scholarly journals Investigation of sanogenesis in hip fracture-dislocation

TRAUMA ◽  
2021 ◽  
Vol 21 (6) ◽  
pp. 27-32
Author(s):  
A.I. Kanziuba
Keyword(s):  
Hip Fracture ◽  
Hip Joint ◽  
Structural Damage ◽  
Joint Damage ◽  
Hip Dislocation ◽  
The Body ◽  
Fracture Dislocation ◽  
Choice Of Treatment ◽  
Fracture Dislocations ◽  
Reparative Process

Background. The background of the injured hip joint is determined by the course of the reparative process, which, in turn, depends on the changes occurring in the body of the injured at the local and systemic levels as a result of trauma and further therapeutic measures. The purpose of the work is to identify the directions of sanogenesis of fracture-dislocations in the hip joint, which determine the changes resulting from trauma in the victim’s body and influence the choice of treatment tactics, the course of the reparative process in the damaged joint, the content and results of complex restorative treatment. Materials and methods. There were examined 180 patients with hip fracture-dislocations using the clinical, radiological, laboratory methods, methods of conceptual and mathematical modeling, statistical method. Results. The planning of treatment tactics should be approached from the standpoint of analyzing different mechanisms of pathogenesis after traumatic arthrosis by determining the factors of destruction and their role in the sanogenesis of traumatic injuries of the hip joint. Based on the study of biomechanical changes, the characteristics of the immune status and metabolic processes in the body of the victims, their relationship with the clinical, radiological, and morphological changes in the area of damage, a conceptual position regarding the treatment are proposed. The most significant factors that determine the course of the recovery processes are highlighted: structural damage to the cartilage covering, acetabular subchondral bones and the head of the femur; damage to the articular bag of the hip joint; damage to the muscles of the pelvic girdle; changes in the stress-strain state in the hip joint; violation of the stability of the damaged hip joint; local post-traumatic osteoporosis; reactive inflammation in the damaged joint; regeneration of the connective tissue in the damage focus; pathogenic factors due to treatment. The priority directions for solving the problem are to improve the diagnosis of fracture-dislocations in the area of the hip joint and to study pathological changes in the body of victims in different periods after trauma to substantiate the criteria for a differentiated approach to the choice of treatment tactics. The directions and content of pathogenetic treatment of hip fracture-dislocations depend on the type of damage to the hip joint and the duration of the injury. Conclusions. The main points of the treatment program for fresh injuries are the elimination of hip dislocation, restoration of stability of the hip joint, optimization of the mode of functional unloading of the joint, functional rehabilitation treatment, drug correction of the reparative process.

scholarly journals Restoration of neglected fracture dislocation hip in elderly: a case report

2021 ◽  
Vol 8 (1) ◽  
pp. 106
Author(s):  
Praveen Raj ◽  
Kaustav Mukherjee ◽  
Gokul Raj Dhanrajan ◽  
Sundararaja Bhaskar ◽  
Pradeep Jayaram Purushothaman
Keyword(s):  
Hip Fracture ◽  
Femoral Head ◽  
Hip Replacement ◽  
Fracture Dislocation ◽  
Acetabular Fractures ◽  
Trauma Patients ◽  
Fatty Tissue ◽  
Traumatic Fracture ◽  
Fracture Dislocations ◽  
Dislocation Of The Hip

<p class="abstract">Neglected traumatic fracture dislocation of the hip is a challenging problem due to soft tissue contractures, adhesions, fibro fatty tissue filling acetabulum, avascular necrosis, arthritis and myositis ossificans. These types of injury often get missed at initial evaluation in the presence of distracting injuries and in poly trauma patients. Femoral head fractures account for only 7-16% of all hip fracture dislocations, with combined femoral head and acetabular fractures in elderly being even lower. Literature favours primary hip replacement as compared to hip salvage in age above 60 years and in patients with neglected hip fracture dislocations of more than 3 months duration due to high chances of afore mentioned complications. Here, we report a case of 69 years old male with neglected hip fracture dislocation associated with posterior acetabular wall and femoral head fracture for the challenges in management with a total hip replacement.</p>

Traumatic hip fracture-dislocation: A middle-term follow up study and a proposal of new classification system of hip joint associated injury

Injury ◽  
2019 ◽  
Vol 50 ◽  
pp. S11-S20 ◽  
Author(s):  
Raffaele Pascarella ◽  
Rossana Fantasia ◽  
Pasquale Sangiovanni ◽  
Alessandra Maresca ◽  
Daniele Massetti ◽  
...  
Keyword(s):  
Hip Fracture ◽  
Hip Joint ◽  
Classification System ◽  
Fracture Dislocation ◽  
New Classification ◽  
Middle Term ◽  
Associated Injury ◽  
Follow Up Study

scholarly journals Atraumatic Posterior Hip Dislocation following Short Femoral Nail for Intertrochanteric Fracture Treated by Dual Mobility System in Total Hip Arthroplasty: A Case Report

