hip dislocation in young man: a case report.

Acta Biomed 2019 01 10;90(1-S):183-186. Epub 2019 Jan 10.

Orthopedic and Traumatology Unit, Ospedale San Bortolo, Vicenza.

Bilateral hip dislocation is a rare event, asymmetric dislocation is even rarer. Due to the intrinsic stability of the hip joint this lesions usually follow a high energy trauma. Because of the common associated lesions, the initial clinical assessment should be performed thoroughly. Read More

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http://dx.doi.org/10.23750/abm.v90i1-S.8067DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6503424PMC
January 2019
7 Reads

[Effectiveness of total hip arthroplasty for hip infection sequelae].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 12;32(12):1495-1499

Department of Orthopedics, the Second Affiliated Hospital, Xi'an Jiaotong University, Xi'an Shaanxi, 710004, P.R.China.

Objective: To evaluate hip function and reinfection of the patients with hip infection sequelae after total hip arthroplasty (THA) treatment.

Methods: A clinical data of 31 patients (31 hips) with hip infection sequelae, who were treated with THA between June 2010 and May 2017, was retrospectively analyzed. There were 18 males and 13 females, with an average age of 46. Read More

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http://www.rrsurg.com/article/10.7507/1002-1892.201807033
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http://dx.doi.org/10.7507/1002-1892.201807033DOI Listing
December 2018
42 Reads

Femoroacetabular impingement as a complication of acetabular fracture fixation.

Trauma Case Rep 2018 Dec 13;18:56-59. Epub 2018 Oct 13.

Department of Orthopaedics and Sports Medicine, University of Kentucky, 740 S. Limestone Rd, K403, Lexington, KY 40536-0284, USA.

Case: We present the case of a thirteen-year-old female who sustained a posterior wall acetabular fracture dislocation. She underwent urgent closed reduction and subsequent uncomplicated open reduction and internal fixation. Post reduction computed tomography demonstrated a concentrically reduced hip joint with no evidence of femoroacetabular impingement (FAI). Read More

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http://dx.doi.org/10.1016/j.tcr.2018.07.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6286667PMC
December 2018
8 Reads

Comparison of acetabulum posterior wall fractures and fracture dislocations: dislocation does not affect clinical and radiological outcomes.

Acta Orthop Belg 2018 Jun;84(2):117-120

The aim of this study was to compare radiological and clinical outcomes of posterior wall acetabulum fractures and posterior wall fracture dislocations. Data were including 52 acetabulum fractures and fracture dislocations. 26 patients (%50) had posterior acetabulum fractures and fracture dislocations who were operatively treated. Read More

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June 2018
26 Reads

Comparison Of Acetabulum Posterior Wall Fractures And Fracture Dislocations: Dislocation Does Not Affect Clinical And Radiological Outcomes.

Acta Orthop Belg 2017 Dec;83(4):544-549

The aim of this study was to compare radiological and clinical outcomes of posterior wall acetabulum fractures and posterior wall fracture dislocations. Data were including 52 acetabulum fractures and fracture dislocations. Twenty-six patients (%50) had posterior acetabulum fractures and fracture dislocations who were operatively treated. Read More

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December 2017
23 Reads

[Treatment of Pipkin I and II hip fractures by anterolateral hip approach].

Zhongguo Gu Shang 2018 Sep;31(9):858-862

Department of Trauma and Joint Surgery, Taizhou Municipal Hospital, Taizhou 318000, Zhejiang, China.

Objective: To investigate the clinical effect of absorbable screw fixation by anterolateral approach (McFarland and Osborne approach) for the treatment of Pipkin type I and type II fractures.

Methods: From March 2008 to February 2016, 8 cases of femoral head fractures were treated by absorbable screw fixation through anterolateral approach (McFarland and Osborne approach) including 5 males and 3 females with an average age of 36 years old ranging 23 to 58 years old. The course of the disease was 3 to 12 days (means 5 days). Read More

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http://dx.doi.org/10.3969/j.issn.1003-0034.2018.09.015DOI Listing
September 2018
29 Reads

Closed reduction of the traumatic posterior-dislocation of hip joint using a novel sitting technique: A case series.

