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Case Reports
. 2016 Jun;8(2):214-7.
doi: 10.4055/cios.2016.8.2.214. Epub 2016 May 10.

Open Anterior Dislocation of the Hip in Togo

Walla Atchi  1 , Abalo Anani  1 , Dellanh Yannick  1 , Ayouba Gamal  1 , Dossim Assang  1
Affiliations
Case Reports

Open Anterior Dislocation of the Hip in Togo

Walla Atchi et al. Clin Orthop Surg. 2016 Jun.

Abstract

Anterior traumatic dislocations of the hip are much less common than posterior dislocations. To date, 14 cases of open anterior dislocation of the hip associated with such injuries, acetabular and femoral head fractures and femoral vascular and nerve damage have been reported. We present a case of a 23-year-old male who sustained open anterior dislocation of the hip with ipsilateral fracture of the greater trochanter after an accident on the public highway. Additional lesions included an iliac wing fracture and a perineal wound. We report this case because of the rarity and seriousness of this injury due to its progressive complications and difficulties related to its management, which are typical to a developing country like ours.

Keywords: Hip dislocation; Open dislocation; Osteonecrosis.

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Conflict of interest statement

CONFLICT OF INTEREST: No potential conflict of interest relevant to this article was reported.

Figures

Fig. 1
Fig. 1. (A) Left inguinal wound exposing the femoral head on arrival. (B) Immediately before exploration.
Fig. 2
Fig. 2. Pelvic computed tomography showing the anterior and superior dislocation of the left hip with trochanteric ipsilateral and right iliac fractures.
Fig. 3
Fig. 3. Pelvic X-ray after reduction showing the persistence of trochanteric diastasis.
Fig. 4
Fig. 4. Pelvic plain radiography showed advanced osteonecrosis and osteoarthritis on the left hip at 12 months postoperatively. (A) Frontal plane. (B) Sagittal plane.
See this image and copyright information in PMC

References

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