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The complications after open hip dislocation in hip surgery.
Acta Orthopaedica Belgica
|January 12, 2018
Summary
Open hip dislocation, a surgical technique, presents significant complication risks. A review of 45 hips revealed that 27 cases experienced at least one complication, highlighting the need for informed consent regarding potential issues.
Area of Science:
- Orthopedic Surgery
- Surgical Complications
- Hip Joint Procedures
Background:
- Open hip dislocation is utilized as a surgical technique in various hip procedures.
- Understanding the complication profile of this technique is crucial for patient safety and surgical decision-making.
Purpose of the Study:
- To evaluate the incidence and types of complications associated with open hip dislocation.
- To assess the severity of complications using the Dindo-Clavien classification system.
Main Methods:
- Retrospective review of 45 hips from 44 patients who underwent open hip dislocation between 2006 and 2013.
- Data collection included patient demographics, indications for surgery, follow-up duration, and recorded complications.
- Complications were graded using the Dindo-Clavien classification.
Main Results:
- A total of 27 out of 45 hips (60%) experienced at least one complication.
- Complications ranged from one to four per hip, with 10 hips developing three distinct complications.
- According to the Dindo-Clavien classification, 17 hips were Grade I (38%), 3 Grade IIa (7%), 2 Grade IIb (4%), and 5 Grade III (11%).
Conclusions:
- Open hip dislocation is associated with a high rate of complications, indicating it is not a universally safe procedure.
- The technique should be reserved for specific indications, particularly when trochanteric complications are a concern.
- Comprehensive patient counseling regarding potential risks and complications is essential prior to the procedure.
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