Clin Orthop Surg.  2016 Jun;8(2):214-217. 10.4055/cios.2016.8.2.214.

Open Anterior Dislocation of the Hip in Togo

• Atchi W
• Anani A
• Yannick D
• Gamal A
• Assang D

• KMID: 2412349
• DOI: http://doi.org/10.4055/cios.2016.8.2.214

Abstract

Anterior traumatic dislocations of the hip are much less common than posterior dislocations. To date, 14 cases of open anterior dislocation of the hip associated with such injuries, acetabular and femoral head fractures and femoral vascular and nerve damage have been reported. We present a case of a 23-year-old male who sustained open anterior dislocation of the hip with ipsilateral fracture of the greater trochanter after an accident on the public highway. Additional lesions included an iliac wing fracture and a perineal wound. We report this case because of the rarity and seriousness of this injury due to its progressive complications and difficulties related to its management, which are typical to a developing country like ours.

Keyword

Open dislocation; Hip dislocation; Osteonecrosis

MeSH Terms

Accidents, Traffic
Adult
*Hip Dislocation/diagnostic imaging/pathology/surgery
*Hip Fractures/diagnostic imaging/pathology/surgery
Humans
Male
Osteonecrosis
Togo
Young Adult

Figure

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  Fig. 1 (A) Left inguinal wound exposing the femoral head on arrival. (B) Immediately before exploration.

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  Fig. 2 Pelvic computed tomography showing the anterior and superior dislocation of the left hip with trochanteric ipsilateral and right iliac fractures.

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  Fig. 3 Pelvic X-ray after reduction showing the persistence of trochanteric diastasis.

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  Fig. 4 Pelvic plain radiography showed advanced osteonecrosis and osteoarthritis on the left hip at 12 months postoperatively. (A) Frontal plane. (B) Sagittal plane.

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