Medicine (Baltimore) 2018 Oct;97(41):e12538

Department of Orthopedic Surgery, The Third Hospital of Hebei Medical University, Orthopedic Research Institution of Hebei Province, Key Laboratory of Biomechanics of Hebei Province.

Rationale: Traumatic hip dislocation is a common joint dislocation. Delayed reduction has been shown to increase the risk of avascular necrosis of the femoral head. Most of the traditional methods must be performed under general anesthesia or spinal anesthesia to relax hip muscles. Read More

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http://Insights.ovid.com/crossref?an=00005792-201810120-0002
Publisher Site
http://dx.doi.org/10.1097/MD.0000000000012538DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6203500PMC
October 2018
9 Reads

Acetabular Retroversion and Decreased Posterior Coverage Are Associated With Sports-related Posterior Hip Dislocation in Adolescents.

Clin Orthop Relat Res 2019 05;477(5):1101-1108

E. N. Novais, M. G. Ferrer, Department of Orthopedic Surgery, Boston Children's Hospital, Boston, MA, USA K. A. Williams, Department of Clinical Research Center, Boston Children's Hospital, Boston, MA, USA S. D. Bixby, Department of Radiology, Boston Children's Hospital, Boston, MA, USA.

Background: Leverage of the femoral head against the acetabular rim may lead to posterior hip dislocation during sports activities in hips with femoroacetabular impingement (FAI) deformity. Abnormal concavity of the femoral head and neck junction has been well described in association with posterior hip dislocation. However, acetabular morphology variations are not fully understood. Read More

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http://Insights.ovid.com/crossref?an=00003086-900000000-9834
Publisher Site
http://dx.doi.org/10.1097/CORR.0000000000000514DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6494309PMC
May 2019
61 Reads

Management and Outcome of Transepiphyseal Femoral Neck Fracture-Dislocation with a Transverse Posterior Wall Acetabular Fracture: A Case Report.

JBJS Case Connect 2018 Jul-Sep;8(3):e64

Department of Orthopaedic Surgery, Division of Orthopaedic Trauma, Rutgers New Jersey Medical School, Newark, New Jersey.

Case: We present the case of a 10-year-old girl who sustained a transepiphyseal femoral neck fracture with posterior dislocation of the femoral epiphysis and an associated transverse posterior wall acetabular fracture, leading to complete separation of the capital femoral epiphysis. She underwent urgent operative intervention; she was followed for 13 years and achieved an excellent outcome.

Conclusion: Pediatric hip fracture-dislocations are complex injuries that should be managed by a competent pelvic reconstructive surgeon in a well-resuscitated patient. Read More

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http://dx.doi.org/10.2106/JBJS.CC.18.00043DOI Listing
November 2019
9 Reads

Iatrogenic Obturator Hip Dislocation with Intrapelvic Migration.

Case Rep Orthop 2018 9;2018:5072846. Epub 2018 Jul 9.

Department of Orthopaedics, Hofstra North Shore Long Island Jewish, Northwell Health Medical Center, St. Francis Hospital, Roslyn, NY, USA.

Obturator hip dislocations are rare, typically resulting from high-energy trauma in native hips. These types of dislocations are treated with closed reduction under sedation. Open reduction and internal fixation may be performed in the presence of associated fractures. Read More

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http://dx.doi.org/10.1155/2018/5072846DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6079439PMC
July 2018
1 Read

Acute Periacetabular Osteotomy for Recurrent Posttraumatic Dislocation of the Hip: A Case Report.

JBJS Case Connect 2018 Apr-Jun;8(2):e39

Department of Orthopaedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, Iowa.

