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Search Results: 1 - 10 of 2096 matches for " Hip dislocation "
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Efficacy of an Abduction Brace in Preventing Initial Dislocation in the Early Postoperative Period after Primary Total Hip Arthroplasty  [PDF]
Yoshinori Ishii, Hideo Noguchi, Mitsuhiro Takeda, Junko Sato, Yoichiro Domae
Surgical Science (SS) , 2012, DOI: 10.4236/ss.2012.33026
Abstract: We hypothesized that a hip brace may prevent the initial dislocation in the early postoperative period after total hip arthroplasty (THA). We performed a prospective evaluation of the efficacy of a brace in preventing dislocation in 54 primary THAs in 43 patients. All of the patients wore braces for 3 weeks postoperatively. The occurrence of dislocation was evaluated six months postoperatively. There were no cases of dislocation while wearing a brace, while two posterior dislocations occurred 8 and 12 days postoperatively while picking something up from the floor without a brace in so-called provocative positions. The results of this study suggest that a hip brace helps patients to recognize careless provocative positions and prevents the initial hip dislocation in this period instead of usual postoperative management for an average of 6 weeks after discharge, such as a high toilet seat, restricted hip flexion in the activities of daily living, use of a reacher or grabber, an abduction pillow, and a high chair.
Posterior Dislocation of the Hip in a 4-Year-Old Boy  [PDF]
Serhat Mutlu, Bulent Yucel, Tahir Mutlu Duymus, Baran K?mür, Ozgur Karaman, Harun Mutlu
Case Reports in Clinical Medicine (CRCM) , 2015, DOI: 10.4236/crcm.2015.41006
Abstract:
Traumatic hip dislocations occur in children below 15 years old. Just as in adults, posterior hip dislocations are 10 times more common than anterior hip dislocations. Traumatic hip dislocation in pediatric patients < 10 years of age requires much less force than that in an adult, while in children over 10 years old, We reported a 4-year-old boy with traumatic hip dislocation. Closed reduction with the Bigelow manoeuvre was applied without general anesthesia in the Emergency room. Patient was followed up for 4 weeks in a hip spica cast. There were no problems at the 6-month follow-up examination. Traumatic hip dislocation in children is not a common event and is generally caused by minor trauma.
Obturator Dislocation of the Hip at Yopougon/Abidjan Teaching Hospital  [PDF]
Alidou Traoré, Daouda Kanaté Soumaro, Christel Mobiot-Aka, Alban Slim Mbende, Rebecca Eva Boka, Mamadou Dosso, Kader Sy, Jean Baptiste Sie Essoh, Insa Bamba, Yves Lambin
Open Journal of Orthopedics (OJO) , 2015, DOI: 10.4236/ojo.2015.510043
Abstract: Obturator dislocation of the hip is caused by high-velocity accidents as evidenced by its frequent association with other traumatic injuries and, seldom found. Its main complication remains femoral head avascular necrosis. We report on four cases of obturator dislocation of the hip. The mean age of patients was 30 years, and all their injuries followed a road traffic accident. Associated lesions were a contralateral femur fracture in two cases and an osteochondral fracture in one case. Reduction of dislocations was achieved orthopedically under general anaesthesia and the average waiting time before reduction was 20 hours. One patient had an intra-articular incarcerated fragment visible on X-ray, and another patient showed signs of early coxarthrosis 15 months later. The average follow-up time was 24 months.
A influência da via de acesso na luxa??o das artroplastias totais do quadril
Vicente, José Ricardo Negreiros;Pires, André Fernandes;Lee, Bruno Takasaki;Leonhardt, Marcos Camargo;Ejnisman, Leandro;Croci, Alberto Tesconi;
Revista Brasileira de Ortopedia , 2009, DOI: 10.1590/S0102-36162009000600008
Abstract: objectives: our primary aim was to evaluate the occurrence of dislocation of non-cemented total hip arthroplasty, when using the posterior and the direct lateral approaches. methods: we performed a comparative retrospective study with 232 patients submitted to non-cemented total hip arthroplasty, due to the diagnosis of primary or secondary osteoarthritis. the posterior approach was used in 105 patients while direct lateral approach was used in 127 patients. there was only one prosthesis model and the same rehabilitation program and post-operative care was used for all patients. we checked the occurrence of dislocation, the acetabular positioning and also the size of the components. results: there was only one case of dislocation, treated with closed reduction successfully. this was a 47 year-old female, submitted to direct lateral approach. the mean follow-up time for both groups was 23.7 months, ranging from six to 42 months. conclusion: the authors conclude that the prevalence of total hip arthroplasty dislocation is similar for both approaches, and educational measures besides the use of a higher femoral offset seem to reduce the risk of this complication.
