Surgical Hip Dislocation Using the Modified Hardinge Approach for Excision of Osteocartilaginous Lesions of the Acetabulum and Femoral Neck in an Adult

2019 ◽  
Vol 9 (4) ◽  
pp. e0026-e0026
Author(s):  
Brett A. Shannon ◽  
Sameer Dixit ◽  
Edward F. McCarthy ◽  
Adam S. Levin
Keyword(s):  
Femoral Neck ◽  
Hip Dislocation ◽  
Surgical Hip Dislocation ◽  
Hardinge Approach

scholarly journals Femoral neck rotational osteotomy: a modified method for treating necrotic femoral heads with large and laterally located lesions

2021 ◽  
Author(s):  
Junfeng Zhu ◽  
Kangming Chen ◽  
Jianping Peng ◽  
Yang Li ◽  
Chao Shen ◽  
...  
Keyword(s):  
Femoral Neck ◽  
Hip Dislocation ◽  
Harris Hip Score ◽  
Leg Length ◽  
Surgical Hip Dislocation ◽  
Short Term ◽  
Term Outcome ◽  
Rotational Osteotomy ◽  
Patient Reported ◽  
Femoral Heads

Abstract In this study, we retrospectively investigated the short-term outcome of femoral neck rotational osteotomy (FNRO) for treating necrotic femoral heads with large and laterally located lesions. Twelve necrotic femoral heads (ARCO stage II or III) with an average Kerboul angle of 210° underwent FNRO through surgical hip dislocation. By circumferential release of capsule and retinaculum, femoral neck osteotomy was performed at the base of femoral neck just 1.5 cm above lesser trochanter. The severed femoral neck was rotated with a mean angle of 120.4° and fixed with a mean varus angulation of 10.2°. Both Harris hip score and International hip outcome tool improved at a mean follow-up of 29 months. The average post-operative intact rate was 55.3%. Subsequent collapse or progression to osteoarthritis was found in four hips but only one hip failed with a Harris hip score of 44 and converted to hip replacement. Post-operative leg length discrepancy was 1.1 cm. Limp presented in seven hips. Six hips had osteophyte formation. FNRO through surgical hip dislocation had the advantages of safe exposure, direct visualization of necrotic lesion and high reorientation of healthy bone and articular cartilage on femoral head. We observed satisfactory short-term survivorship and improved patient-reported outcomes in necrotic femoral heads treated with FNRO.

scholarly journals A PROSPECTIVE STUDY OF COMPLICATIONS IN BIPOLAR HEMIARTHROPLASTY USING MODIFIED HARDINGE APPROACH IN THE MANAGEMENT OF FEMORAL NECK FRACTURES

2020 ◽  
Vol 4 (7) ◽  
Author(s):  
Mukka Naveen ◽  
N. Srinivas Reddy
Keyword(s):  
Femoral Neck ◽  
Functional Outcomes ◽  
Hip Dislocation ◽  
Femoral Neck Fractures ◽  
Surgical Approaches ◽  
Bipolar Hemiarthroplasty ◽  
Neck Of Femur ◽  
Geriatric Population ◽  
Neck Fracture ◽  
Hardinge Approach

Introduction: Fracture of femoral neck is on the rise in the recent years owing to the increase in the geriatric population, severe osteoporosis and increased brittleness of the bone with advancing age. Total hip replacement was mostly used in the initial days but owing to higher chances of dislocations, it is less preferred. Bipolar hemiarthroplasty has become one of the main methods of treatment. A variety of surgical approaches have been used. Posterior approach is the most preferred approach currently, followed by Hardinge approach. Complications like dislocation, infection and abductor lurch are still common with current approaches. This study was undertaken to show the functional outcomes of a Modified Hardinge approach which seems to have optimal results out of all the approaches. Aim: To evaluate the functional outcomes and complications of modified hardinge approach. Materials and Methods: A total of 20 patients with fracture neck of femur were taken into the study and treated with Bipolar Hemiarthroplasty using modified Hardinge approach between June 2018 and October 2019. Each patient was put through the same preoperative and postoperative protocols. They was screened for comorbidities and were taken up for surgery. Complications after this approach were evaluated post operatively for a period of 6 months. Results: The mean hip score was 80. Complications like posterior hip dislocation and infection were nil. Abductor lurch was not noted in any of the patients. One patient had infection out of 20 which was managed accordingly. Conclusion: Bipolar hemiarthroplasty through modified Hardinge approach can be used in the management of femoral neck fractures with lowest complication rate. Complications like posterior dislocation and abductor lurch were nil in the study. The only downside of the procedure being a longer learning curve makes it a less used approach compared to others. Keywords: Hemiarthroplasty, modified Hardinge approach, femoral neck fracture

scholarly journals Neglected Neck of Femur Fracture Managed by Surgical Hip Dislocation: A Case Report and Literature Review