Case: A 23-year-old woman with injury-induced acetabular dysplasia developed subacute recurrent dislocation of the right hip following closed reduction of a traumatic dislocation. The initial dislocation had been associated with small posterior wall and femoral head fractures. The recurrent dislocation was addressed with an acute periacetabular osteotomy (PAO) for hip stabilization and femoral head fragment excision. Read More

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http://dx.doi.org/10.2106/JBJS.CC.17.00251DOI Listing
November 2019
3 Reads

[Modified Hueter direct anterior approach for treatment of Pipkin type and femoral head fractures].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 03;32(3):334-337

Department of Orthopaedics, West China Hospital, Sichuan University, Chengdu Sichuan, 610041,

Objective: To discuss the effectiveness of the modified Hueter direct anterior approach in treatment of Pipkin typeⅠ and Ⅱ femoral head fractures.

Methods: Between September 2014 and May 2016, 12 patients with Pipkin type Ⅰ and Ⅱ femoral head fractures were treated with the modified Hueter direct anterior approach. There were 8 males and 4 females, aged from 32 to 60 years (mean, 40. Read More

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http://dx.doi.org/10.7507/1002-1892.201710073DOI Listing
March 2018
125 Reads

[Relevance of MRI After Closed Reduction of Traumatic Hip Dislocation in Children].

Z Orthop Unfall 2018 Oct 14;156(5):586-591. Epub 2018 May 14.

Abteilung Unfallchirurgie, BG Unfallklinik Murnau.

Background: Traumatic hip dislocation in children and adolescents is a rare entity that typically results from high-energy trauma. After closed joint reduction, further treatment depends on the specific pattern of the lesion as identified using cross sectional imaging. The aim of this retrospective analysis was to evaluate relevant side effects after traumatic hip dislocation in children and adolescents in order to examine the need for focused diagnostics. Read More

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http://dx.doi.org/10.1055/a-0600-2979DOI Listing
October 2018
2 Reads

Spontaneous Healing of a Bucket-Handle Posterior Labral Detachment After Hip Dislocation in a Five-Year-Old Child: A Case Report.

JBJS Case Connect 2018 Apr-Jun;8(2):e28

Department of Orthopaedics, University of North Carolina School of Medicine, Chapel Hill, North Carolina.

Case: We report the case of a 5-year-old girl who sustained a traumatic hip dislocation and a spontaneous reduction that was complicated by nonconcentric reduction and a large bucket-handle labral detachment. This injury was managed, via an anterior approach, with capsulotomy and reduction of the large interposed labral tear with an attached osteochondral fragment from the posterior aspect of the acetabulum. No additional surgical treatment was employed for the labral tear. Read More

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http://dx.doi.org/10.2106/JBJS.CC.17.00133DOI Listing
November 2019
4 Reads

Posterior dislocation of a native hip joint associated with ipsilateral per-trochanteric fracture: A rare case report.

Trauma Case Rep 2018 Feb 7;13:1-13. Epub 2017 Oct 7.

Department of Trauma and Orthopaedics Surgery, University Hospital Southampton NHS Foundation Trust, Tremona Rd, Southampton SO16 6YD, United Kingdom.

We describe a case of traumatic posterior dislocation of a native hip joint associated with ipsilateral comminuted inter-trochanteric femoral fracture. In our case, closed reduction was attempted but proved unsuccessful. Taking into account the planned subsequent intra-medullary femoral nail, open reduction through a lateral incision was undertaken. Read More

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http://dx.doi.org/10.1016/j.tcr.2017.09.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5887114PMC
February 2018
1 Read

Complex fractures of the acetabulum: Should the enlarged iliofemoral approach be abandoned? Results at 20 years' follow-up.

Orthop Traumatol Surg Res 2018 06 15;104(4):465-468. Epub 2018 Mar 15.

Department of orthopaedic surgery, CHU de Rouen, 76000 Rouen, France.

