Introduction: Traumatic hip dislocation, defined as the complete and permanent displacement of the femoral head from the acetabular cavity following a violent trauma, is a medical emergency. The aim of this study was to investigate the epidemic-clinical profile and report the outcomes of its management. Patients and Methods: This was a 6 years retrospective study, from January 2017 to December 2022, including all patient records of those admitted and treated for traumatic hip dislocation of all types in the Orthopedics and Traumatology Department of the University Hospital of Normandy (CHU-RN). Records of patients discharged against medical advice and incomplete records were excluded. The variables studied were sociodemographic, clinical, therapeutic, and outcome-related. Functional outcome was assessed using the Postel and Merle d’Aubigné score. Results: Our series comprised 36 cases of traumatic hip dislocations out of a total of 1996 admissions, representing a frequency of 1.8%, with a male predominance of 25 cases (69%) and a mean age of 30 years (range: 18 - 47). Road traffic accidents were the most common cause, accounting for 78% of cases. Six cases (17%) had been dislocated previously. Dislocations were of a long-standing nature: 32 were iliac (92%), 1 was sciatic (2.7%), 1 obturator (2.7%), and 2 were central (5.5%). Associated lesions were observed in 14 patients (38.8%), with 16 lesions, predominantly acetabular fractures in 9 cases (25%). Reduction was performed in the emergency department using external manipulation in 30 cases (83%). At a minimum follow-up of 18 months, our results were acceptable in 30 cases (83%). Four cases of coxarthrosis and two cases of osteonecrosis of the femoral head were observed. Conclusion: Hip dislocation is a common trauma emergency. Associated fractures increase the risk of complications. Early diagnosis with urgent reduction improves the prognosis.
References
[1]
Dambreville, A. (1997) Prévention des luxations de hanche: La voie d’abord postrieure avec barrette trochantérienne. http://www.maitrise.orthop.com/corpusmaitri/oryhopaedic/dambreville
[2]
Owen, Epstein, P.J., Perkin, G.D., Cookson, J. and De Bono Epstein, D.P. (1992) Examen Clinique. Perkin De Bono-Cookson Edition, Gower Medical Publishing, 284-285.
[3]
Bouchet, A. and Cuilleret, J. (2009) Anatomie topographique, descriptive, et fonc-tionnelle. 3eme Edition, Elsevier Masson, 1635-1642.
[4]
Brock, G. (2015) The Occasional Posterior Hip Dislocation Reduction. Canadian Journal of Rural Medicine, 20, 65-70.
[5]
Caton, J. (2001) Le croissant anti luxation arme Acora: Une alternative au traitement des luxations récidivantes de prothèses totales de hanche. Avril Ma？trise Orthopédique, No. 103.
[6]
Bigelow, H.J. (1878) En cas de luxation de la hanche. The Lancet, 111, 860-862.
[7]
Merle d’Aubigne？, R. (1990) Cotation chiffre？e de la fonction de la hanche. Revue de Chirurgie Orthopédique, 76, 371-374.
[8]
Akobé, A.J.R., M’Bra, K.I., Sery, B.N.J.L., Yao, L.B., Kouassi, A.A.N. and Kodo, M. (2025) Luxations traumatiques récentes de la hanche Analyse descriptive d’une série hospitalière. Journal Africain de Chirurgie Orthopédique et Traumatologique, 6, 64-69. https://doi.org/10.59510/jacot.877175
[9]
Meyer, A., Biette, G. and Catonne, Y. (2007) Luxation de hanche sans fracture du cotyle associée. In: Rodineau, J. and Rolland, E., Eds., Séquelles des Traumatismes Articulaires Chez les Sportifs, Elsevier, 196-207. https://doi.org/10.1016/b978-2-294-70244-0.50016-2
[10]
Tékpa, B.J.D., Lamah, L., Handy-Eoné, D., et al. (2017) Les luxations traumatiques de hanche chez l’adulte à Bangui (République Centrafricaine): à propos de 38 cas. Annales de l‘Université de Bangui, Série D, 3, 21-26.
[11]
Traoré, A., Soumaro, D.K., Mobiot-Aka, C., Mbende, A.S., Boka, R.E., Dosso, M., et al. (2015) Obturator Dislocation of the Hip at Yopougon/Abidjan Teaching Hospital. OpenJournalofOrthopedics, 5, 319-325. https://doi.org/10.4236/ojo.2015.510043
[12]
Lima, L.C., Nascimento, R.A.D., Almeida, V.M.T.D. and Fa？anha Filho, F.A.M. (2014) Epidemiology of Traumatic Hip Dislocation in Patients Treated in Ceará, Brazil. ActaOrtopédicaBrasileira, 22, 151-154. https://doi.org/10.1590/1413-78522014220300883
[13]
Onyemaechi, N.O. and Eyichukwu, G.O. (2011) Traumatic Hip Dislocation at a Regional Trauma Centre in Nigeria. Nigerian Journal of Medicine, 20, 124-130.
[14]
Onche, I.I., Obiano, K.C. and Udoh, K.M. (2008) Traumatic Posterior Dislocation of the Hip: Distribution and Severity of Associated Injuries. Nigerian Journal of Medicine, 17, 346-349.
[15]
Jamshidi, M.H.T., Mirkazemi, M. and Birjandinejad, A. (2014) Posterior Hip Fracture-Dislocation Associated with Ipsilateral Intertrochantric Fracture; A Rare Case Report. Archives of Bone and Joint Surgery, 2, 75-78.
[16]
Soufiane, B., Naserddine, H., Atif, M., Abdelhamim, E.I., Mohemmed, S. and Abdel-mjide, E. (2015) Luxation traumatique négligée de la hanche traitée par arthroplastie totale de la hanche: à propos de 2 cas. Pan African Medical Journal, 20, Article 313. https://doi.org/10.11604/pamj.2015.20.313.4325
[17]
Abdelillah, R., Najib, A., Daoudi, A. and Yacoubi, H. (2015) Luxation traumatique invétérée de la hanche. Pan African Medical Journal, 22, Article 100.
[18]
Garrett, J.C., Epstein, H.C., Harris, W.H., Harvey, J.P. and Nickel, V.L. (1979) Treatment of Unreduced Traumatic Posterior Dislocations of the Hip. TheJournalofBone&JointSurgery, 61, 2-6. https://doi.org/10.2106/00004623-197961010-00002
[19]
Sahin, V., Karakas, E.S., Aksu, S., Atlihan, D., Turk, C.Y. and Halici, M. (2003) Traumatic Dislocation and Fracture-Dislocation of the Hip: A Long-Term Follow-Up Study. TheJournalofTrauma: Injury, Infection, andCriticalCare, 54, 520-529. https://doi.org/10.1097/01.ta.0000020394.32496.52
[20]
Mitsionis, G.I., Lykissas, M.G., Motsis, E., Mitsiou, D., Gkiatas, I., Xenakis, T.A., et al. (2012) Surgical Management of Posterior Hip Dislocations Associated with Posterior Wall Acetabular Fracture: A Study with a Minimum Follow-Up of 15 Years. JournalofOrthopaedicTrauma, 26, 460-465. https://doi.org/10.1097/bot.0b013e31822c4d6c