2021 ◽  
Vol 11 (5) ◽  
Author(s):  
Mohammed S Alshehri ◽  
Mohammed A Alzahrani ◽  
Abdullah A Ghaddaf ◽  
Mohammed S Alomari
Keyword(s):  
Young Adults ◽  
Case Report ◽  
Femoral Neck ◽  
Internal Fixation ◽  
Open Reduction ◽  
Military Training ◽  
Hip Dislocation ◽  
Surgical Hip Dislocation ◽  
Neck Of Femur ◽  
Neck Fracture

Introduction: Femoral neck fractures (FNFs) in young adults are relatively uncommon emergency that requires early diagnosis and management possible to prevents joint complications. Case Report: A 24-year-old male presented with a right hip pain for 3 months after a heavy physical exercise during military training. The imaging exhibited a transcervical FNF with displacement and a potential of avascular necrosis (AVN). The patient was managed by Open reduction and internal fixation through surgical hip dislocation (SHD) and bone grafting from the right iliac bone. The patient returned to his full military services 14 weeks following the surgery and was followed for 3 years without any symptomatic or functional problems. Conclusion: SHD could be one of the surgical options hired in the management of late presentations of FNFs in young adults with high suspicion of AVN. Keywords: Femoral neck fracture, open reduction and internal fixation, surgical hip dislocation.

Surgical hip dislocation for treatment of primary aneurysmal bone cysts in the femoral neck and head

2010 ◽  
Vol 21 (5) ◽  
pp. 527-529 ◽  
Author(s):  
Juan M. Nossa ◽  
Hugo A. Rodriguez ◽  
Guillermo Rueda ◽  
Diego Marquez
Keyword(s):  
Femoral Neck ◽  
Hip Dislocation ◽  
Bone Cysts ◽  
Surgical Hip Dislocation ◽  
Aneurysmal Bone Cysts

Surgical hip dislocation for treatment of synovial chondromatosis of the hip

2021 ◽  
Author(s):  
Sheng Fang ◽  
Huan Li ◽  
Yiming Wang ◽  
Peng Xu ◽  
Han Sun ◽  
...  
Keyword(s):  
Hip Dislocation ◽  
Synovial Chondromatosis ◽  
Surgical Hip Dislocation

Open Surgical Hip Dislocation for an Acetabular Osteoid Osteoma - A Case Report

2022 ◽  
Vol 5 (1) ◽  
pp. 01-04
Author(s):  
Parker J. Prusick ◽  
Steven D. Jones ◽  
Jesse Roberts ◽  
Nathan Donaldson
Keyword(s):  
Case Report ◽  
Osteoid Osteoma ◽  
Proximal Femur ◽  
Benign Tumor ◽  
Hip Dislocation ◽  
Long Bones ◽  
Surgical Hip Dislocation ◽  
Sclerotic Bone

Osteoid osteoma is a benign tumor that accounts for roughly 10-12% of all benign bone forming tumors. This tumor generally occurs within the first three decades of life and occurs more commonly in males. This lesion is painful and is generally worse at night and has relief of symptoms with the use of NSAIDs. Osteoid osteoma is characterized by the production of osteoid surrounded by a rim of sclerotic bone. These lesions most commonly occur in long bones such as the proximal femur, however they can occur anywhere. Rarely, as with our patient, have these lesions been reported in the acetabulum.

scholarly journals Hip dislocation following the treatment of femoral neck fracture: Case report

2010 ◽  
Vol 138 (3-4) ◽  
pp. 248-251
Author(s):  
Zoran Vukasinovic ◽  
Igor Seslija ◽  
Borislav Dulic
Keyword(s):  
Femoral Neck ◽  
Femoral Neck Fracture ◽  
Open Reduction ◽  
Weight Bearing ◽  
Young Patients ◽  
Hip Dislocation ◽  
Full Weight Bearing ◽  
Limited Range Of Motion ◽  
Femoral Head Osteonecrosis ◽  
Neck Fracture

Introduction. Femoral neck fractures are very rare in young patients and are frequently complicated by femoral head osteonecrosis and femoral neck nonunion. Case Outline. A 19-year-old girl with hip dislocation following the treatment of the femoral neck fracture is presented. The femoral neck fracture was initially treated by open reduction and three-screw fixation. After detecting the nonunion of femoral neck, valgus osteotomy was done. Secondary, iatrogenic, hip dislocation appeared. The patient had pains, and in clinical findings a shorter leg and limited range of motion in the hip - altogether 40 degrees. She was then successfully treated by open reduction, together with Chiari pelvic osteotomy and joint transfixation. Transfixation pin was removed three weeks following the operation. After that, the patient was put into the abduction device and physical therapy was started. The mentioned regimen lasted four months after the surgery, then the abduction device was removed and walking started. Full weight bearing was allowed eight months after surgery. Conclusion. As we have not found the literature data concerning the above mentioned problem, we solved it in the way that we usually do for the treatment of developmental dislocation of the hip in adolescence.

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