Introduction: Among the various options for internal fixation of acetabular fractures, the enlarged iliofemoral approach is less often used, being more invasive, although providing greater exposure enabling control of all components in complex fractures. Even so, the impact of its invasiveness has not been confirmed, and long-term results are not known. We therefore performed a retrospective study, aiming: to assess long-term functional outcome, and; to assess associated morbidity. Read More

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http://dx.doi.org/10.1016/j.otsr.2018.02.005DOI Listing

Biaxial reduction technique for the medially displaced quadrilateral surface in acetabular fracture through the modified iliofemoral approach: An observational study.

Authors:
Byung Hoon Lee

Medicine (Baltimore) 2017 Dec;96(51):e9238

Treatment of acetabular fractures is technically demanding injuries. The complex surgical approaches and special equipment have been introduced for achieving accurate anatomical reduction.The aim of the study was to present our experiences of using a newly operative technique to achieve accurate reduction of articular dome impaction and of the quadrilateral surface without special equipment or traction device in reference to fracture reduction and fixation, technical aspects, and the incidence of complications. Read More

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http://dx.doi.org/10.1097/MD.0000000000009238DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5758181PMC
December 2017
3 Reads

Effects of an 8-week strength training intervention on tibiofemoral joint loading during landing: a cohort study.

BMJ Open Sport Exerc Med 2018 13;4(1):e000273. Epub 2018 Jan 13.

School of Sport, Health and Applied Science, St Mary's University, Twickenham, London, UK.

Objectives: To use a musculoskeletal model of the lower limb to evaluate the effect of a strength training intervention on the muscle and joint contact forces experienced by untrained women during landing.

Methods: Sixteen untrained women between 18 and 28 years participated in this cohort study, split equally between intervention and control groups. The intervention group trained for 8 weeks targeting improvements in posterior leg strength. Read More

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http://dx.doi.org/10.1136/bmjsem-2017-000273DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5783107PMC
January 2018
7 Reads

The Röttinger approach for total hip arthroplasty: technique, comparison to the direct lateral approach and review of literature.

Ann Transl Med 2017 Dec;5(Suppl 3):S31

Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, Ohio, USA.

Background: Multiple approaches to the hip joint have been developed utilizing various intervals and/or intermuscular planes when performing a total hip arthroplasty (THA), each proposing certain advantages. Of these, the Röttinger approach (modified anterolateral or Watson-Jones) is potentially muscle-sparing. Multiple studies have demonstrated favorable outcomes with this approach. Read More

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http://dx.doi.org/10.21037/atm.2017.11.21DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5750259PMC
December 2017
38 Reads

Intraoperative evaluation of the effects of femoral component offset and head size on joint stability in total hip arthroplasty.

J Orthop Surg (Hong Kong) 2017 01;25(1):2309499016684298

Department of Orthopaedic Surgery, Tokyo Medical and Dental University, Tokyo, Japan.

Purpose: To evaluate intraoperatively the effects of femoral offset and head size on stability of the hip joints in total hip arthroplasty (THA) via posterior approach.

Methods: Thirty cementless THAs were included in this study. After acetabular shell and femoral broach fixation, trial reduction was repeated using a femoral neck (5- to 8-mm higher or standard offset) and a head (26 mm or 32 mm). Read More

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http://dx.doi.org/10.1177/2309499016684298DOI Listing
January 2017
3 Reads

Dissociation of Polyethylene Liner of the Dual Mobility Acetabular Component after Closed Reduction of Dislocation: A Case Report.

Hip Pelvis 2017 Jun 2;29(2):133-138. Epub 2017 Jun 2.

Department of Orthopaedic Surgery, Kyung Hee University Hospital at Gangdong, Seoul, Korea.

A dual mobility acetabular component has a structure that combines a polyethylene liner and a femoral head, unlike the general design of acetabular cups, making the dissociation of a polyethylene liner highly unlikely. In addition, it increases the range of motion and reduces the possibility of dislocations by increasing a jump distance. A fifty-one-year-old male who had received total hip arthroplasty with the dual mobility acetabular component visited a hospital for a posterior hip dislocation 10 weeks after the operation. Read More

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http://dx.doi.org/10.5371/hp.2017.29.2.133DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5465395PMC
June 2017
42 Reads

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

Bone Joint J 2017 Apr;99-B(4):508-515

University of Bern, Freiburgstrasse 16, 3010 Bern, Switzerland.

