Open Obturator Hip Dislocation: A Case Report and Review of the Literature.


Journal

JBJS case connector
ISSN: 2160-3251
Titre abrégé: JBJS Case Connect
Pays: United States
ID NLM: 101596828

Informations de publication

Date de publication:
Historique:
entrez: 11 7 2020
pubmed: 11 7 2020
medline: 2 2 2021
Statut: ppublish

Résumé

An open obturator dislocation with associated pelvic ring injury and perineal wound underwent fixation and aggressive debridement. Despite this, the patient proceeded to infection requiring additional debridements and prolonged intravenous antibiotics. At 18 months postinjury, the patient developed avascular necrosis and significant heterotopic ossification; however, she was able to ambulate. Open obturator dislocations of the hip require a multidisciplinary team. Despite prompt antibiotic therapy and aggressive debridement, patients are at high risk of infection because of the microbial environment in this region. Open obturator hip dislocations are at significant risk of avascular necrosis despite timely reduction.

Identifiants

pubmed: 32649087
doi: 10.2106/JBJS.CC.19.00149
pii: 01709767-202006000-00006
doi:

Types de publication

Case Reports Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

e0149

Références

Amihood S. Anterior dislocation of the hip. Injury. 1975;7(2):107-10.
Granahan A, McAuley N, Ellanti P, Hogan N. Traumatic anterior dislocation of the hip. BMJ Case Rep. 2016;2016(1):55-7.
Phillips AM, Konchwalla A. The pathologic features and mechanism of traumatic dislocation of the hip. Clin Orthop Relat Res. 2000;(377):7-10.
Walker WA. Traumatic dislocations of the hip joint. Am J Surg. 1940;50(3):545-9.
Duygulu F, Karaoglu S, Kabak S, Karahan OI. Bilateral obturator dislocation of the hip. Arch Orthop Trauma Surg. 2003;123(1):36-8.
Jacob JR, Rao JP, Ciccarelli C. Traumatic dislocation and fracture dislocation of the hip: a long-term follow-up study. Clin Orthop Relat Res. 1987;(214):249-63.
Toms AD, Williams S, White SH. Obturator dislocation of the hip. J Bone Joint Surg Br. 2001;83-B(1):113-5.
Jones AL, Powell JN, Kellam JF, McCormack RG, Dust W, Wimmer P. Open pelvic fractures: a multicenter retrospective analysis. Orthop Clin North Am. 1997;28(3):345-50.
Zekry M, Mahmoodi MS, Saad G, Morgan M. Traumatic anterior dislocation of hip in a teenager: an open unusual type. Eur J Orthop Surg Traumatol. 2012;22(suppl 1):99-101.

Auteurs

Suman Medda (S)

Department of Orthopaedic Surgery, Wake Forest Baptist Medical Center, Winston Salem, North Carolina.

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