Published online Dec 6, 2022. doi: 10.12998/wjcc.v10.i34.12654
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
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.
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.
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 recon
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.