Aims: The aims of this study were to determine the cumulative ten-year survivorship of hips treated for acetabular fractures using surgical hip dislocation and to identify factors predictive of an unfavourable outcome.

Patients And Methods: We followed up 60 consecutive patients (61 hips; mean age 36.3 years, standard deviation (sd) 15) who underwent open reduction and internal fixation for a displaced fracture of the acetabulum (24 posterior wall, 18 transverse and posterior wall, ten transverse, and nine others) with a mean follow-up of 12. Read More

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http://dx.doi.org/10.1302/0301-620X.99B4.37681DOI Listing
April 2017
2 Reads

[Bilateral Asymmetric Traumatic Dislocation of Hip Joints].

Acta Chir Orthop Traumatol Cech 2017 ;84(1):66-69

Klinika traumatologie Lékařské fakulty Masarykovy univerzity Brno.

The authors present a rare case of bilateral asymmetric traumatic dislocation of hip joints, where the left joint was treated conservatively after the reduction, while the right joint, with an acetabular fragment interposition, was treated surgically - by arthroscopically assisted reduction and fixation of an osteochondral fragment of posterior wall of the acetabulum. The female patient healed with no complications, showing an excellent clinical outcome with no signs of instability or limited mobility of hip joints, and also with no signs of para-articular calcification or necrosis of the hip at 1 year after the injury and treatment. Bilateral asymmetric dislocation of hip joint is a rare injury with the total incidence of 150 cases as reported by the literature. Read More

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April 2017
6 Reads

Standard Approaches to the Acetabulum Part 3: Intrapelvic Approach.

Acta Chir Orthop Traumatol Cech 2016 ;83(5):293-299

Klinik für Unfallchirurgie Orthopädie und Handchirurgie, Klinikum der Stadt Wolfsburg, Germany.

Introduction The intrapelvic approach was originally described by Hirvensalo et al. from Finland in the early 90ies (8) and a further comparable description was published shortly thereafter by Cole et al. (5). Read More

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March 2017
9 Reads

An Unusual Traumatic Presentation: Luxatio Erecta Humeri and Concomitant Hip Dislocation.

Case Rep Orthop 2016 19;2016:6910945. Epub 2016 Dec 19.

Istanbul Faculty of Medicine, Department of Orthopaedics and Traumatology, Istanbul University, Istanbul, Turkey.

Inferior dislocation of the glenohumeral joint, known as luxatio erecta humeri, and posterior hip dislocation are both rare presentations in the emergency department. The most common aetiology is falling for luxatio erecta humeri. The aim of this manuscript was to present a unique case in terms of luxatio erecta humeri, which has a different aetiology, treatment method, and concomitant injury. Read More

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http://dx.doi.org/10.1155/2016/6910945DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5204091PMC
December 2016
36 Reads

Periacetabular Osteotomy Provides Higher Survivorship Than Rim Trimming for Acetabular Retroversion.

Clin Orthop Relat Res 2017 Apr 5;475(4):1138-1150. Epub 2016 Dec 5.

Department of Orthopaedic Surgery, Inselspital, Bern University Hospital, University of Bern, Freiburgstrasse, 3010, Bern, Switzerland.

Background: Acetabular retroversion can cause impaction-type femoroacetabular impingement leading to hip pain and osteoarthritis. It can be treated by anteverting periacetabular osteotomy (PAO) or acetabular rim trimming with refixation of the labrum. There is increasing evidence that acetabular retroversion is a rotational abnormality of the entire hemipelvis and not a focal overgrowth of the anterior acetabular wall, which favors an anteverting PAO. Read More

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http://dx.doi.org/10.1007/s11999-016-5177-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5339145PMC
April 2017
36 Reads

The anatomical reduction of a moderate or severe stable slipped capital femoral epiphysis by modified Dunn subcapital osteotomy using the Ganz approach: functional and radiological outcomes.

