209 results match your criteria Joint Reduction Hip Dislocation Posterior


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

Acta Biomed 2019 Jan 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
January 2019
2 Reads

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

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 Dec;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
14 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
2 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
12 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
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http://dx.doi.org/10.1097/MD.0000000000012538DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6203500PMC
October 2018
2 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

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

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 Mar;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
48 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

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

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
2 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
3 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
31 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
2 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
24 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
1 Read

[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
4 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
4 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
8 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
14 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
2 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
14 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
8 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
19 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
2 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
5 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
8 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
4 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
4 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
3 Reads

[MINIMALLY INVASIVE FIXATION UNDER COMPUTER-ASSISTED NAVIGATION FOR TREATMENT OF PERIACETABULAR FRACTURES, ANTERIOR AND POSTERIOR PELVIC RING FRACTURES].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2015 Jan;29(1):10-3

Objective: To investigate the application and technical essentials of computer-assisted navigation in the surgical management of periacetabular fractures and pelvic fractures.

Methods: Between May 2010 and May 2011, 39 patients with periacetabular or anterior and posterior pelvic ring fractures were treated by minimally invasive fixation under computer-assisted navigation and were followed up more than 2 years, and the clinical data were analyzed retrospectively. There were 21 males and 18 females, aged 15-64 years (mean, 36 years). Read More

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January 2015
31 Reads

Surgical hip dislocation is a reliable approach for treatment of femoral head fractures.

Clin Orthop Relat Res 2015 Dec;473(12):3744-51

Department of Orthopaedic Surgery, University of Berne, Berne, Switzerland.

Background: Femoral head fractures are rare injuries; incongruency and instability are indications for surgical intervention. Anterior, posterior, and transtrochanteric surgical approaches have been proposed, but the exposure is limited with classical approaches. Surgical hip dislocation allows for a 360° view of the head and may facilitate a reduction in selected head fractures, but to our knowledge, few studies have reported on the results with this technique. Read More

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http://dx.doi.org/10.1007/s11999-015-4352-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4626487PMC
December 2015
13 Reads

Surgical Hip Dislocation for the Treatment of Intra-Articular Injuries and Hip Instability Following Traumatic Posterior Dislocation in Children and Adolescents.

J Pediatr Orthop 2016 Oct-Nov;36(7):673-9

Children's Hospital Colorado, Aurora, CO.

Background: Traumatic posterior hip dislocation in children is a rare injury that typically is treated with closed reduction. Surgical treatment is typically recommended for nonconcentric reduction with joint space asymmetry with entrapped labrum or an osteochondral fragment. The surgical hip dislocation (SHD) approach allows for full assessment of the acetabulum and femoral head and has been our preferred surgical strategy. Read More

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http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:land
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http://dx.doi.org/10.1097/BPO.0000000000000527DOI Listing
March 2017
8 Reads

Acetabular fractures in the elderly: evaluation and management.

J Bone Joint Surg Am 2015 May;97(9):758-68

Division of Orthopedic Surgery, The Ottawa Hospital, University of Ottawa, 501 Smyth Road, Ottawa, ON K1H 8L6, Canada. E-mail address for S. Papp:

Acetabular fracture patterns in the elderly, with increased involvement of the anterior column, quadrilateral plate comminution, medialization of the femoral head, and marginal impaction, differ from those noted among a younger cohort. Poor prognostic factors for open reduction and internal fixation (ORIF) are posterior wall comminution, marginal impaction of the acetabulum, a femoral head impaction fracture, a so-called gull sign, and hip dislocation. The rate of conversion to total hip arthroplasty following formal ORIF has been reported to be 22% at a mean of twenty-nine months. Read More

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http://jbjs.org/content/jbjsam/97/9/758.full.pdf
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http://jbjs.org/cgi/doi/10.2106/JBJS.N.01037
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http://dx.doi.org/10.2106/JBJS.N.01037DOI Listing
May 2015
50 Reads

Femoral head reduction osteoplasty for fracture dislocation: A surgical technique.

Injury 2015 Aug 10;46(8):1689-94. Epub 2015 Mar 10.

