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Self-Reducible Painless and Recurrent Prosthetic Hip Dislocation: A Case Study.
Cureus
November 2024
Orthopaedic Surgery, Loyola University Medical Center, Maywood, USA.
Prosthetic hip dislocations following total hip arthroplasty can significantly impact patient quality of life and functional capabilities. Early dislocations typically occur within the first three months post-surgery, while delayed dislocations arise after three months. Notably, patients may experience implant instability and dislocation for years, even decades, after the initial procedure due to a variety of underlying issues.
View Article and Find Full Text PDFDisplaced Jeffery Type 2 Radial Neck Fracture Managed by a Modified Métaizeau Technique: A Case Report.
J Orthop Case Rep
December 2024
Department of Orthopaedics, Government Medical College, Haldwani, Uttarakhand, India.
Introduction: The radial neck fractures in children are uncommon injures and more so in the settings of an associated elbow dislocation. Radial neck fracture, with 90° posterior rotation of the articular surface with respect to its normal axis, is a characteristic feature of rare Jeffery type 2 injury. This injury pattern is reported as sporadic reports or small series in the literature.
View Article and Find Full Text PDFChronic Patellar Dislocation Treated With Extensive Lateral Release and Vastus Medialis Obliquus Advancement: A Case Report.
Case Rep Orthop
November 2024
Department of Orthopaedic Surgery, Missouri Orthopedic Institute, 1100 Virginia Ave., Columbia, Missouri 65201, USA.
Article Synopsis
- - The case report describes a rare instance of a chronic, irreducible patellar dislocation in a 41-year-old woman, linked to a significant medial patellar fracture, which had persisted since her teenage years and was complicated by past medical conditions.
- - Previous treatments, including a failed patellofemoral reduction, led the patient to seek further surgical intervention after being referred to a specialized clinic.
- - The surgical approach combined an extensive lateral release with vastus medialis obliquus advancement, successfully centering the patella and allowing the patient to achieve full, painless knee motion post-surgery, with stability confirmed through examinations and imaging.
Decompression corrective osteotomy of the distal radius for treatment of the DRUJ-incongruency and impingement syndrome with focus on posttraumatic cases.
Injury
September 2024
Hand Trauma Centre, Elisabethenstraße 19, 88212 Ravensburg, Germany.
Introduction: Posttraumatic or congenital ulna-minus variance with altered shape of the sigmoid notch and increased tension of the distal oblique band of the interosseous membrane (DIOM) can lead to painful impingement in the distal radioulnar joint (DRUJ) during rotation and loading of the forearm. As an operative treatment concept, a new method was described in 2016. Its goal is to restore the osseous congruency, which is required for normal painless function.
View Article and Find Full Text PDFTotal Knee Arthroplasty for Neglected Habitual Dislocation of Patella with Knee Osteoarthritis: A Case Report.
JBJS Case Connect
July 2024
Department of Orthopedic Surgery, Post Graduate Institute of Medical Education & Research (PGIMER), Chandigarh.
Article Synopsis
- A 62-year-old man underwent total knee arthroplasty (TKA) due to symptomatic knee osteoarthritis caused by frequent dislocation of the patella.
- Post-surgery, 23 months later, he had a stable gait and good knee movement ranging from 5 to 95 degrees without pain.
- The study concludes that TKA is a viable treatment for older patients with patellar instability and knee osteoarthritis, although surgical adjustments may be needed based on each patient's unique anatomy.
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