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
Abstract

Pelvic osteotomy is commonly used to adjust acetabula dysplasia for congenital dislocation of the hip, whereas congenital insensitivity to pain with anhidrosis (CIPA) is a rare hereditary disease that often has the characteristics of joint development deformity and easy fracture. This article reports the case involving a CIPA patient who was surgically treated by Chiari pelvic osteotomy and proximal femoral rotation osteotomy for congenital dislocation of the left hip joint and was provided long-term follow-up for redislocation and bilateral femoral head absorption.

Keywords: Pelvic osteotomy; Congenital insensitivity to pain with anhidrosis; Congenital dislocation; Case report

Core tip: Reports of congenital insensitivity to pain with anhidrosis (CIPA) cases are relatively rare, and there is no standard treatment prescription. We report a case of postoperative redislocation of the hip in a patient with CIPA in this article, and try to explore the causes of this situation and look for a solution.