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[Hip dislocation without bone injuries]

V Vécsei1, E Schwendenwein, G Berger

  • 1Universitätsklinik für Unfallchirurgie, Wien.

Der Orthopade
|April 1, 1997
PubMed
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Hip dislocation is a rare emergency requiring immediate reduction. Prompt treatment and early mobilization lead to favorable outcomes in most patients, with minimal long-term complications like avascular necrosis.

Area of Science:

  • Orthopedic Surgery
  • Traumatology
  • Emergency Medicine

Background:

  • Hip dislocation is a rare injury, often considered a surgical emergency.
  • Prompt management is crucial to prevent complications.

Purpose of the Study:

  • To evaluate the outcomes of hip dislocation treatment.
  • To establish optimal management guidelines for hip dislocation.

Main Methods:

  • Retrospective analysis of 82 patients treated for hip dislocation between 1977 and 1996.
  • Treatment involved reduction within 6 hours under general anesthesia, followed by 14 days of bed rest.
  • Patients were mobilized with full weight-bearing as tolerated.

Main Results:

  • Iliac dislocation was the most common type (54 patients).

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  • Most patients (29/43) had no long-term complications.
  • Minor issues included temporary pain (8 patients) and limited range of motion (6 patients).
  • Avascular necrosis of the femoral head occurred in only 1 patient.

    • Conclusions:

    • Immediate, gentle reduction of hip dislocations is recommended.
    • A 14-day period of bed rest followed by early mobilization with full weight-bearing is advised.
    • This treatment protocol leads to good functional outcomes and low complication rates.