ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2022
Avascular necrosis of the femoral head after traumatic posterior hip dislocation with and without acetabular fracture.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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21 citing papers in PubMed, 35 citations in OpenAlex.
- Beyond Pipkin IV: Management of Femoral Head-neck Fracture-dislocation with Posterior Acetabular Wall and Peritrochanteric Fracture in an Adolescent Using a Modified Kocher-Langenbeck Approach.Journal of orthopaedic case reports · 2026Article
- Avascular Necrosis of the Femoral Head Following Posterior Hip Dislocation in an Adolescent.Journal of musculoskeletal & neuronal interactions · 2026Article
- Complex Reconstruction of Post-traumatic Fracture Dislocation Hip: The Anchor Total Hip Arthroplasty Following Failed Index Surgery.Journal of orthopaedic case reports · 2026Article
- Article
- [High-energy trauma with complex acetabular fracture and incarcerated fragment].Unfallchirurgie (Heidelberg, Germany) · 2025Article
- Femoral head fracture management: outcomes of surgical hip dislocation with bioabsorbable screw fixation.Journal of orthopaedic surgery and research · 2025Article
- Long-term outcomes of traumatic hip dislocation: a minimum 10-year follow-up study in 18 patients.Archives of orthopaedic and trauma surgery · 2025Article
- Risk factors and long-term outcomes in anterior iliac and obturator hip dislocation.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Anterior hip fracture-dislocation resembling a Hill-Sachs lesion: a case report and review of this special clinical entity.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Review
- Article
- Traumatic Bilateral Asymmetrical Hip Dislocation with Acetabular Fracture: A Case Report and Review of Current Evidence.Life (Basel, Switzerland) · 2025Article
- Characteristics and treatment strategies of the hip fracture triad.Frontiers in surgery · 2025Article
- Evaluating the utility of post-reduction imaging for simple hip joint dislocations: Is computed tomography always necessary?Journal of orthopaedics · 2023Article
- Hospital transfer and delayed reduction of traumatic hip dislocations.Archives of orthopaedic and trauma surgery · 2023Article
- Hospital transfer and delayed reduction of traumatic hip dislocations.Archives of orthopaedic and trauma surgery · 2023Article
- Surgical treatment and functional outcome of bilateral symmetrical hip dislocation and Pipkin type II femoral head fracture: a 5-year follow-up case report and literature review.Frontiers in surgery · 2023Article
- 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
- Morselized bone autograft for high placement of acetabular component closure with hip arthroplasty revision after 3-years screws and cup loosening: A case report.International journal of surgery case reports · 2022Article
- Safety of surgical hip dislocation in femoral head fracture and dislocation (FHFD) and avascular necrosis risk factor analysis of FHFD: midterm results confirmed by SPECT/CT and MRI.Journal of orthopaedic surgery and research · 2022Article
- Traumatic Hip Dislocations in Major Trauma Patients: Epidemiology, Injury Mechanisms, and Concomitant Injuries.Journal of clinical medicine · 2022Article
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3 authors at 1 institution in 1 country.
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Abstract
purposeTraumatic hip dislocation can be isolated or associated with acetabular fracture. Both injuries require emergency reduction of the dislocated hip. Avascular necrosis of the femoral head (AVN) is a potential complication that accompanies these severe injuries. Our objective is to identify the risk factors that cause AVN.
methodsWe retrospectively analyzed 44 patients with traumatic hip dislocations (Group A) and patients with posterior fracture-dislocation of the acetabulum (Group B). The average follow-up was 5.38 years in Group A, 5.59 years in Group B. We used the Thompson-Epstein classification for hip dislocation and the Harris Hip Score (HHS) for evaluating final outcomes.
resultsIn Group A, we analyzed 21 patients with isolated posterior hip dislocation. We had one (4.76%) case of AVN. In Group B, we analyzed 23 patients with posterior acetabular fracture-dislocation. We had eight (34.78%) patients with AVN (p = 0.016, p < 0.05). With hip reduced 6-12 h after injury, we had AVN in one (4.34%) patient, with reduction 12-24 h, AVN was present in two (8.69%), while in hip reduction done after 24 h of injury, AVN was present in five (21.73%) patients (p = 0.030, p < 0.05).
conclusionAn essential prerequisite for the prevention of AVN of the femoral head after hip dislocation is emergency hip reduction. In acetabular fracture-dislocation, emergency hip reduction, anatomical reduction of the acetabular fracture and early stable osteosynthesis are also important. Main factor affecting the development of AVN is late reduction of the hip.
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