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- Title
TREATMENT OF NEGLECTED TRAUMATIC HIP DISLOCATION IN CHILDREN.
- Authors
Munajat, Ismail; Sulaiman, Abdul Rahman
- Abstract
Introduction: Traumatic hip dislocation in children is as rare as three out of 1824 hip dislocations. Thus, report on neglected traumatic hip dislocation in children is scanty. Most surgeons do not have enough experience to make conclusion regarding its treatment. The natural history of avascular necrosis following this problem is also not well documented in literature. Methodology: We retrospectively review 6 cases of Neglected Traumatic Hip Dislocation in children. The delay of 3 weeks or more is considered neglected. Patients age, period of neglect, method of reduction and stabilization, occurrence of avascular necrosis was assessed on plain radiograph, occurrence of recurrent dislocation and functional outcome were reviewed. Results: Age of patients was between 3 to 8 years old (mean 4.5). The period of neglect was between 3 to 4 weeks. All patients had trivial injury. Four patients underwent closed reduction while 2 patients underwent open reduction through posterior approach after failing of closed reduction. All patients had painless stable hip at one to 3 years follow-up. Patient 4 had AVN at presentation showed a recovery at one year after open reduction. The other patients did not have radiological feature of AVN. Conclusion: Traumatic hip dislocation can occur due to trivial injury. Those who were neglected for 4 weeks or less can be reduced by closed reduction. Posterior approach is a safe approach for posterior hip dislocation in children. Even though the neglected hip dislocation is associated with high risk of AVN, this short term study showed it produced a functional painless joint.
- Subjects
HIP joint dislocation; DISLOCATIONS in children; JOINT dislocations; CHILDREN'S injuries; SURGEONS; THERAPEUTICS
- Publication
Malaysian Journal of Medical Sciences, 2007, Vol 14, p243
- ISSN
1394-195X
- Publication type
Article