Department of Orthopaedics and Rehabilitation, University of Vermont, Burlington, VT, United States. Electronic address:

Background: Femoral head fractures with subchondral impaction and cartilage loss are difficult to treat successfully. Although multiple surgical management options have been described, no one technique has proven superior, particularly in the young high-demand population.

Technique: A femoral head reduction osteoplasty was performed following a surgical dislocation of the hip. Read More

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http://dx.doi.org/10.1016/j.injury.2015.03.003DOI Listing
August 2015
6 Reads

MRI as a reliable and accurate method for assessment of posterior hip dislocation in children and adolescents without the risk of radiation exposure.

Pediatr Radiol 2015 Aug 24;45(9):1355-62. Epub 2015 Mar 24.

Department of Orthopaedic Surgery, Children's Hospital Colorado and University of Colorado School of Medicine, 13123 East 16th Ave., B060, Aurora, CO, 80045, USA.

Background: Posterior hip dislocation in children and adolescents may involve the non-ossified posterior acetabular wall. Plain radiographs and computed tomography (CT) have been shown to underestimate injury to the unossified acetabulum as well as associated soft-tissue structures.

Objective: The purpose of this study was to describe findings on radiographs, CT and magnetic resonance imaging (MRI) after posterior hip dislocation in a series of adolescents and to report the intraoperative findings, which are considered the gold standard. Read More

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http://dx.doi.org/10.1007/s00247-015-3317-9DOI Listing
August 2015
6 Reads

Neglected Pipkin's fracture dislocation with bilateral femoral shaft fractures: an unusual combination.

J Surg Case Rep 2015 Mar 10;2015(3). Epub 2015 Mar 10.

Department of Orthopedics, Hi-Tech Medical College, Bhubaneswar, Odisha, India.

A hip fracture dislocation with contralateral femur fracture is a rare combination. We report a case of neglected posterior dislocation of hip with Pipkins-II femoral head and medial condylar fractures associated with a contralateral femoral shaft fracture. Right hip joint was approached via the Kocher-Langenbeck, following reduction, femoral head fragments were fixed with two 4-mm cannulated cancellous screws with open reduction internal fixation plating of ipsilateral femoral condylar fracture and closed reduction internal fixation nailing of left femur in the same sitting. Read More

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http://dx.doi.org/10.1093/jscr/rjv013DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4354301PMC
March 2015
31 Reads

Trans trochanteric approach with coronal osteotomy of the great trochanter: A new technique for extra-capsular trochanteric fracture patients treated by total hip arthroplasty (THA) in elderly.

SICOT J 2015 Jun 5;1. Epub 2015 Jun 5.

Clinique Emilie de Vialar 116 rue Antoine Charial 69003 Lyon France.

Several surgical approaches could be used in hip arthroplasty or trauma surgery: anterior, anterolateral, lateral, posterior (with or without trochanterotomy), using or not an orthopedic reduction table. Subtrochanteric and extra-capsular trochanteric fractures (ECTF) are usually treated by internal fixation with mandatory restrictions on weight bearing. Specific complications have been widely described. Read More

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http://dx.doi.org/10.1051/sicotj/2015015DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4849249PMC
June 2015
2 Reads

Treatment and results in pediatric traumatic hip dislocation: case series and review of the literature.

Ulus Travma Acil Cerrahi Derg 2014 Nov;20(6):437-42

Department of Orthopaedic and Traumatology, Bakırkoy Sadi Konuk Training and Research Hospital, İstanbul, Turkey.

Background: Six acute traumatic hip dislocations in pediatric patients were retrospectively analyzed. Types of dislocations, associated lesions, treatment methods, complications, and clinical and radiological outcomes were reviewed.

Methods: Six child patients treated due to traumatic hip dislocation between 2007 and 2011 in our clinic were included in the study. Read More

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http://dx.doi.org/10.5505/tjtes.2014.52822DOI Listing
November 2014
44 Reads

Open posterior dislocation of hip in a 6-year-old boy: a rare case report.

