Traumatic Hip Dislocation: An Experience from a Public General Hospital of Brunei
Introduction: Traumatic dislocation of the hip (TDH) is an orthopedic trauma emergency, which is commonly due to high-energy trauma. Morbidity and mortality are very high usually resulting from the associated injuries sustained during the trauma. The condition of the victims worsened when associated...
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Jaypee Brothers Medical Publisher
2022-01-01
|
| Series: | Journal of Orthopedics and Joint Surgery |
| Subjects: | |
| Online Access: | https://www.jojs.in/doi/JOJS/pdf/10.5005/jp-journals-10079-1052 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850145981028368384 |
|---|---|
| author | Pramod Devkota Shiraz Ahmad |
| author_facet | Pramod Devkota Shiraz Ahmad |
| author_sort | Pramod Devkota |
| collection | DOAJ |
| description | Introduction: Traumatic dislocation of the hip (TDH) is an orthopedic trauma emergency, which is commonly due to high-energy trauma. Morbidity and mortality are very high usually resulting from the associated injuries sustained during the trauma. The condition of the victims worsened when associated with acetabular or femoral head fractures. The prevalence of hip dislocations is increasing worldwide.
Materials and methods: From August 2011 to March 2018, a total of 27 cases of traumatic hip dislocation were treated in a public general hospital. The emergency reduction was performed, immobilization with skin tractions was done for 3 weeks by admitting to the hospital. After 3 weeks of hospital stay, discharged and advised for non-weight bearing (NWB) crutch walk for another 3 weeks. Medical records of all patients after 1 year of dislocation were reviewed.
Results: There were 21 (77.78%) males, 6 (22.22%) females, and the mean age of the patient was of 37.59 ± 13.69 years (range 8-71), posterior dislocation occurred in 18 (66.66%) cases, anterior dislocation on 6 (22.22%) cases, and central dislocation on 3 (11.11%) cases. The right hip was dislocated in 17 (62.96%) cases and left in 10 (37.04%) cases. A road traffic accident (RTA) was the cause for 16 (59.25%) cases, fall injury in 8 (29.62%) cases, and physical assaults in 3 (11.11%) cases. Associated injuries like abdominal, thoracic, pelvic and acetabular fracture, upper and lower limbs injuries, and sacroiliac joint injury were found in 17 (62.96%) cases.
Conclusion: Traumatic dislocation of the hip is a severe injury caused mostly by RTA and young adults are most commonly affected. |
| format | Article |
| id | doaj-art-c5dcbc5acfd6405a88632b2bdc2e4d7c |
| institution | OA Journals |
| issn | 2582-7863 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Jaypee Brothers Medical Publisher |
| record_format | Article |
| series | Journal of Orthopedics and Joint Surgery |
| spelling | doaj-art-c5dcbc5acfd6405a88632b2bdc2e4d7c2025-08-20T02:27:57ZengJaypee Brothers Medical PublisherJournal of Orthopedics and Joint Surgery2582-78632022-01-0141192110.5005/jp-journals-10079-10524Traumatic Hip Dislocation: An Experience from a Public General Hospital of BruneiPramod Devkota0Shiraz Ahmad1Pramod Devkota, Department of Orthopaedics and Trauma Surgery, Patan Academy of Health Sciences, Patan Hospital, Lalitpur, Bagmati, Nepal, Phone: +977-15522278Department of Orthopaedics, Suri Seri Begawan Hospital, Kuala Belait, Brunei DarussalamIntroduction: Traumatic dislocation of the hip (TDH) is an orthopedic trauma emergency, which is commonly due to high-energy trauma. Morbidity and mortality are very high usually resulting from the associated injuries sustained during the trauma. The condition of the victims worsened when associated with acetabular or femoral head fractures. The prevalence of hip dislocations is increasing worldwide. Materials and methods: From August 2011 to March 2018, a total of 27 cases of traumatic hip dislocation were treated in a public general hospital. The emergency reduction was performed, immobilization with skin tractions was done for 3 weeks by admitting to the hospital. After 3 weeks of hospital stay, discharged and advised for non-weight bearing (NWB) crutch walk for another 3 weeks. Medical records of all patients after 1 year of dislocation were reviewed. Results: There were 21 (77.78%) males, 6 (22.22%) females, and the mean age of the patient was of 37.59 ± 13.69 years (range 8-71), posterior dislocation occurred in 18 (66.66%) cases, anterior dislocation on 6 (22.22%) cases, and central dislocation on 3 (11.11%) cases. The right hip was dislocated in 17 (62.96%) cases and left in 10 (37.04%) cases. A road traffic accident (RTA) was the cause for 16 (59.25%) cases, fall injury in 8 (29.62%) cases, and physical assaults in 3 (11.11%) cases. Associated injuries like abdominal, thoracic, pelvic and acetabular fracture, upper and lower limbs injuries, and sacroiliac joint injury were found in 17 (62.96%) cases. Conclusion: Traumatic dislocation of the hip is a severe injury caused mostly by RTA and young adults are most commonly affected.https://www.jojs.in/doi/JOJS/pdf/10.5005/jp-journals-10079-1052anteriordislocationhipposteriortrauma |
| spellingShingle | Pramod Devkota Shiraz Ahmad Traumatic Hip Dislocation: An Experience from a Public General Hospital of Brunei Journal of Orthopedics and Joint Surgery anterior dislocation hip posterior trauma |
| title | Traumatic Hip Dislocation: An Experience from a Public General Hospital of Brunei |
| title_full | Traumatic Hip Dislocation: An Experience from a Public General Hospital of Brunei |
| title_fullStr | Traumatic Hip Dislocation: An Experience from a Public General Hospital of Brunei |
| title_full_unstemmed | Traumatic Hip Dislocation: An Experience from a Public General Hospital of Brunei |
| title_short | Traumatic Hip Dislocation: An Experience from a Public General Hospital of Brunei |
| title_sort | traumatic hip dislocation an experience from a public general hospital of brunei |
| topic | anterior dislocation hip posterior trauma |
| url | https://www.jojs.in/doi/JOJS/pdf/10.5005/jp-journals-10079-1052 |
| work_keys_str_mv | AT pramoddevkota traumatichipdislocationanexperiencefromapublicgeneralhospitalofbrunei AT shirazahmad traumatichipdislocationanexperiencefromapublicgeneralhospitalofbrunei |