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Case Reports
. 2019 Aug 26;12(8):e229926.
doi: 10.1136/bcr-2019-229926.

Open reduction capsular arthroplasty using a modified Codivilla-Hey Groves-Colonna procedure augmented with tensor fascia lata graft, supported by Ilizarov hinged external fixator in a patient with chronic traumatic posterior hip dislocation

Patricio Iii Espinoza Dumlao  1 , Juanito Javier  2 , Carlo Emmanuel Sumpaico  2
Affiliations
Case Reports

Open reduction capsular arthroplasty using a modified Codivilla-Hey Groves-Colonna procedure augmented with tensor fascia lata graft, supported by Ilizarov hinged external fixator in a patient with chronic traumatic posterior hip dislocation

Patricio Iii Espinoza Dumlao et al. BMJ Case Rep. .

Abstract

Untreated traumatic hip dislocation is a rare condition in children. Capsular arthroplasty is a previously abandoned surgical technique in dealing with developmental dysplasia of the hips but not described in traumatic dislocations. We present a 2-year follow-up of a 7-year-old boy who sustained chronic traumatic posterior hip dislocation treated as a first case in published literature combining a modified version of the Codivilla-Hey Groves-Colonna procedure, using tensor fascia lata graft and application of a hinged Ilizarov frame. The patient is currently independent on all activities of daily living.

Keywords: orthopaedics; physiotherapy (rehabilitation).

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
(A) Posterior view of the patient showing the palpable left femoral head and limb length discrepancy on Galleazzi test. (B) Anteroposterior radiograph of both hips. (C) Judet view of the hip showing the femoral head lucency and acetabular lesion. (D) CT, magnified coronal cut of the femoral head showing better detail of femoral head lucency. (E–G) CT coronal and sagittal cuts exhibiting the loss of the concavity of the acetabulum.
Figure 2
Figure 2
(A) Acetabulum showing loss of concavity and filling with fibrous tissue. (B) Resurfacing the acetabulum using arthroplasty reamers. (C) Femoral head with loss of cartilage. (D) Subtrochanteric osteotomy of the femur showing 3 cm overlap and femoral shortening and plating using 4-hole mini-DCP. (E,F) Harvesting of ipsilateral TFL graft and wrapping around the femoral head. TFL, tensor fascia lata.
Figure 3
Figure 3
(A) Anteroposterior view of both hips showing the reduced hip and the Ilizarov frame. (B) Clinical photo of the hinged construct.
Figure 4
Figure 4
Radiograph images. (A) 8 months after procedure and 1 month after removal of Ilizarov frame showing a reduced hip and congruency of the joint. (B) 1 year 8 months after procedure. (C) 1 year 10 months after procedure. (D) After removal of plate showing healed osteotomy site and maintenance of reduction and articulating contour.
See this image and copyright information in PMC

References

    1. Başaran SH, Bilgili MG, Erçin E, et al. . Treatment and results in pediatric traumatic hip dislocation: case series and review of the literature. Ulus Travma Acil Cerrahi Derg 2014;20:437–42. 10.5505/tjtes.2014.52822 - DOI - PubMed
    1. Yuksel S, Albay C. Early reduction of pediatric traumatic posterior hip dislocation is much more important than the treatment procedure. Pediatr Emerg Care 2017:1 10.1097/PEC.0000000000001351 - DOI - PubMed
    1. Barquet A. Traumatic hip dislocation in childhood. A report of 26 cases and review of the literature. Acta Orthop Scand 1979;50:549–53. 10.3109/17453677908989803 - DOI - PubMed
    1. Hung NN. Traumatic hip dislocation in children. J Pediatr Orthop B 2012;21:542–51. 10.1097/BPB.0b013e328356371b - DOI - PubMed
    1. Gupta RC, Shravat BP. Reduction of neglected traumatic dislocation of the hip by heavy traction. J Bone Joint Surg Am 1977;59:249–51. 10.2106/00004623-197759020-00020 - DOI - PubMed

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