Bone Joint J 2016 Sep;98-B(9):1283-8

Cairo University, 1 Kasr Alainy Hospital, El Manial, Cairo 11562, Egypt.

Aims: This study analysed the clinical and radiological outcome of anatomical reduction of a moderate or severe stable slipped capital femoral epiphysis (SCFE) treated by subcapital osteotomy (a modified Dunn osteotomy) through the surgical approach described by Ganz.

Patients And Methods: We prospectively studied 31 patients (32 hips; 16 females and five males; mean age 14.3 years) with SCFE. Read More

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http://dx.doi.org/10.1302/0301-620X.98B9.37071DOI Listing
September 2016
3 Reads

Adoption of Robotic vs Fluoroscopic Guidance in Total Hip Arthroplasty: Is Acetabular Positioning Improved in the Learning Curve?

J Arthroplasty 2017 01 29;32(1):125-130. Epub 2016 Jun 29.

Department of Orthopaedic Surgery, Lenox Hill Hospital, New York, New York.

Background: Acetabulum positioning affects dislocation rates, component impingement, bearing surface wear rates, and need for revision surgery. Novel techniques purport to improve the accuracy and precision of acetabular component position, but may have a significant learning curve. Our aim was to assess whether adopting robotic or fluoroscopic techniques improve acetabulum positioning compared to manual total hip arthroplasty (THA) during the learning curve. Read More

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http://dx.doi.org/10.1016/j.arth.2016.06.039DOI Listing
January 2017
20 Reads

Novel Technique for Femoral Head Reconstruction using Allograft following Obturator Hip Dislocation.

J Orthop Case Rep 2016 Jan-Mar;6(1):48-51

Department of Orthopaedics, University of Missouri-Kansas City. United States.

Introduction: Obturator hip dislocations with an associated osteochondral fracture of the femoral head are uncommon. The treatment of these injuries is challenging and the functional outcomes are poor. Though the injury pattern has been described previously in literature, there are few published reports regarding treatment options. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.375DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4845411PMC
June 2016
13 Reads

A treatment strategy to avoid iatrogenic Pipkin type III femoral head fracture-dislocations.

Arch Orthop Trauma Surg 2016 Aug 6;136(8):1107-13. Epub 2016 Jun 6.

Department of Orthopaedic Surgery, Kyungpook National University Hospital, 130, Dongdeok-ro, Jung-gu, Daegu, 41944, Republic of Korea.

Introduction: Reduction is urgently required in cases of traumatic hip dislocation to decrease the risk of avascular necrosis of the femoral head. However, successful reduction may not always be feasible for hip dislocations associated with femoral head fractures. This irreducibility may provoke further incidental fractures of the femoral neck with resultant Pipkin type III injuries. Read More

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http://dx.doi.org/10.1007/s00402-016-2481-1DOI Listing
August 2016
55 Reads

Is there any range-of-motion advantage to using bearings larger than 36mm in primary hip arthroplasty: A case-control study comparing 36-mm and large-diameter heads.

Orthop Traumatol Surg Res 2016 10 13;102(6):735-40. Epub 2016 May 13.

Université Lille, 59000 Lille, France; Service d'orthopédie, hôpital Salengro, CHRU de Lille, place de Verdun, 59037 Lille cedex, France.

Background: Large-diameter (>36mm) total hip arthroplasty (THA) has developed rapidly since the advent of ceramic-on-ceramic (CoC) bearings and highly cross-linked polyethylene. Theoretically, the increase in diameter reduces the risk of instability, although the advantage of calibers beyond 36mm has not been demonstrated in terms of range-of-motion recovery. We conducted a comparative study with a single prosthesis model to determine whether increasing the caliber beyond 36mm provides: (1) better recovery of range-of-motion, (2) a higher functional score, and (3) reduction of the dislocation rate. Read More

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http://dx.doi.org/10.1016/j.otsr.2016.04.002DOI Listing
October 2016
3 Reads

A case report of the management and the outcome of a complete epiphyseal separation and dislocation with left anterior column fracture of the acetabulum.