Unusual Posterior Traumatic Hip Dislocations at Yopougon/Abidjan Teaching Hospital  [PDF]
Alidou Traoré, Leopold Koffi Krah, Daouda Kanaté Soumaro, Rebecca Eva Boka, Christelle Mobiot-Aka, Alban Slim Mbende, Mamadou Dosso, Kader Sy, Jean Baptiste Sie Essoh, Insa Bamba, Yves Lambin
Open Journal of Orthopedics (OJO) , 2016, DOI: 10.4236/ojo.2016.64011
Abstract: Traumatic dislocation of the hip is quite rare and accounts for 2% - 5% of all dislocations. We report on a case of a bilateral posterior hip dislocation associated with symmetric acetabular fracture and two cases of infracotyloid dislocation. The report included 2 men and one woman. The mean age of patients was 33 years. All dislocations followed a road traffic accident. Non-operative closed reduction was achieved within 19 hours of admission. The average follow-up time was 15 months. The hips were stable, mobile, and painless; and there was no radiographic sign of avascular necrosis of the femoral head.
Profile of Traumatic Hip Dislocations in a West African Teaching Hospital  [PDF]
Patrick W. H. Dakouré, Malick Diallo, Thierry A. W. Guigma, Massadiami Soulama, Salifou Gandéma
Open Journal of Orthopedics (OJO) , 2017, DOI: 10.4236/ojo.2017.711035
Abstract: Purpose: Traumatic hip dislocations (THD) are rarely reported from developing countries. The aim of the current study is to describe the trauma, the presentation, the treatment and the outcome patterns of THD received in the trauma unit of an emergency department (ED) in west Africa. Patients and Methods: A retrospective ongoing study from 2008 to 2014 was performed at the ED. All patients over 15 years with an unreduced THD and an anteroposterior pelvic radiograph were studied. Data were collected and analyzed by means of a statistical software. Results: A total of 50 THD were included in the study. We found an average of seven dislocations per year with a mean age of 36 years mainly males (n = 37). Road traffic accidents by motorcycle (n = 20) were the common circumstance of trauma. Forty-five extra-pelvic THD were diagnosed. According to the Bigelow classification, THD were classified posterior (n = 33), anterior (n = 10) and irregular (n = 2). Associated acetabular fractures (n = 36), ipsilateral lower limb fractures (n = 10) and sciatic nerve palsy (n = 2) were also found. The THD cases were treated by closed reduction (n = 34), open reduction (n = 6) and Girdlestone procedure (n = 1). The outcome after 16 months showed 21 good and excellent functional results and one death. The short term complications were post traumatic arthritis (n = 10) and osteonecrosis (n = 2). Conclusion: The THD occurrences are important in our emergency department. They are characterized by the place of motorcycle accidents and by the delayed reduction due to hospital’s locations and numbers and beliefs. A reduction before four hours, an earlier rehabilitation, a non-use of traction and a short hospitalization time below 14 days gave better results.
Perioperative Outcomes Following Surgical Treatment of the Neuromuscular Hip: An Analysis of the National Surgical Quality Improvement Program—Pediatrics  [PDF]
K. Aaron Shaw, Justin M. Hire, David S. Kauvar, Dana Olszewski, Joshua S. Murphy
Open Journal of Orthopedics (OJO) , 2018, DOI: 10.4236/ojo.2018.81003
Abstract: Background: Surgical treatment for neuromuscular (NM) hip subluxation or dislocation is undertaken to maintain functionality and decrease pain. Longterm complications are well described; however, the acute complication profile is poorly understood. Questions/Purpose: The aim of this study was to identify the rate of and risk factors for complications following surgical treatment of hip subluxation/dislocation, especially as it relate to NM children. Methods: Hip reconstruction cases in patients with a NM diagnosis and non-NM patients were obtained from the 2015 American College of Surgeons NSQIP-Pediatric database by CPT code. 30-day postoperative complications were classified according to the Clavien-Dindo system as minor (grade 1 or 2) or major (grade 3+). Patient and surgical factors were assessed in univariate and multivariate logistic regression analyses for association with post-operative complications. Results: 1081 cases were identified (median age 7.7, 55% female), of whom 420 (39%) had a NM diagnosis. Overall complication rate was significantly higher in NM patients (33% vs. 19%, p < 0.001). Numerous factors were associated with postoperative complication on univariate analysis. Multivariate analysis identified NM diagnosis (OR 1.5), age > 6 years (OR 1.5), or pelvic osteotomy (OR 1.9) as independent risk factors for complication. Conclusion: In pediatric reconstructive hip surgery requiring pelvic osteotomy, a NM diagnosis is associated with an increased risk of 30-day postoperative complications. Older age and increasing surgical complexity were also independently associated with complications. These findings support special attention for the older patients undergoing concomitant pelvic osteotomies to minimize complication rate.
