scholarly journals Homolateral Hip Dislocation, Floating Hip Injury, and Floating Knee Injury: A Unique Presentation of a Rare Injury

2019 ◽  
Vol 103 (9-10) ◽  
pp. 489-492
Author(s):  
Dongzhe Li ◽  
Yue Fang ◽  
Zhou Xiang
Keyword(s):  
Open Reduction ◽  
Knee Injury ◽  
Plate Fixation ◽  
Hip Dislocation ◽  
High Energy ◽  
Individual Therapy ◽  
Multiple Fractures ◽  
Hip Injury ◽  
Special Cases ◽  
Floating Knee Injury

Introduction: Floating joint injury is an unusual injury pattern that is hard to deal with and often caused by high-energy trauma. In this report, a patient had a homolateral floating hip injury (FHI), floating knee injury (FKI), and hip dislocation at our hospital, and there was no case reported before. Case Presentation: A 48-year-old driver who encountered a traffic accident was seen. Radiologic examination revealed acetabulum comminuted fractures and hip joint posterior dislocation with some fracture pieces in the joint space on the left side. The femur, tibia, and fibula were simultaneously disrupted with open trauma of the left calf. Open reduction and screw-plate fixation of the acetabulum fracture, intramedullary nail fixation of the femoral fracture, and external fixator for his tibia and fibula fracture were carried out. Conclusion: The treatment of multiple fractures should focus on life-threatening injuries above all, and then deal with the fractures according to the situation of the patient. Open reduction and internal fixation are priority choices except in some special cases like where soft tissue is in poor condition. Individual therapy and early rehabilitation are effective for homolateral FHI and FKI.

KNEE INJURY IN PATIENTS EXPERIENCING A HIGH-ENERGY TRAUMATIC IPSILATERAL HIP DISLOCATION

2005 ◽  
Vol 87 (6) ◽  
pp. 1200-1204
Author(s):  
GARY L. SCHMIDT ◽  
ROBERT SCIULLI ◽  
GREGORY T. ALTMAN
Keyword(s):  
Knee Injury ◽  
Hip Dislocation ◽  
High Energy

scholarly journals A Segmental Fracture of Humerus with Ipsilateral Forearm Fracture

2016 ◽  
Vol 4 (2) ◽  
pp. 108
Author(s):  
Ruban Raj Joshi
Keyword(s):  
Case Report ◽  
Open Reduction ◽  
Tissue Injury ◽  
Forearm Fracture ◽  
Soft Tissue Injury ◽  
Distal Humerus ◽  
High Energy ◽  
Multiple Fractures ◽  
Fractures In Children ◽  
Segmental Fracture

Introduction: Simultaneous segmental humerus fracture with ipsilateral forearm is an uncommon injury and scarcely mentioned in the literature.   Case report: We present a case report on such a complex injury in a 9-year old child after falling down from the first floor of his house while playing. The injury pattern consist of ipsilateral supracondylar fracture humerus with distal humerus  and ipsilateral distal forearm fracture. Open reduction and pinning of the both injuries was obtained.   Conclusion: Ipsilateral multiple fractures in children often result from high energy trauma and are associated with complications. Immediate reduction and fixation is required. If satisfactory reduction cannot be achieved by closed technique, open reduction should be considered to avert additional soft tissue injury and forthcoming complications.

Bilateral Floating Knee Injury—Management of a Complex Injury

2019 ◽  
Vol 29 (1) ◽  
pp. 1-6
Author(s):  
Alexandros P. Apostolopoulos ◽  
Stavros Angelis ◽  
Salma E. Elamin ◽  
Glenn Clewer
Keyword(s):  
Knee Injury ◽  
Injury Management ◽  
Complex Injury ◽  
Floating Knee Injury

scholarly journals Staged reconstruction of unilateral neglected hip dislocation through total hip arthroplasty and subsequent intramedullary femoral lengthening

2021 ◽  
Author(s):  
Bjoern Vogt ◽  
Christoph Theil ◽  
Georg Gosheger ◽  
Adrien Frommer ◽  
Burkhard Moellenbeck ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Plate Fixation ◽  
Hip Dislocation ◽  
Leg Length ◽  
Total Hip ◽  
Femoral Lengthening ◽  
Shortening Osteotomy ◽  
Successful Approach ◽  
Staged Reconstruction