2021 ◽  
Vol 11 (5) ◽  
Author(s):  
Yasuhisa Yoshida ◽  
Akira Yoshida ◽  
Yuto Takashima ◽  
Hideto Fujii
Keyword(s):  
Hip Fracture ◽  
Total Hip Arthroplasty ◽  
Hip Joint ◽  
Hip Arthroplasty ◽  
Intertrochanteric Fracture ◽  
Hip Dislocation ◽  
Dual Mobility ◽  
Intertrochanteric Hip Fracture ◽  
Mobility System ◽  
Posterior Hip Dislocation

Introduction: Atraumatic hip dislocation after short femoral nail (SFN) fixation for an intertrochanteric fracture is extremely rare. Case Report: An 84-year-old woman presented with an atraumatic posterior hip dislocation that occurred 8 years after SFN fixation for an intertrochanteric hip fracture. She experienced an acute-onset left hip pain when standing up from a sitting position while bathing at a day care facility. We performed total hip arthroplasty (THA) with a dual mobility system. During the post-operative THA evaluation, the combined anteversion angle was within the optimum range of 57. However, the dislocation recurred after the THA. During the revision THA, a dual mobility system was used to moderately extend the stem neck. Measures were adopted to strain the posterior soft tissues of the hip joint. We speculated that the posterior hip joint capsule ruptured because the support of the posterior hip joint was weak after the intertrochanteric hip fracture. At the final follow-up visit at 6 months after the operation, the hip joint pain had disappeared, and her activities of daily living recovered to almost the same level as her preinjury activities. Conclusions: We should consider the lack of support of posterior soft tissues as a cause of this atraumatic posterior hip dislocation following intertrochanteric fracture fixation. Keywords: Atraumatic posterior hip dislocation, post-operative state of intertrochanteric hip fracture, short femoral nail, total hip arthroplasty, dual mobility system.

Neglected acetabular fracture with hip dislocation in a 34-year-old subject treated with total hip arthroplasty: our experience

2021 ◽  
Vol 14 (11) ◽  
pp. e245793
Author(s):  
Pierluigi Pironti ◽  
Ricardo A Ciliberto P ◽  
Paolo Sirtori ◽  
Laura Mangiavini
Keyword(s):  
Hip Fracture ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Acetabular Fracture ◽  
Hip Dislocation ◽  
Skeletal Traction ◽  
Total Hip ◽  
Fracture Dislocations ◽  
Feasible Option

Neglected hip fracture-dislocations are rare but still possible clinical situations, especially in developing countries. Some authors described skeletal traction and open reduction with internal fixation as a treatment for the abovementioned conditions. Despite the poor literature about this topic, total hip arthroplasty (THA) may be a feasible option in the treatment of neglected hip fracture-dislocations. We present a case of a 34-year-old Moroccan man reporting a 1-year neglected acetabular fracture with hip dislocation successfully treated with THA. The patient showed a significant improvement of pain, range of motion and his quality of life at 45 days. Our experience shows how a neglected acetabular fracture with hip dislocation can be successfully treated with THA. Considering the complexity of these cases, an accurate preoperative planning is mandatory and the prosthetic components’ choice must be customised to the patient.

scholarly journals Magnetic resonance imaging of hip joint cartilage and labrum

2011 ◽  
Vol 3 (2) ◽  
pp. 9 ◽  
Author(s):  
Christoph Zilkens ◽  
Falk Miese ◽  
Marcus Jager ◽  
Bernd Bittersohl ◽  
Rüdiger Krauspe
Keyword(s):  
Surgical Procedures ◽  
Hip Joint ◽  
Hip Dysplasia ◽  
Periacetabular Osteotomy ◽  
Cartilage Damage ◽  
Joint Damage ◽  
Hip Dislocation ◽  
Resonance Imaging ◽  
Surgical Hip Dislocation ◽  
Hip Anatomy

Hip joint instability and impingement are the most common biomechanical risk factors that put the hip joint at risk to develop premature osteoarthritis. Several surgical procedures like periacetabular osteotomy for hip dysplasia or hip arthroscopy or safe surgical hip dislocation for femoroacetabular impingement aim at restoring the hip anatomy. However, the success of joint preserving surgical procedures is limited by the amount of pre-existing cartilage damage. Biochemically sensitive MRI techniques like delayed Gadolinium Enhanced MRI of Cartilage (dGEMRIC) might help to monitor the effect of surgical or non-surgical procedures in the effort to halt or even reverse joint damage.