Congenital Dislocation of the Hip in Children between the Ages of One and Three: Open Reduction and Modified Salter Innominate Osteotomy Combined with Fibular Allograft  [PDF]
Nguyen Ngoc Hung
Open Journal of Orthopedics (OJO) , 2013, DOI: 10.4236/ojo.2013.32026
Abstract:

Background: Innominate osteotomy procedures have been widely used as an integral component of combined surgery to treat developmental dysplasia of the hip in children. Autograft concern is further supported by authors who suggest the routine use of internal fixation. Problems such as graft extrusion, rotation and absorption, leading to loss of acetabular correction, were often noted in cases previously treated at our National Hospital for Pediatrics. This retrospective study reviewed the radiographic results of this treatment protocol in 106 hips developmental dislocated hips which met our inclusion criteria. The efficacy of this method to achieve and maintain a well covered and stable hip was the main objective of the study. Methods: This retrospective study reviewed the radiographs of 106 hips presenting with developmental dislocation which were treated by modified Salter’s innomiate osteotomy and using a fibular allograft as the interposition material. Dislocations of the hip were graded using the T?nnis system. Measurement of the acetabular index (AI) was the main variable. The minimum follow up period was 2 years. Possible complications such as loss of acetabular correction, hip redislocation, graft extrusion or resorption, the need for osteotomy internal fixation, delayed or non union, infection or avascular necrosis (AVN) were documented in this series. Results: Between January 2004 and December 2008, 106 surgeries were performed in 95 patients. Sixty-three (86.3%) of the patients were girls and ten (13.7%) were boys, thirteen patients (13.7%) were between twelve and eighteen months old at the time of the operation, the remaining eighty-two (86.3%) patients being between eighteen and thirty-six months old, with the mean age of 22.6

Luxa??o traumática posterior do quadril em crian?as: relato de cinco casos
Brand?o, Gilberto Francisco;Américo, Luiz Renato Drumond;Soares, Cláudio Beling Gon?alves;Faria, Rodrigo Galinari Costa;Teixeira, Luiz Eduardo Moreira;
Revista Brasileira de Ortopedia , 2010, DOI: 10.1590/S0102-36162010000200016
Abstract: objective: to evaluate a series of cases of traumatic posterior dislocations in children, the treatment and the results, and to revise aspects such as the epidemiology, clinical and radiographic diagnosis, treatment, complications and prognosis. methods: five patients with traumatic hip dislocation, with an average age of 4.6 ± 0.9 years, and an ongoing follow-up period of 19.8 ± 7.0 months, were evaluated retrospectively. the time between dislocation and reduction, the type of treatment, associated injuries, and subsequent complications were also evaluated. results: the initial treatment was closed reduction, in an average time of 5.2 ± 3.6 hours after the initial trauma, in which the patients were subjected to the reduction under anesthesia. complementary treatment included immobilization with casts and traction. no needs for additional surgeries or long-term side effects were observed. conclusion: traumatic dislocation of the hip should be treated by quick closed reduction, with appropriate control of the reduction and careful observation of the patient for diagnosis and treatment of subsequent complications.
Resultados da tenotomia dos músculos adutores do quadril na paralisia cerebral espástica
Guglielmetti, Luiz Gabriel Betoni;Santos, Ruy Mesquita Maranh?o;Mendon?a, Rodrigo Góes Medea de;Yamada, Helder Henzo;Assump??o, Rodrigo Montezuma César de;Fucs, Patricia Maria de Moraes Barros;
Revista Brasileira de Ortopedia , 2010, DOI: 10.1590/S0102-36162010000400014
Abstract: objetive: radiographic evaluation of the evolution of hips that underwent soft-tissue release. methods: retrospective study of 101 spastic cerebral palsy patients who underwent soft-tissue release between 1991 and 2006. forty-four patients met the inclusion criteria, 23 boys and 21 girls, 34 diparetic and 10 quadriparetic. twenty-nine were non-ambulatory, 5 were ambulatory domestically and 10 ambulatory. reimers' index (ri) and the acetabular index (ai) were measured, pre- and post-operatively, with a minimum follow-up of 3 years. the mean age at the time of surgery was 6.4 years. results: results were considered good if the ri was reduced or had increased less than 10%. results were good for 52% of this study. we observed a clear improvement of ir, in addition to presenting the worst results, in patients older than five years in follow-up. conclusion: soft-tissues releases should be done as soon as the patient clinically presents less than 30ao of hip abduction, regardless the age, level of functioning, clinical type, ri, ai and sex, to help patients in the prevention and treatment of the subluxation, hygiene, and pain relief.
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