[Isolated hip dislocation of traumatic origin].
The final outcome following isolated traumatic dislocation of the hip that is reduced within 6 h is generally believed to be excellent. Forty-nine patients with an isolated dislocation of the hip were treated between 1974 and 1989 at the Department of Traumatology of the Hannover Medical School. The majority of patients were involved in traffic accidents, and 42 had associated injuries. All dislocations primarily treated at our hospital were reduced by closed methods within 3 h, (average 85 min, range 10-180 min), followed by early mobilisation with partial weight-bearing for 2-3 weeks. 42 patients were evaluated after an average follow-up period of 7.7 years. Radiological signs of partial necrosis were seen in two patients. Mild arthrosis was found in seven patients, moderate degeneration in two and heterotopic ossifications in four patients (two Brooker II, one Brooker III, one hip ankylosed). Twenty-nine of 33 MRI examinations were normal. Despite early reduction only 9/12 anterior and 14/30 posterior dislocations revealed excellent and good results according to the Thompson and Epstein classification. According to the present study the important prognostic factors are the direction of dislocation, the overall injury severity and the age at the time of injury.
Schwarzkopf
S R
SR
Orthopädische Abteilung des Rehabilitationskrankenhauses, Orthopädische Klinik, Universität Ulm.
Dreinhöfer
K E
KE
Haas
N P
NP
Tscherne
H
H
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005260:Female; D005271:Femur Head Necrosis / Q000209:etiology; D005500:Follow-Up Studies; D006617:Hip Dislocation / Q000209:etiology / Q000628:therapy*; D006801:Humans; D007103:Immobilization; D008297:Male; D008349:Manipulation, Orthopedic; D008875:Middle Aged; D015207:Osteoarthritis, Hip / Q000209:etiology; D016059:Range of Motion, Articular / Q000502:physiology; D016896:Treatment Outcome
Isolierte Hüftluxationen traumatischer Genese.