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Closed reduction of hip dislocation associated with ipsilateral lower extremity fractures: A case report and review of the literature

BACKGROUND: Traumatic hip dislocation usually occurs following high-velocity trauma. It is imperative that the dislocation be reduced in a timely manner, especially in a closed manner, as an orthopedic emergency. However, closed reduction can hardly be achieved in patients who also have ipsilateral...

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Autores principales: Xu, Yong, Lv, Ming, Yu, Shu-Qiang, Liu, Guang-Ping
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9791526/
https://www.ncbi.nlm.nih.gov/pubmed/36579117
http://dx.doi.org/10.12998/wjcc.v10.i34.12654
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author Xu, Yong
Lv, Ming
Yu, Shu-Qiang
Liu, Guang-Ping
author_facet Xu, Yong
Lv, Ming
Yu, Shu-Qiang
Liu, Guang-Ping
author_sort Xu, Yong
collection PubMed
description BACKGROUND: Traumatic hip dislocation usually occurs following high-velocity trauma. It is imperative that the dislocation be reduced in a timely manner, especially in a closed manner, as an orthopedic emergency. However, closed reduction can hardly be achieved in patients who also have ipsilateral lower extremity fractures. Herein, we focus on hip dislocation associated with ipsilateral lower extremity fractures, excluding intracapsular fractures (femoral head and neck fractures), present an early closed hip joint reduction method for this injury pattern, and review the literature to discuss the appropriate closed reduction technique for this rare injury pattern. CASE SUMMARY: We report a case of a 37-year-old male who sustained a left acetabular posterior wall fracture, an ipsilateral comminuted subtrochanteric fracture and dislocation of the hip. The hip dislocation was reduced urgently in a closed manner using the joy-stick technique with a T-shaped Schanz screw. The fractures were reduced and fixed as a 2nd-stage surgery procedure. At the 17-month postoperative follow-up, the patient had full range of motion of the affected hip. CONCLUSION: Closed reduction of a hip dislocation associated with ipsilateral lower extremity fractures is rarely achieved by regular maneuvers. Attempts at closed reduction, by means of indirectly controlling the proximal fracture fragment or reconstructing the femoral leverage rapidly with the aid of various external reduction apparatuses, were shown to be effective in some scenarios. Mandatory open reduction is indicated in cases of failed closed reduction, particularly in irreducible dislocations.
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spelling pubmed-97915262022-12-27 Closed reduction of hip dislocation associated with ipsilateral lower extremity fractures: A case report and review of the literature Xu, Yong Lv, Ming Yu, Shu-Qiang Liu, Guang-Ping World J Clin Cases Case Report BACKGROUND: Traumatic hip dislocation usually occurs following high-velocity trauma. It is imperative that the dislocation be reduced in a timely manner, especially in a closed manner, as an orthopedic emergency. However, closed reduction can hardly be achieved in patients who also have ipsilateral lower extremity fractures. Herein, we focus on hip dislocation associated with ipsilateral lower extremity fractures, excluding intracapsular fractures (femoral head and neck fractures), present an early closed hip joint reduction method for this injury pattern, and review the literature to discuss the appropriate closed reduction technique for this rare injury pattern. CASE SUMMARY: We report a case of a 37-year-old male who sustained a left acetabular posterior wall fracture, an ipsilateral comminuted subtrochanteric fracture and dislocation of the hip. The hip dislocation was reduced urgently in a closed manner using the joy-stick technique with a T-shaped Schanz screw. The fractures were reduced and fixed as a 2nd-stage surgery procedure. At the 17-month postoperative follow-up, the patient had full range of motion of the affected hip. CONCLUSION: Closed reduction of a hip dislocation associated with ipsilateral lower extremity fractures is rarely achieved by regular maneuvers. Attempts at closed reduction, by means of indirectly controlling the proximal fracture fragment or reconstructing the femoral leverage rapidly with the aid of various external reduction apparatuses, were shown to be effective in some scenarios. Mandatory open reduction is indicated in cases of failed closed reduction, particularly in irreducible dislocations. Baishideng Publishing Group Inc 2022-12-06 2022-12-06 /pmc/articles/PMC9791526/ /pubmed/36579117 http://dx.doi.org/10.12998/wjcc.v10.i34.12654 Text en ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved. https://creativecommons.org/licenses/by-nc/4.0/This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial.
spellingShingle Case Report
Xu, Yong
Lv, Ming
Yu, Shu-Qiang
Liu, Guang-Ping
Closed reduction of hip dislocation associated with ipsilateral lower extremity fractures: A case report and review of the literature
title Closed reduction of hip dislocation associated with ipsilateral lower extremity fractures: A case report and review of the literature
title_full Closed reduction of hip dislocation associated with ipsilateral lower extremity fractures: A case report and review of the literature
title_fullStr Closed reduction of hip dislocation associated with ipsilateral lower extremity fractures: A case report and review of the literature
title_full_unstemmed Closed reduction of hip dislocation associated with ipsilateral lower extremity fractures: A case report and review of the literature
title_short Closed reduction of hip dislocation associated with ipsilateral lower extremity fractures: A case report and review of the literature
title_sort closed reduction of hip dislocation associated with ipsilateral lower extremity fractures: a case report and review of the literature
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9791526/
https://www.ncbi.nlm.nih.gov/pubmed/36579117
http://dx.doi.org/10.12998/wjcc.v10.i34.12654
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