Neglected posterior hip dislocation: management of an 18years old female

AUTHORS : Sonowal Kiran, Singha Sodagor
DOI No. : 10.31741/ijhrmlp.v6.i2.2020.11

ABSTRACT :
Neglected traumatic dislocations of the hip are one of the disabling condition in lower extremity which is seldom found in adults. Also, it is not an uncommon condition seen in developing countries. Its treatment is often difficult and controversial. Here we present 18 years old female who presented to our hospital with 7 years old posterior hip dislocation sustained following fall from a bicycle. She had gone through multiple treatments for her dislocated hip without any success. The patient was managed by Girdlestoneosteotomy and skeletal traction followed by total hip replacement (THR) with uncemented acetabular cup and cemented femoral stem. Her Harris hip score improved from48 (preoperative) to 87 (postoperative). On follow-up, she had a good range of movement of the hip with no pain, deformity and limb length discrepancy. Girdlestone osteotomy and skeletal traction followed by total hip replacement (THR)provide promising results in neglected hip dislocation.
Keywords: Girdlestone Osteotomy; Total Hip Replacement; Harris Hip Score. 


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