Diagnostic Value of Contrast Radiologic Examination for Rational Planning of Surgical Treatment of High Congenital Hip Dislocation in Children

2010 ◽  
Vol 17 (4) ◽  
pp. 49-58
Author(s):  
O V Kozhevnikov ◽  
A K Morozov ◽  
Svetlana Eduardovna Kralina ◽  
E V Ogarev ◽  
Zh M Negmatov ◽  
...  
Keyword(s):  
Hip Joint ◽  
Preoperative Planning ◽  
Hip Dislocation ◽  
Diagnostic Value ◽  
Sufficient Information ◽  
Treatment Technique ◽  
Congenital Hip Dislocation ◽  
Radiologic Examination ◽  
Choice Of Treatment ◽  
Real Picture

Diagnostic value of contrast radiologic examination of hip joint was analyzed in 49 children aged from 1 to 12 years with high congenital hip dislocation. Informativeness of 38 standard hip joint arthrograms was studied for the choice of treatment technique and preoperative planning. It was stated that arthrography did not provide sufficient information on the changes in soft tissue and cartilaginous structures of the joint. Experience in joint pathologic changes diagnosis using contrast computed tomography (11 patients) was presented. Potentialities of that examination technique were determined. It was shown that in high dislocation of femoral head it provided real picture of interrelation of all articular structures. That enabled to take objectively substantiated decision on open or closed correction of dislocation and perform an adequate preoperative planning.

Asymmetric Bilateral Hip Fracture-Dislocation: A Case Report and Literature Review

2020 ◽  
Author(s):  
Seyed Mohammad Javad Mortazavi ◽  
Hamed Mazzochy ◽  
Mohammad Ali Ghasemi ◽  
Furqan Mohammed Yaseen Khan
Keyword(s):  
Case Report ◽  
Hip Fracture ◽  
Femoral Head ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Hip Dislocation ◽  
Rare Condition ◽  
Initial Step ◽  
Fracture Dislocation ◽  
Femoral Head Fracture

Background: Asymmetric bilateral hip dislocation is a rare condition, especially when it is accompanied by a bilateral femoral head fracture. Case Report: A 28-year-old man who sustained a motor vehicle accident, was presented to the our center (Imam Khomeini Hospital Complex) with asymmetric bilateral hip fracture-dislocation. In the initial step, closed reduction was performed, followed by bilateral open reduction and fixation of the femoral head fragment by screws. The results were satisfactory after 5 years of follow-up. Conclusion: Although rare, paradoxical femoral head fracture should be considered in patients with hip dislocation. We recommend our therapeutic approach in a similar situation.

scholarly journals A case report of femoral head fracture with osteochondral lesion treated by osteosynthesis and biomimetic scaffold: 2-year clinical and radiological follow-up

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Alessandro Casiraghi ◽  
Claudio Galante ◽  
Marco Domenicucci ◽  
Stefano Cattaneo ◽  
Andrea Achille Spreafico ◽  
...  
Keyword(s):  
Case Report ◽  
Femoral Head ◽  
Articular Surface ◽  
Osteochondral Lesion ◽  
Hip Dislocation ◽  
Fracture Dislocation ◽  
Osteochondral Lesions ◽  
Femoral Head Fracture ◽  
Osteochondral Scaffold

AbstractThe aim of the present study was to present clinical and radiological outcome of a hip fracture-dislocation of the femoral head treated with biomimetic osteochondral scaffold.An 18-year-old male was admitted to the hospital after a motorcycle-accident. He presented with an obturator hip dislocation with a type IVA femoral head fracture according to Brumback classification system. The patient underwent surgery 5 days after accident. The largest osteochondral fragment was reduced and stabilized with 2 screws, and the small fragments were removed. The residual osteochondral area was replaced by a biomimetic nanostructured osteochondral scaffold. At 1-year follow-up the patient did not complain of hip pain and could walk without limp. At 2-year follow-up he was able to run with no pain and he returned to practice sports. Repeated radiographs and magnetic resonance imaging studies of the hip showed no signs of osteoarthritis or evidence of avascular necrosis. A hyaline-like signal on the surface of the scaffold was observed with restoration of the articular surface and progressive decrease of the subchondral edema.The results of the present study showed that the biomimetic nanostructured osteochondral scaffold could be a promising and safe option for the treatment of traumatic osteochondral lesions of the femoral head.Study Design: Case report.

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