Int J Surg Case Rep 2016 30;23:173-6. Epub 2016 Apr 30.

King Saud Medical City, Riyadh, Saudi Arabia. Electronic address:

Introduction: Femoral head and neck fractures in children are uncommon, accounting for fewer than 1% of all pediatric fractures and fewer than 8% of all hip fractures. Furthermore, traumatic transphyseal hip fracture is rare to present in daily practice especially when associated with an acetabular fracture.

Presentation Of The Case: A twelve years old boy, not known to have any chronic illnesses, presented to the emergency department as a case of polytrauma after a road traffic accident. Read More

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http://dx.doi.org/10.1016/j.ijscr.2016.04.038DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5022068PMC
June 2016
7 Reads

[Middle and long-term results of total hip arthroplasties for secondary post-traumatic arthritis and femoral head necrosis after acetabular fractures].

Zhongguo Gu Shang 2016 Feb;29(2):109-13

Objective: To evaluate middle and long-term results of total hip arthroplasties (THA) for the treatment of secondary hip traumatic osteoarthritis and femoral head necrosis after acetabular fractures.

Methods: From January 2000 to December 2005, 33 patients with secondary hip traumatic osteoarthritis and (or) femoral head necrosis after acetabular fractures were treated with THA. There were 21 males and 12 females, ranging in age from 27 to 69 years old, with an average of 52 years old. Read More

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February 2016
31 Reads

Arthroscopic and imaging findings after traumatic hip dislocation in patients younger than 25 years of age.

J Hip Preserv Surg 2015 Oct 29;2(3):303-9. Epub 2015 May 29.

Department of Orthopaedic Surgery, University of Utah Orthopedic Center, University of Utah, 590 Wakara Way, Salt Lake City, UT, USA.

The aim of this study is to identify intra-articular pathology and loose bodies during arthroscopic examination of young patients after hip dislocation and to correlate arthroscopic findings with preoperative imaging. Twelve hips in 12 patients (eight males, four females; mean age 16.3 years, range 11-25 years) underwent hip arthroscopy after traumatic hip dislocation. Read More

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http://dx.doi.org/10.1093/jhps/hnv036DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4765304PMC
October 2015
12 Reads

[IMPACT OF SALTER INNOMINATE OSTEOTOMY ON ACETABULAR MORPHOLOGY AND DIRECTION IN DEVELOPMENTAL DISLOCATION OF THE HIP BY THREE-DIMENSIONAL COMPUTER TOMOGRAPHY].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2015 Nov;29(11):1332-6

Objective: To investigate the impact of the Salter innominate osteotomy on the acetabular morphology and direction and the relationship between them in children with developmental dislocation of the hip (DDH) by three-dimensional CT.

Methods: Between January 2013 and January 2015, 51 patients with unilateral DDH were treated. All patients were females with an average age of 2 years and 5 months (range, one year and 6 months to 5 years). Read More

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November 2015
7 Reads

Arthroscopic Treatment of Traumatic Hip Dislocations in Children and Adolescents: A Preliminary Study.

J Pediatr Orthop 2017 Oct/Nov;37(7):435-439

Division of Orthopaedic Surgery, Department of Surgery, University of Alabama at Birmingham, Birmingham, AL.

Introduction: Traumatic hip dislocations in children and adolescents require prompt concentric reduction. Incomplete reduction with or without retained osteochondral fragments has traditionally been addressed with open reduction. We report on the use of arthroscopy to remove loose bodies and reduce enfolded soft tissues to obtain concentric reduction in the pediatric and adolescent population. Read More

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http://dx.doi.org/10.1097/BPO.0000000000000670DOI Listing
January 2018
18 Reads