Successful open reduction of a 5-month-old hip dislocation associated with a femoral head fracture.
The long-term prognosis after open reduction of neglected posterior hip dislocations is poor; as such, primary arthroplasty is recommended by a number of authors. We present a patient with a 5-month-old posterior hip dislocation with concomitant paralysis of the sciatic nerve who had an open reduction. At a follow-up of 3.5 years, the patient has normal function with no signs of arthrosis. Magnetic resonance imaging scans, however, revealed partial avascular necrosis of the femoral head. A discussion based on the literature shows the uniqueness of this case.
Høiness
Per
P
Oslo Orthopaedic University Clinic, Ullevall Hospital, N-047 Oslo, Norway. per.hoiness@uus.no
Røise
Olav
O
D000328:Adult; D005260:Female; D005270:Femur Head / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery*; D005593:Fracture Fixation, Internal; D006617:Hip Dislocation / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D006620:Hip Fractures / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D011859:Radiography; D013997:Time Factors