J Pediatr Orthop B 2015 Jul;24(4):296-8

aDepartment of Orthopaedics, Dayanand Medical College and Hospital, Ludhiana Departments of bOrthopaedics cPediatrics, GGS Medical College and Hospital, Faridkot, Punjab, India.

Open hip dislocation in pediatric patients is a rare injury. Open posterior dislocation because of soft tissue damage is unstable after reduction. There is no treatment protocol in the literature for this injury in pediatric patients. Read More

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http://dx.doi.org/10.1097/BPB.0000000000000128DOI Listing
July 2015
7 Reads

Surgical Hip Dislocation is Safe and Effective Following Acute Traumatic Hip Instability in the Adolescent.

J Pediatr Orthop 2015 Jul-Aug;35(5):435-42

Department of Orthopaedic Surgery, Texas Scottish Rite Hospital for Children, Dallas, TX †Mayo Clinic, Rochester, MN.

Background: A traumatic hip dislocation in the pediatric patient is a rare but potentially catastrophic injury. The purpose of this study was to review our early clinical results and radiographic morphology of hips treated with a surgical hip dislocation (SHD) approach for intra-articular hip pathology resulting from traumatic instability in pediatric and adolescent patients.

Methods: This is a retrospective analysis of a consecutive series of patients presenting with nonconcentric reduction after traumatic hip instability. Read More

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http://dx.doi.org/10.1097/BPO.0000000000000316DOI Listing
December 2015
12 Reads

Traumatic posterior hip dislocation and ipsilateral distal femoral fracture in a 22-month-old child: a case report.

J Pediatr Orthop B 2014 Nov;23(6):544-8

aDepartment of Orthopaedics and Traumatology, Trakya University Faculty of Medicine, Edirne, Turkey bDepartment of Orthopaedics and Traumatology, Near East University Faculty of Medicine, Nicosia, Cyprus.

Minor trauma may cause hip dislocation in young children because of physiologic hip joint laxity and the soft cartilaginous structure of the acetabulum. In this work, we report on a 22-month-old boy with right-sided traumatic posterior hip dislocation and ipsilateral distal femoral fracture because of an outdoor motor vehicle accident. The patient was treated with emergency closed reduction and one and a half hip spica under general anaesthesia. Read More

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http://dx.doi.org/10.1097/BPB.0000000000000089DOI Listing
November 2014
11 Reads

An Unusual Variant of Pipkin's Fracture Dislocation of Hip: A Case Report.

J Orthop Case Rep 2014 Jul-Sep;4(3):19-21

Department of Orthopaedics, Pure Health Hospital & Medical Centre Pvt.ltd. Palej Kamboli Road, at & Po Simaliya, Dist. Bharuch, India.

Introduction: Injuries of the hip joint from pure hip dislocations to fracture dislocations have been described and classified by various authors. These descriptions do not include fracture dislocation of hip associated with fracture of the greater trochanter.

Case Report: We report an unusual case of fracture dislocation of hip in which posterior dislocation of hip was associated with fracture of acetabulum, femoral head, femoral neck, greater trochanter and ipsilateral shaft of tibia. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.187DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4719317PMC
June 2016
2 Reads

Early intraprosthetic dislocation in a revision dual-mobility hip prosthesis.

Orthopedics 2014 Apr;37(4):e395-7

This article presents a case of early intraprosthetic dislocation of a dual-mobility hip prosthesis after revision total hip arthroplasty for instability. A 70-year-old woman was revised to a dual-mobility cup for multiple hip dislocations. She dislocated the dual-mobility construct twice, which was closed reduced. Read More

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http://dx.doi.org/10.3928/01477447-20140401-63DOI Listing
April 2014
9 Reads

[The impact of capsular repair on the dislocation rate after primary total hip arthroplasty: a retrospective analysis of 1972 cases].

Z Orthop Unfall 2014 Apr 23;152(2):130-43. Epub 2014 Apr 23.

Orthopädische Klinik und Poliklinik, Universität Leipzig.

