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

2013 ◽  
Vol 3 (4) ◽  
pp. 34-36
Author(s):  
Skand Sinha ◽  
◽  
Ananta k Naik ◽  
Rajendra K Arya ◽  
Vijay K Jain
Keyword(s):  
Acetabular Fracture ◽  
Hip Dislocation ◽  
Trochanteric Fracture ◽  
Posterior Wall ◽  
First Case ◽  
Posterior Hip Dislocation

scholarly journals Pediatric Hip Dislocation with Posterior Wall Acetabular Fracture: A Case Report

2014 ◽  
Vol 10 (3) ◽  
pp. 280-285
Author(s):  
Michael M. Khair ◽  
Christopher S. Smith ◽  
David L. Helfet
Keyword(s):  
Case Report ◽  
Acetabular Fracture ◽  
Hip Dislocation ◽  
Posterior Wall

scholarly journals Avascular necrosis of the femoral head in the patients with posterior wall acetabular fractures associated with dislocations of the hip

2013 ◽  
Vol 60 (2) ◽  
pp. 65-69 ◽  
Author(s):  
Sasa Milenkovic ◽  
Milorad Mitkovic ◽  
Jordan Saveski ◽  
Ivan Micic ◽  
Predrag Stojiljkovic ◽  
...  
Keyword(s):  
Femoral Head ◽  
Young Patients ◽  
Hip Dislocation ◽  
Posterior Wall ◽  
Acetabular Fractures ◽  
Type I ◽  
Severe Injuries ◽  
Stable Osteosynthesis ◽  
Posterior Hip Dislocation

Introduction: Acetabular fractures are severe injuries, mostly occured in young patients after traffic accident or fall from heights. Of the all acetabular fractures, posterior wall acetabular fractures are the most often observed. Regarding to mechanism of the injury, about 30% of these fractures are associated with posterior hip dislocation. Material and methods: The incidence of AVN in 18 patients with posterior wall acetabular fractures associated with dislocations of the hip is presented. Thompson-Epstein Scale (type I-V) was used as the classification of the injury. Kocher-Langenbeck surgical approach was achieved in all patients. Results: Average following time after surgery was 22,66 months (8-36 months). After that period the incidence of femoral head AVN was observed in 33,3%6. Femoral head AVN was observed in 5,55%1 of patient who was treated by the reduction of hip dislocation in first 24 hours after injury, while in patients with later reduction, femoral head AVN were observed in 27,77%5. Conclusion: Posterior wall acetabular fractures associated with hip dislocation are severe injuries. Urgent, closed reduction of the hip, early definitive stable osteosynthesis of acetabulum and the experience of surgical team are factors that greatly decrease the possibility for AVN occurrence. Later reduction, comminution of posterior wall of the acetabulum (Thompson-Epstein III et IV), impaction, chondral lesion of the femoral head and associated fractures of femoral head, increase the possibility for AVN occurrence.

scholarly journals Open reduction capsular arthroplasty using a modified Codivilla-Hey Groves-Colonna procedure augmented with tensor fascia lata graft, supported by Ilizarov hinged external fixator in a patient with chronic traumatic posterior hip dislocation

2019 ◽  
Vol 12 (8) ◽  
pp. e229926 ◽  
Author(s):  
Patricio III Espinoza Dumlao ◽  
Juanito Javier ◽  
Carlo Emmanuel Sumpaico
Keyword(s):  
Hip Dislocation ◽  
Rare Condition ◽  
Developmental Dysplasia ◽  
Fascia Lata ◽  
Tensor Fascia Lata ◽  
First Case ◽  
Ilizarov Frame ◽  
Fascia Lata Graft ◽  
Hinged External Fixator ◽  
Posterior Hip Dislocation

Untreated traumatic hip dislocation is a rare condition in children. Capsular arthroplasty is a previously abandoned surgical technique in dealing with developmental dysplasia of the hips but not described in traumatic dislocations. We present a 2-year follow-up of a 7-year-old boy who sustained chronic traumatic posterior hip dislocation treated as a first case in published literature combining a modified version of the Codivilla-Hey Groves-Colonna procedure, using tensor fascia lata graft and application of a hinged Ilizarov frame. The patient is currently independent on all activities of daily living.

