Case Report
Copyright ©The Author(s) 2018. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Nov 26, 2018; 6(14): 836-841
Published online Nov 26, 2018. doi: 10.12998/wjcc.v6.i14.836
Postoperative redislocation of the hip in a patient with congenital insensitivity to pain with anhidrosis: A case report and review of literature
Rui Wang, Yi Liu, Yi-Yi Zhou, Jia-Ying Wang, Zhu-Jie Xu, Sha-Yang Chen, Qi-Qi Wang, Peng Yuan
Rui Wang, Yi Liu, Yi-Yi Zhou, Jia-Ying Wang, Zhu-Jie Xu, Sha-Yang Chen, Qi-Qi Wang, Peng Yuan, The Affiliated Wuxi People’s Hospital of Nanjing Medical University, Wuxi 214000, Jiangsu Province, China
Author contributions: Wang R and Liu Y are equally contributed to the work. Wang R, Liu Y and Yuan P designed the report; Zhou YY, Xu ZJ, Chen SY and Wang QQ collected the patient’s clinical data; Wang R and Wang JY analyzed the data and wrote the paper.
Informed consent statement: Consent was obtained from relatives of the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflicts 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 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/
Correspondence to: Peng Yuan, MD, Surgeon, Chief Physician, the Affiliated Wuxi People’s Hospital of Nanjing Medical University, No. 299, Qing-yang Road, Liangxi District, Wuxi 214000, Jiangsu Province, China. yuanpeng_1993@163.com
Telephone: +86-510-85350823
Received: September 11, 2018
Peer-review started: September 12, 2018
First decision: October 11, 2018
Revised: October 12, 2018
Accepted: October 23, 2018
Article in press: October 22, 2018
Published online: November 26, 2018
Processing time: 76 Days and 1.5 Hours
ARTICLE HIGHLIGHTS

Reports of congenital insensitivity to pain with anhidrosis (CIPA) cases are few, and reports of CIPA patients with congenital dislocation of the hip are fewer. As a result, the operative risk and postoperative complications are unknown. In this article, we report a postoperative redislocation of the hip in a patient with CIPA and discuss the causes of the postoperative outcome.

Clinical diagnosis

CIPA.

Genetic diagnosis

CIPA.

Treatment

Chiari pelvic osteotomy and proximal femoral rotation osteotomy.

Experiences and lessons

This case shows possible postoperative complications of CIPA patients with congenital dislocation of the hip, which may play a guiding role in the future treatment. For such patients, we suggest that we pay more attention to the particularity of its joints and try comprehensive treatment. More research is needed to prove our conjecture.