Background: Dislocation is the second most frequently encountered complication in primary total hip arthroplasty (THA) and occurs more commonly in the early postoperative rehabilitation phase. Sir Charnley recommended the "avoidance of resection of the capsule" and emphasised its contribution to hip joint stability in THA. Several authors, however, doubted its significance and considered resection of the capsule to be essential. Read More

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http://dx.doi.org/10.1055/s-0034-1368209DOI Listing
April 2014
10 Reads

Fixation of femoral head fractures with autologous osteochondral transfer (mosaicplasty).

J Orthop Trauma 2014 Sep;28(9):e226-30

Department of Orthopedic Surgery and Traumatology, Medical University of Lublin, Lubin, Poland.

Posterior fracture dislocation of the femoral head is a rare entity usually requiring open reduction and internal fixation. Results of different fixation methods have been reported, including countersinking screws, headless screws, and bioabsorbable implants. Osteochondral autologous transfer (mosaicplasty) is an established method of treatment of full thickness cartilage defects of the knee, ankle, and elbow. Read More

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http://dx.doi.org/10.1097/BOT.0000000000000079DOI Listing
September 2014
3 Reads

Ipsilateral open anterior hip dislocation and open posterior elbow dislocation in an adult.

Chin J Traumatol 2014 ;17(1):60-2

Central Institute of Orthopaedics, Vardhman Mahavir Medical College and Associated Safdarjung Hospital, New Delhi 110029, India.

Open anterior dislocation of the hip is a very rare injury, especially in adults. It is a hyperabduction, external rotation and extension injury. Its combination with open posterior dislocation of the elbow has not been described in English language-based medical literature. Read More

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November 2014
6 Reads

The blood supply to the femoral head after posterior fracture/dislocation of the hip, assessed by CT angiography.

Bone Joint J 2013 Nov;95-B(11):1453-7

The Medical Centre of Postgraduate Education, Gruca Teaching Hospital, Department of Orthopaedics, Pediatric Orthopaedics and Traumatology, Konarskiego 13, 05-400 Otwock, Poland.

The femoral head receives blood supply mainly from the deep branch of the medial femoral circumflex artery (MFCA). In previous studies we have performed anatomical dissections of 16 specimens and subsequently visualised the arteries supplying the femoral head in 55 healthy individuals. In this further radiological study we compared the arterial supply of the femoral head in 35 patients (34 men and one woman, mean age 37. Read More

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http://dx.doi.org/10.1302/0301-620X.95B11.32383DOI Listing
November 2013
9 Reads

Ipsilateral Traumatic Posterior Hip Dislocation, Posterior Wall and Transverse Acetabular Fracture with Trochanteric Fracture in an adult: Report of First Case.

J Orthop Case Rep 2013 Oct-Dec;3(4):31-4

Department of Orthopedic Surgery, Dr RML Hospital & PGIMER, New Delhi. India.

Introduction: Posterior dislocation of the hip joint with associated acetabular and intertrochanteric fracture is a complex injury. Early recognition, prompt and stable reduction is needed of successful outcome.

Case Report: 45 year old male patient presented with posterior dislocation of the hip with transverse fracture with posterior wall fracture of acetabulam and intertrochanteric fracture on the ipsilateral side. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.128DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4719285PMC
June 2016
5 Reads

Loeys-Dietz syndrome with bilateral radial head dislocations: a case report.

J Orthop Surg (Hong Kong) 2013 Aug;21(2):262-5

Bai Jerbai Wadia Hospital for Children, Parel, Mumbai, Maharashtra, India.

Loeys-Dietz syndrome is characterised by vascular aneurysms, hypertelorism, and a bifid uvula. We report on an 11-year-old boy with Loeys-Dietz syndrome who presented with bilateral radial head dislocations and severe osteopaenia with changes of avascular necrosis in both hips causing an out-toeing, wide gait. Considering the poor prognosis for elbow movement and possible radial head dysplasia, surgical reduction of the radial heads was deferred. Read More

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http://journals.sagepub.com/doi/10.1177/230949901302100231
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http://dx.doi.org/10.1177/230949901302100231DOI Listing
August 2013
8 Reads