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Surgical Technique of the 3-Dimensional-printed Personalized Hip Implant for the Treatment of Canine Hip Dysplasia

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Traumatic hip dislocation in a 3-year-old girl.

Joseph F Baker¹, Michael Leonard, Brian M Devitt

¹Department of Orthopaedic Surgery, Adelaide and Meath Incorporating the National Children's Hospital, Dublin, Ireland. joseph.f.baker@gmail.com

Pediatric Emergency Care

|December 14, 2011

Summary

Pediatric traumatic hip dislocation is rare but needs prompt reduction to prevent avascular necrosis. Early intervention within 6 hours significantly improves outcomes for children with hip dislocations.

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Area of Science:

Orthopedics
Pediatric Traumatology

Background:

Traumatic hip dislocation in children is uncommon, requiring less energy than in adults.
Prompt diagnosis and management are crucial due to the risk of avascular necrosis.

Observation:

A 3-year-old girl sustained a traumatic right hip dislocation due to ski binding malfunction.
The hip was reduced rapidly at a trauma center.

Findings:

At 18 months post-injury, there were no signs of avascular necrosis.
Delayed reduction (beyond 6 hours) significantly increases the risk of avascular necrosis.

Implications:

Emergency department reduction is feasible, though 25% may need surgical intervention.
Maintaining a high index of suspicion is vital to ensure timely reduction and prevent long-term complications.