Xu Y, Lv M, Yu SQ, Liu GP. Closed reduction of hip dislocation associated with ipsilateral lower extremity fractures: A case report and review of the literature. World J Clin Cases 2022; 10(34): 12654-12664 [PMID: 36579117 DOI: 10.12998/wjcc.v10.i34.12654]
Corresponding Author of This Article
Guang-Ping Liu, MD, PhD, Chief Doctor, Surgeon, Department of Orthopaedics, Zibo Central Hospital, Shandong University, No. 54 Gongqingtuan Road, Zibo 255000, Shandong Province, China. guangpingpp@126.com
Research Domain of This Article
Orthopedics
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Dec 6, 2022; 10(34): 12654-12664 Published online Dec 6, 2022. doi: 10.12998/wjcc.v10.i34.12654
Closed reduction of hip dislocation associated with ipsilateral lower extremity fractures: A case report and review of the literature
Yong Xu, Ming Lv, Shu-Qiang Yu, Guang-Ping Liu
Yong Xu, Department of Orthopaedics, Chengdu Second People’s Hospital, Chengdu 610000, Sichuan Province, China
Ming Lv, Guang-Ping Liu, Department of Orthopaedics, Zibo Central Hospital, Shandong University, Zibo 255000, Shandong Province, China
Shu-Qiang Yu, Department of Orthopaedics, The Fourth People's Hospital of Zibo, Zibo 255000, Shandong Province, China
Author contributions: Liu GP and Lv M conceived and formulated the surgery protocol; Xu Y and Yu SQ assembled previous reported records and drafted the manuscript; Liu GP performed the surgery and revised the manuscript for important intellectual content; and all authors read and approved the final manuscript.
Informed consent statement: Informed written consent was obtained from the patient.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Guang-Ping Liu, MD, PhD, Chief Doctor, Surgeon, Department of Orthopaedics, Zibo Central Hospital, Shandong University, No. 54 Gongqingtuan Road, Zibo 255000, Shandong Province, China. guangpingpp@126.com
Received: September 15, 2022 Peer-review started: September 15, 2022 First decision: September 27, 2022 Revised: October 17, 2022 Accepted: November 11, 2022 Article in press: November 11, 2022 Published online: December 6, 2022 Processing time: 77 Days and 21.7 Hours
Abstract
BACKGROUND
Traumatic hip dislocation usually occurs following high-velocity trauma. It is imperative that the dislocation be reduced in a timely manner, especially in a closed manner, as an orthopedic emergency. However, closed reduction can hardly be achieved in patients who also have ipsilateral lower extremity fractures. Herein, we focus on hip dislocation associated with ipsilateral lower extremity fractures, excluding intracapsular fractures (femoral head and neck fractures), present an early closed hip joint reduction method for this injury pattern, and review the literature to discuss the appropriate closed reduction technique for this rare injury pattern.
CASE SUMMARY
We report a case of a 37-year-old male who sustained a left acetabular posterior wall fracture, an ipsilateral comminuted subtrochanteric fracture and dislocation of the hip. The hip dislocation was reduced urgently in a closed manner using the joy-stick technique with a T-shaped Schanz screw. The fractures were reduced and fixed as a 2nd-stage surgery procedure. At the 17-month postoperative follow-up, the patient had full range of motion of the affected hip.
CONCLUSION
Closed reduction of a hip dislocation associated with ipsilateral lower extremity fractures is rarely achieved by regular maneuvers. Attempts at closed reduction, by means of indirectly controlling the proximal fracture fragment or reconstructing the femoral leverage rapidly with the aid of various external reduction apparatuses, were shown to be effective in some scenarios. Mandatory open reduction is indicated in cases of failed closed reduction, particularly in irreducible dislocations.
Core Tip: Hip dislocation associated with ipsilateral lower extremity fractures could be more efficiently managed with the aid of a T-shaped Schanz screw. Furthermore, this is the first review of similar techniques for early closed hip joint reduction for this injury pattern.
