Evidence map›Paper›PMID 40874962›Full record

ArticleArchives of orthopaedic and trauma surgery2025

Long-term outcomes of traumatic hip dislocation: a minimum 10-year follow-up study in 18 patients.

Stephan Regenbogen, Paul A Grützner, Markus Beck, Philipp Blum, Ulrich Stöckle, Philipp Osten, Sven Märdian, Vera Jaecker

Abstract read
In one paragraph

Article in Archives of orthopaedic and trauma surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Stephan RegenbogenDepartment for Orthopaedics and Trauma Surgery at Heidelberg University, BG Klinik Ludwigshafen, Ludwigshafen, Germany.
Paul A GrütznerDepartment for Orthopaedics and Trauma Surgery at Heidelberg University, BG Klinik Ludwigshafen, Ludwigshafen, Germany.
Markus BeckDepartment of Traumatology and General Surgery, BG Unfallklinik Murnau, Murnau, Germany.
Philipp BlumDepartment of Traumatology and General Surgery, BG Unfallklinik Murnau, Murnau, Germany.
Ulrich StöckleCenter for Musculoskeletal Surgery, Charitè-University Medicine Berlin, Berlin, Germany.
Philipp OstenDepartment of Trauma and Orthopedic Surgery, Cologne Merheim Medical Center, Witten/Herdecke University, Witten, Germany.
Sven MärdianDepartment of Trauma, Hand and Reconstructive Surgery, Rostock University Medical Center, Rostock, Germany.
Vera JaeckerCenter for Musculoskeletal Surgery, Charitè-University Medicine Berlin, Berlin, Germany. vera.jaecker@charite.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTraumatic hip dislocations are rare but serious injuries, potentially affecting patients' quality of life and mobility. Given the limited understanding of prognostic factors, this study aimed to identify predictors of long-term clinical outcomes. MATERIALS AND

methodsInjury characteristics and computed tomography (CT) of patients following traumatic hip dislocation from two level I trauma centers from 2009 to 2015 were analyzed. At follow-up, patients were evaluated for avascular necrosis (AVN), post-traumatic osteoarthritis (PTOA), secondary surgery, complications, and return to sports. Patient-reported outcome measures (PROMs), including Tegner Activity Scale (TAS) and modified Harris Hip Score (mHHS), were evaluated.

results38 patients with traumatic hip dislocation were finally included. Concomitant posterior acetabular wall fractures and femoral head fractures (Pipkin type I to IV) were observed in 34 cases (87%). 18 patients (mean age 38.3 ± 17.2 years) completed the follow-up (mean follow-up 12.25 ± 1.03 years). 6 patients (33%) developed PTOA, 2 patients (11%) AVN, and 3 patients (17%) required total hip arthroplasty. Decreased TAS was associated with concomitant fractures (p = 0.02). 10 patients (56%) did not return to their pre-injury sports level and 7 patients (39%) reported sexual dysfunction. PROMs and return to sports were significantly worse in patients with PTOA or residual sciatic nerve injury (p < 0.05).

conclusionsPatients after traumatic hip dislocation are at high risk for PTOA or AVN, especially with concomitant acetabular or femoral head fractures, resulting in significant long-term limitations in daily activities, sports, and sexual function. Recognition of concomitant fractures is a critical prognostic factor in assessing long-term outcomes.

Indexed as

Hip DislocationAcetabulumAdultFemaleFemur Head NecrosisFollow-Up StudiesHumansMaleMiddle AgedPatient Reported Outcome MeasuresRetrospective StudiesTomography, X-Ray ComputedYoung AdultAcetabular fracturesLong-term outcomesPipkin fracturesPROMsTraumatic hip dislocation

Identifiers

PMID40874962
PMCPMC12795878

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