Iliofemoral distraction and hip reconstruction for the sequelae of a septic dislocated hip with chronic femoral osteomyelitis
| Autor: | Martin A. McNally, P. McLardy Smith, K Nagarajah, N Aslam |
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| Rok vydání: | 2005 |
| Předmět: |
Adult
musculoskeletal diseases medicine.medical_specialty Irritable hip Arthroplasty Replacement Hip medicine.medical_treatment Osteogenesis Distraction Femoral head Femur Head Necrosis medicine Hip Dislocation Humans Orthopedics and Sports Medicine Femur Arthritis Infectious business.industry Osteomyelitis medicine.disease Arthroplasty Surgery Radiography medicine.anatomical_structure Chronic Disease Orthopedic surgery Female Septic arthritis Radiology Osteitis business |
| Zdroj: | The Journal of Bone and Joint Surgery. British volume. :863-866 |
| ISSN: | 2044-5377 0301-620X |
| DOI: | 10.1302/0301-620x.87b6.16052 |
| Popis: | We describe a technique of ‘cross-hip distraction’ to reduce a dislocated hip with subsequent reconstruction of the joint for septic arthritis with extensive femoral osteomyelitis. A 27-year-old woman presented with a dislocated, collapsed femoral head and chronic osteomyelitis of the femur. Examination revealed a leg-length discrepancy of 7 cm and an irritable hip. A staged technique was used with primary clearance of osteomyelitis and secondary reconstruction of the hip. A cross-hip monolateral external fixator was used to establish normal anatomy followed by an arthroplasty. A good functional outcome was achieved. The use of cross-hip distraction avoids soft-tissue and nerve damage and achieved improved abductor function before arthroplasty. |
| Databáze: | OpenAIRE |
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