We present a case of ipsilateral dislocation of the knee, ankle and midfoot. No previous report of this combination of injuries was found in a review of the literature. In spite of the type of injury, no neurovascular compromise or complications turned up. Closed reduction of the dislocations was possible and performed under general anaesthesia. At the last examination, 4 years after injury, the alignment of the joints was preserved, and the range of motion of the three joints resembled that of the opposite side. Without fractures, the closed reduction and temporary immobilisation of all the affected joints produced a remarkably good result.
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http://dx.doi.org/10.1007/s00402-004-0665-6 | DOI Listing |
J Am Acad Orthop Surg Glob Res Rev
November 2024
From the Department of Orthopaedic Surgery and Rehabilitation Loyola University Health System, Maywood, IL (Dr. Grayson, Dr. Eikani, and Dr. Brown); and the Loyola University Chicago Stritch School of Medicine, Maywood, IL (Ms. Benson and Mr. Jozefowski).
Background: Conversion total hip arthroplasty (THA) is associated with higher rates of complications compared with primary THA, with prior surgical fixation of fractures in the ipsilateral hip shown to further increase these rates. There is a scarcity of literature on the effect of timing of conversion THA on complication rates. In this study, we evaluated early (≤6 months of index surgery) and late (>6 months of index surgery) conversion to THA following prior fixation of the proximal femur or acetabulum.
View Article and Find Full Text PDFHip Int
January 2025
Department of Orthopaedic Surgery, St. Vincents Hospital Melbourne, Victoria, Australia.
Background: Hip dislocations after total hip arthroplasty (THA) are a debilitating complication, often occurring in deep flexion. Current 3D modelling allows for simulating the flexion angle at which bone-on-bone impingement occurs, but it is resource-intensive and not widely available for routine clinical use. Therefore, we propose the ilio-femoral impingement angle (IFIa) as a novel, simple radiographic measure to help identify patients at higher risk for dislocation using standard radiographs.
View Article and Find Full Text PDFWorld J Orthop
December 2024
Department of Orthopedic Surgery, King Saud Medical City, Riyadh 00966, Saudi Arabia.
J Med Case Rep
December 2024
Department of Internal Medicine, School of Medicine, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.
Introduction: Traumatic obturator-type anterior dislocation of the hip with an ipsilateral subtrochanteric fracture is rarely encountered in clinical practice. This case presentation described a trauma patient with such a rare scenario.
Case Report: This paper reports a case of a 20-year-old Amhara ethnic male patient who had a traumatic anterior dislocation of the hip associated with an ipsilateral subtrochanteric femur fracture after a truck rolled over.
Int J Surg Case Rep
January 2025
Resident of Orthopaedics and Traumatology Department, Faculty of Medicine, Universitas Brawijaya - Saiful Anwar General Hospital, Malang, East Java, Indonesia.
Introduction: Hip fractures are common in elderly patients, often accompanied by comorbidities. These fractures can be combined with other injuries, such as a femoral head, neck, or shaft dislocation. The cause of this complex injury is not well-established, but factors like high-energy trauma or falls from a certain height may contribute.
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