Surgical hip dislocation for removal of retained intra-articular bullets
| Autor: | Marius Keel, Sithombo Maqungo, Michael Held, Sven Hoppe, Maritz Laubscher, G McCollum, Jimmy N. Kauta |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male musculoskeletal diseases medicine.medical_specialty 03 medical and health sciences Femoral head 0302 clinical medicine Intra articular Foreign-Body Migration Blood loss medicine Hip Dislocation Humans Trauma centre Prospective Studies Femoroacetabular impingement General Environmental Science 030222 orthopedics business.industry 030208 emergency & critical care medicine Foreign Bodies medicine.disease Acetabulum Osteotomy Surgery Radiography Treatment Outcome Trochanteric osteotomy medicine.anatomical_structure Thigh General Earth and Planetary Sciences Female Hip Joint Wounds Gunshot Hip arthroscopy business |
| Zdroj: | Injury. 47:2218-2222 |
| ISSN: | 0020-1383 |
| DOI: | 10.1016/j.injury.2016.06.020 |
| Popis: | Introduction Surgical hip dislocation with trochanteric osteotomy was introduced for the treatment of femoroacetabular impingement and other intra-articular pathologies of the hip. We expanded the indications to include removal of retained bullets in the hip joint as an alternative to hip arthroscopy. Patients and Methods We present a prospective case series of ten patients that were treated with a surgical hip dislocation for removal of retained bullets in the hip joint between January 2014 and October 2015 in a Level 1 trauma centre. The main outcome measurements were successful bullet removal, blood loss, surgical time and intraoperative complications. Results There were 8 males and 2 females with a mean age of mean age 27.3 years (range 20–32). All patients had one whole retained bullet for removal (right side: 8; left side: 2). In all cases the bullet could be removed in its entirety. The average surgical time was 73 min (range 55–125) and the average blood loss 255 ml (range 200–420). Conclusions Surgical hip dislocation provides an unlimited view of the acetabulum and femoral head and neck and it therefore allows for easy removal of retained bullets. Osteocartilaginous lesions and concomitant fractures of the femoral head can be simultaneously evaluated and treated. |
| Databáze: | OpenAIRE |
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