Abstract Background and purpose Total hip arthroplasty (THA) is a successful approach to treat unilateral symptomatic neglected hip dislocation (NHD). However, the extensive leg length discrepancy (LLD) can hereby only be partially corrected. In case of residual LLD of more than 2 cm, subsequent femoral lengthening can be considered. Patients/material/methods Retrospective analysis of clinical data and radiographs of five patients (age 38.1 (28–51) years) with unilateral NHD who underwent THA with (n  = 3) or without (n = 2) subtrochanteric shortening osteotomy (SSO) and secondary intramedullary femoral lengthening through a retrograde magnetically-driven lengthening nail (follow-up 18.4 (15–27) months). Results LLD was 51.0 (45–60) mm before and 37.0 (30–45) mm after THA. Delayed bone union at one SSO site healed after revision with autologous bone grafting and plate fixation. Subsequent lengthening led to leg length equalisation in all patients. Complete consolidation was documented in all lengthened segments. Conclusion Staged reconstruction via THA and secondary femoral lengthening can successfully be used to reconstruct the hip joint and equalise LLD. The specific anatomical conditions have to be taken into consideration when planning treatment, and patients ought to be closely monitored.

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.

scholarly journals A 6-Month-Old Neglected Obturator Inferior Variety of Anterior Hip Dislocation in A Young Male Managed with an Intermediary Salvage Measure Without the Need for Osteotomy or Excision Arthroplasty with A Resultant Ambulatory Natural Hip – A Case Report

2021 ◽  
Vol 11 (7) ◽  
Author(s):  
Spandan R Koshire ◽  
Rajesh R Koshire ◽  
Sangam Jain
Keyword(s):  
Case Report ◽  
Open Reduction ◽  
Hip Dislocation ◽  
Young Male ◽  
Anterolateral Approach ◽  
Salvage Procedure ◽  
Replacement Procedure ◽  
Anterior Hip Dislocation ◽  
Excision Arthroplasty

Introduction: Among all the traumatic hip dislocations, anterior hip dislocation is a rarity in which the obturator inferior variety is one of the rarest to be documented [1]. Here we present to you the case of our patient, a 35-year-old male with a six month neglected obturator variety of anterior hip dislocation treated by salvage procedure of open reduction without the need for intertrochanteric osteotomy and resultant preserved natural hip for ambulation as an intermediary procedure. Case Report: Mr. SH a 35-year-old male had a fall from 15 feet in his village and was treated by a local quack, Meanwhile the patient continued to experience pain and difficulty walking and after an ordeal of nearly 6 months during the lockdown period in coronavirus disease pandemic, showed up in our emergency room and was diagnosed with an obturator type anterior hip dislocation for which we carried out open reduction aided with Murphys skid through an anterolateral approach and stabilization using two Steinman pins and further immobilization by Thomas splint for a period of 15 days, which was done after confirmation of intact head vascularity under general anesthesia after which gradual mobilization was initiated. 3 months post operative, now patient is ambulatory with stick support with no deformity, no pain and with early radiological features of avascular necrosis (AVN) for which Total Hip Replacement (THR) is planned at a later date. Conclusion: Utilisation of salvage procedures and moreover those with minimal operative complications will result in better, natural long-term intermediary measure outcome with a resultant delay in joint replacement procedure which is in the better interest of the patient. Keywords: Anterior hip dislocation, open reduction, obturator inferior type, neglected dislocation, Anterolateral approach.

scholarly journals Comparison Between Y- and S-Shaped Incisions for Open Reduction and Hook-Plate Fixation of the Mallet Finger

2017 ◽  
Vol 5 (2) ◽  
pp. 68-73
Author(s):  
Gokcer UZER ◽  
Fatih YILDIZ ◽  
Mehmet KAPICIOGLU ◽  
Mehmet ELMADAG ◽  
Deniz KARA ◽  
...  
Keyword(s):  
Open Reduction ◽  
Plate Fixation ◽  
Hook Plate ◽  
Mallet Finger
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