SynthesisEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2017
Late versus early reduction in traumatic hip dislocations: a meta-analysis.
Synthesis in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
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Who cites it
26 citing papers in PubMed, 50 citations in OpenAlex.
- Global Disease Burden of Traumatic Joint Dislocation from 1990 to 2021 and its prediction to 2045.Communications medicine · 2026Article
- Traumatic Bilateral Asymmetric Hip Dislocation With a Rotated Pipkin Type II Femoral Head Fracture.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2026Article
- Avascular Necrosis Secondary to Traumatic Posterior Hip Dislocation.Ochsner journal · 2026Article
- Long-term outcomes of traumatic hip dislocation: a minimum 10-year follow-up study in 18 patients.Archives of orthopaedic and trauma surgery · 2025Article
- Traumatic Bilateral Asymmetrical Hip Dislocation with Acetabular Fracture: A Case Report and Review of Current Evidence.Life (Basel, Switzerland) · 2025Article
- Functional outcomes of patients presenting with traumatic hip dislocations at a tertiary care center: a descriptive observational study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Observational
- Return to work following traumatic hip dislocation: a prognostic outcome study.Archives of orthopaedic and trauma surgery · 2025Article
- Pipkin fractures: fracture type-specific management.Archives of orthopaedic and trauma surgery · 2024Review
- Clinical treatment of traumatic hip dislocation in children: a single-centre retrospective study.Scientific reports · 2024Article
- Article
- Posterior hip fracture dislocation from a non-contact injury while playing soccer. "A Case Report".Trauma case reports · 2023Article
- Hospital transfer and delayed reduction of traumatic hip dislocations.Archives of orthopaedic and trauma surgery · 2023Article
- Pipkin type III femoral head fracture: which treatment strategy can be recommended?Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2023Article
- Traumatic Hip Dislocation in Pediatric Patients: Clinical Case Series and a Narrative Review of the Literature with an Emphasis on Primary and Long-Term Complications.Children (Basel, Switzerland) · 2023Article
- Closed reduction of hip dislocation associated with ipsilateral lower extremity fractures: A case report and review of the literature.World journal of clinical cases · 2022Article
- A retrospective study of hip posterior fracture-dislocation: closed reduction at the emergency department or in the operation theater?Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2022Article
- Article
- Avascular necrosis of the femoral head after traumatic posterior hip dislocation with and without acetabular fracture.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Early versus delayed hip reduction in the surgical treatment of femoral head fracture combined with posterior hip dislocation: a comparative study.BMC musculoskeletal disorders · 2021Article
- Five-years Control after a Delayed Diagnosis of a Traumatic Posterior Hip Dislocation in a 5 years Old Boy- A Case Report.Journal of orthopaedic case reports · 2021Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsTraumatic hip dislocations are considered orthopaedic emergencies that are treated with urgent reduction to decrease the rate of osteonecrosis of the femoral head. The aim of our study was to systematically review the literature that compares late (>6 h from the time of injury) to early (<6 h from the time of injury) reduction in all traumatic hip dislocations. MATERIALS AND
methodsWe searched five databases from 1951 to 2016 for studies that evaluated timing of reduction and osteonecrosis of the femoral head in all traumatic hip dislocations. We performed a meta-analysis using a random-effects model to pool odds ratios (ORs) for a comparison of osteonecrosis of the femoral head between patients undergoing late versus early hip reduction. We also investigated the osteonecrosis rate in low- and high-grade traumatic hip dislocations. Descriptive, quantitative and qualitative data were extracted.
resultsOf the 13 articles identified, five studies (retrospective cohort studies) were eligible for the meta-analysis, encompassing a total of 236 traumatic hip dislocations. The pooled odds ratio for osteonecrosis of the femoral head between late and early reduction was in favour of early hip reduction and statistically significant (OR = 5.00, 95% CI: 1.30, 19.29). No significant difference in the rate of osteonecrosis of the femoral head was detected between low- and high-grade traumatic hip dislocations according to the time threshold (OR = 1.71, 95% CI: 0.22, 13.22).
conclusionsThe cumulative evidence at present does indicate an association between late hip reduction and higher rate of osteonecrosis of the femoral head in all traumatic hip dislocations. Hence, all traumatic hip dislocations should be reduced as soon as possible to decrease the rate of osteonecrosis of the femoral head. However, the evidence does not indicate an association between the grade of dislocation and rate of osteonecrosis of the femoral head. LEVEL OF EVIDENCE: III.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.