Complications after posterior dislocation of the hip

International Orthopaedics
A J DwyerM K Mam

Abstract

Thirty-five consecutive patients with unilateral posterior dislocation of the hip were studied for complications at an average follow-up of 4.6 years (range 2-10 years). Thompson-Epstein type IV dislocation was most frequent (10/35), reflecting an increase in high-speed motor vehicles in the developing countries. It is also a severe injury that leads to a maximum number of complications, which include avascular necrosis, osteoarthosis, sciatic nerve injury and heterotrophic ossification. Avascular necrosis and osteoarthritis of the hip were observed maximally in type IV patients, even when reduction was achieved in less than twelve hours and may reflect the severity of initial injury. Heterotrophic ossification was observed in five of the ten patients with type IV dislocation and was associated with multiple attempts at reduction. Sciatic nerve injury did not recover completely in all cases, especially when reduction was delayed over twelve hours. Observing that the greatest numbers of complications were seen among patients with type IV dislocations, it may be prudent to warn such individuals about the likely prognosis at the outset, especially in today's world when the demands and expectations are high.

References

Mar 1, 1985·The Journal of Bone and Joint Surgery. British Volume·S S UpadhyayR G Burwell
May 1, 1973·Clinical Orthopaedics and Related Research·H C Epstein
Mar 1, 1983·The Journal of Bone and Joint Surgery. British Volume·S S UpadhyayK Srikrishnamurthy
Jan 1, 1981·The Journal of Bone and Joint Surgery. British Volume·S S Upadhyay, A Moulton
Aug 16, 2000·Clinical Orthopaedics and Related Research·R Cornwall, T E Radomisli
Mar 14, 2003·The Journal of Trauma·Vedat SahinMehmet Halici
Dec 5, 2003·The American Journal of Emergency Medicine·Robert F Hillyard, Jolene Fox

❮ Previous
Next ❯

Citations

Apr 11, 2014·Iranian Red Crescent Medical Journal·Hassan Rahimi ShorinMaryam Assadian
Aug 29, 2012·Orthopaedic Surgery·Devendra Kumar ChouhanSharad Prabhakar
May 15, 2016·International Journal of Surgery Case Reports·Yusuke KuboYukihide Iwamoto
Oct 5, 2016·Journal of Orthopaedics·V SelimiJ Gollogly
Nov 11, 2010·Journal of Orthopaedic Trauma·Moritz TannastSuzanne E Anderson
Jul 6, 2015·Current Reviews in Musculoskeletal Medicine·Kalpit N ShahRoy K Aaron
Jun 5, 2017·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Ghalib AhmedTalal Ibrahim
Sep 16, 2020·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Sasa MilenkovicMilorad Mitkovic
Apr 13, 2017·BJR Case Reports·Florian Alexander HuberFranz Kainberger
Mar 23, 2018·World Journal of Orthopedics·Elsayed Ibraheem Elsayed Massoud
Nov 24, 2020·Disability and Rehabilitation·Rachel T MandelAnthony W Gilbert
Apr 24, 2021·International Orthopaedics·Sasa Milenkovic, Milan Mitkovic
May 11, 2020·Orthopaedics & Traumatology, Surgery & Research : OTSR·Tomonori ShigemuraYuichi Wada

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.