Total hip arthroplasty after hip joint gunshot injury.
Adolescent
Adult
Arthroplasty, Replacement, Hip
/ methods
Female
Hip Injuries
/ diagnosis
Hip Joint
/ diagnostic imaging
Hip Prosthesis
Humans
Incidence
Male
Middle Aged
Postoperative Complications
/ epidemiology
Quality of Life
Radiography
Retrospective Studies
Treatment Outcome
Turkey
/ epidemiology
Wounds, Gunshot
/ diagnosis
Young Adult
gunshot injury
hip joint
infection
total hip arthroplasty
Journal
Journal of orthopaedic surgery (Hong Kong)
ISSN: 2309-4990
Titre abrégé: J Orthop Surg (Hong Kong)
Pays: England
ID NLM: 9440382
Informations de publication
Date de publication:
Historique:
entrez:
10
9
2019
pubmed:
10
9
2019
medline:
7
7
2020
Statut:
ppublish
Résumé
Gunshot injury of the hip joint was reported to constitute 2-17% of all extremity firearm injuries. However, there are few studies in the literature related to gunshot injuries of the hip joint. The aim of the current study was to present the results of 10 cases treated with arthroplasty following a gunshot injury to the hip joint together with the recommended treatment algorithm. Patients with a previous medical history of hip joint region gunshot injury who underwent total hip arthroplasty were retrospectively evaluated. Those with incomplete medical records or who were lost to follow-up were excluded. Patients were classified according to the severity of the previous gunshot injury to the hip joint region. Harris hip score (HHS) and Short Form-12 quality of life score were the main outcome measurements. Postoperative complications encountered during follow-up were recorded. The mean age of the patients at the time of surgery was 29.9 years. The mean preoperative HHS was 25.2 points and it was 65.8 at the final follow-up. Patients with bullet fragments in the hip joint, classified as group 1, had better HHS, whereas those with contaminated hip joint with intestinal flora, classified as group 3, had worst HHS. Hip arthroplasty after hip joint gunshot injury is a good treatment choice in young patients to reduce pain and regain functions. However, very high infection rates can be seen in patients with accompanying intestinal injury.
Sections du résumé
BACKGROUND
Gunshot injury of the hip joint was reported to constitute 2-17% of all extremity firearm injuries. However, there are few studies in the literature related to gunshot injuries of the hip joint. The aim of the current study was to present the results of 10 cases treated with arthroplasty following a gunshot injury to the hip joint together with the recommended treatment algorithm.
METHODS
Patients with a previous medical history of hip joint region gunshot injury who underwent total hip arthroplasty were retrospectively evaluated. Those with incomplete medical records or who were lost to follow-up were excluded. Patients were classified according to the severity of the previous gunshot injury to the hip joint region. Harris hip score (HHS) and Short Form-12 quality of life score were the main outcome measurements. Postoperative complications encountered during follow-up were recorded.
RESULTS
The mean age of the patients at the time of surgery was 29.9 years. The mean preoperative HHS was 25.2 points and it was 65.8 at the final follow-up. Patients with bullet fragments in the hip joint, classified as group 1, had better HHS, whereas those with contaminated hip joint with intestinal flora, classified as group 3, had worst HHS.
CONCLUSION
Hip arthroplasty after hip joint gunshot injury is a good treatment choice in young patients to reduce pain and regain functions. However, very high infection rates can be seen in patients with accompanying intestinal injury.
Identifiants
pubmed: 31496364
doi: 10.1177/2309499019873113
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM