Long-term outcome after traumatic anterior dislocation of the hip

被引:20
|
作者
Bastian, Johannes Dominik [1 ]
Turina, M. [2 ]
Siebenrock, K. A. [1 ]
Keel, M. J. B. [1 ]
机构
[1] Univ Bern, Inselspital, Dept Orthopaed Surg, CH-3010 Bern, Switzerland
[2] Univ Zurich Hosp, Div Trauma Surg, Dept Surg, CH-8091 Zurich, Switzerland
关键词
Anterior hip dislocation; Traumatic; Fracture; Osteochondral defect; OSTEOCHONDRAL TRANSPLANTATION; ACETABULAR FRACTURES; CARTILAGE DEFECTS; REPLACEMENT; ARTHRITIS;
D O I
10.1007/s00402-011-1299-0
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Traumatic anterior dislocation of the hip joint is rare. Additional injuries to the hip due to dislocation are even more infrequent. Outcome is limited by osteoarthritic joint degeneration or the occurrence of avascular necrosis of the femoral head. Anterior hip dislocation occurred in ten of 100 patients with traumatic hip dislocations (8 men, mean age: 43, 22-62years) at two major trauma centres, between January 2001 and December 2008. Four patients had impaction fractures of the femoral head and three patients had fractures of the anterior acetabular wall. One patient presented with an open dislocation. In three of the ten patients surgical treatment was necessary. Nine patients were evaluated retrospectively at a follow-up of 4.8 +/- A 2.3 years (mean +/- A SD). The mean scores were 88 +/- A 19 (Harris Hip-Score), 15 +/- A 23 (WOMAC-Score), level 6 (UCLA-Score). Four cases presented with only fair clinical or radiological results according to Epstein. AVN with collapse of the femoral head was observed in one. Traumatic anterior hip dislocations presented in six of the ten cases with additional injuries to the hip. Surgical treatment in cases with deep impaction fractures of the femoral head or with large fragments of the acetabulum may improve the outcome.
引用
收藏
页码:1273 / 1278
页数:6
相关论文
共 50 条
  • [1] Long-term outcome after traumatic anterior dislocation of the hip
    Johannes Dominik Bastian
    M. Turina
    K. A. Siebenrock
    M. J. B. Keel
    [J]. Archives of Orthopaedic and Trauma Surgery, 2011, 131 : 1273 - 1278
  • [2] LONG-TERM COURSE OF TRAUMATIC HIP DISLOCATION IN CHILDHOOD
    GIANOM, D
    KRONBERGER, G
    SACHER, P
    [J]. HELVETICA CHIRURGICA ACTA, 1994, 60 (04) : 623 - 627
  • [3] THE LONG-TERM RESULTS OF TRAUMATIC POSTERIOR DISLOCATION OF THE HIP
    UPADHYAY, SS
    MOULTON, A
    [J]. JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1981, 63 (04): : 548 - 551
  • [4] Long-Term Outcome After Operative Treatment of Traumatic Patellar Dislocation in Adolescents
    Hartmann, Frank
    Dietz, Sven-Oliver
    Rommens, Pol Maria
    Gercek, Erol
    [J]. JOURNAL OF ORTHOPAEDIC TRAUMA, 2014, 28 (03) : 173 - 180
  • [5] Intermediate to Long-Term Results Following Traumatic Hip Dislocation
    Jaecker, Vera
    Zocholl, Malin
    Friederichs, Jan
    Osten, Philipp
    Fuchs, Thomas
    Stuby, Fabian M.
    Regenbogen, Stephan
    [J]. JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2024, 106 (04): : 346 - 352
  • [6] Long-term result after traumatic anterior shoulder dislocation: What works best?
    Van Tongel A.
    Rosa F.
    Heffernan G.
    Levy O.
    Sforza G.
    [J]. MUSCULOSKELETAL SURGERY, 2011, 95 (Suppl 1) : S65 - S70
  • [7] Mid-term to long-term outcome of the open Bankart repair for recurrent traumatic anterior dislocation of the shoulder
    Neviaser, Robert J.
    Benke, Michael T.
    Neviaser, Andrew S.
    [J]. JOURNAL OF SHOULDER AND ELBOW SURGERY, 2017, 26 (11) : 1943 - 1947
  • [8] TRAUMATIC DISLOCATION AND FRACTURE DISLOCATION OF THE HIP - A LONG-TERM FOLLOW-UP-STUDY
    JACOB, JR
    RAO, JP
    CICCARELLI, C
    [J]. CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 1987, (214) : 249 - 263
  • [9] ISOLATED TRAUMATIC DISLOCATION OF THE HIP - LONG-TERM RESULTS IN 50 PATIENTS
    DREINHOFER, KE
    SCHWARZKOPF, SR
    HAAS, NP
    TSCHERNE, H
    [J]. JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1994, 76B (01): : 6 - 12
  • [10] TRAUMATIC ANTERIOR DISLOCATION OF THE HIP
    SHERLOCK, DA
    [J]. JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1988, 28 (03): : 411 - 413