scholarly journals High- Versus Low-Energy Acetabular Fracture Outcomes in the Geriatric Population

2020 ◽  
Vol 11 ◽  
pp. 215145932093954 ◽  
Author(s):  
Alexa Cecil ◽  
Jonathan W. Yu ◽  
Viviana A. Rodriguez ◽  
Adam Sima ◽  
Jesse Torbert ◽  
...  
Keyword(s):  
Older Adults ◽  
Acetabular Fracture ◽  
Hip Dislocation ◽  
Posterior Wall ◽  
High Energy ◽  
Low Energy ◽  
Acetabular Fractures ◽  
Heterotopic Bone ◽  
Geriatric Population ◽  
Energy Group

Introduction: High-energy mechanisms of acetabular fracture in the geriatric population are becoming increasingly common as older adults remain active later in life. This study compared outcomes for high- versus low-energy acetabular fractures in older adults. Materials and Methods: We studied outcomes of 22 older adults with acetabular fracture who were treated at a level-I trauma center over a 4-year period. Fourteen patients were categorized as low-energy mechanism of injury, and 8 were identified as a high-energy mechanism. We analyzed patient demographics with univariate logistic regressions performed to assess differences in high- and low-energy group as well as patient characteristics compared with surgical outcomes. Results: Most high-energy mechanisms were caused by motor vehicle collision (n = 4, 50.0%), with most having posterior wall fractures (50.0%). Among patient characteristics, the mechanism of injury, hip dislocation, fracture types, and fracture gap had the largest differences between energy groups effect size (ES: 2.45, 1.43, 1.36, and 0.83, respectively). The high-energy group was more likely to require surgery (odds ratio [OR] = 2.80, 95% CI: 0.26-30.70), develop heterotopic bone (OR = 4.33, 95% CI: 0.33-57.65), develop arthritis (OR = 3.60, 95% CI: 0.45-28.56), and had longer time to surgery (mean = 4.8 days, standard deviation [SD] = 5.8 days) compared to low-energy group (mean = 2.5 days, SD = 2.3 days). Discussion: The results of this case series confirm previous findings that patients with high-energy acetabular fractures are predominantly male, younger, and have fewer comorbidities than those who sustained low-energy fractures. Our results demonstrate that the majority of the high-energy fracture patients also suffered a concurrent hip dislocation with posterior wall fracture and experienced a longer time to surgery than the low-energy group. Conclusion: Geriatric patients who sustained high-energy acetabular fractures tend to have higher overall rates of complications, including infection, traumatic arthritis, and heterotopic bone formation when compared with patients with a low-energy fracture mechanism.

scholarly journals Concomitant posterior hip dislocation, ipsilateral intertrochanteric- and proximal tibial- fractures with popliteal artery injury: a challenging trauma mélange

2015 ◽  
Vol 5 (4) ◽  
Author(s):  
Pranit N. Chotai ◽  
Nabil A. Ebraheim ◽  
Ryan Hart ◽  
Andrew Wassef
Keyword(s):  
Popliteal Artery ◽  
Tibial Fracture ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Weight Bearing ◽  
Hip Dislocation ◽  
Postoperative Outcome ◽  
Activity Level ◽  
Artery Injury ◽  
Posterior Hip Dislocation

Constellation of ipsilateral posterior hip dislocation, intertrochanteric- and proximal tibial fracture with popliteal artery injury is rare. Management of this presentation is challenging. A motor vehicle accident victim presented with these injuries, but without any initial signs of vascular compromise. Popliteal artery injury was diagnosed intra-operatively and repaired. This was followed by external fixation of tibial fracture, open reduction of dislocated hip and internal fixation of intertrochanteric fracture. Patient regained bilateral complete weight bearing and returned to pre-accident activity level. Apt surgical management including early repair of vascular injury in such a trauma mélange allows for a positive postoperative outcome.

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