Med Bull Sisli Etfal Hosp. 2009; 43(4): 154-158

Midterm results of the traumatic hip dislocation patients

Yavuz Arýkan¹, Raffi Armaðan¹, Osman Tuðrul Eren¹, Hasan Basri Sezer², Cem Sever³, Ünal Kuzgun^1
1Department of Orthopedics and Traumatology, Þiþli Etfal Training and Research Hospital, Istanbul, Turkey
²Bingöl State Hospital, Bingöl, Turkey
³Department of Pathology, Dr. Lütfi Kýrdar Kartal Training and Research Hospital, Istanbul, Turkey

Objective: Traumatic hip dislocation is an urgent condition that integrity and circulation of the hip joint spoils. In this study midterm results of the traumatic hip dislocation are informed.
Study Design: 18 of the 45 traumatic hip dislocation cases which resorted our clinic between 1995-2006 years were reached and evaluated for existence of arthrosis, avascular necrosis and sciatic nerve lesion, radiography and clinical examination findings.
Results: The follow-up period of patients was 12-126 months. Thirteen of of patients were male, 5 of them were female. According to Thompson Ebstein classification patients were classified as 2 patients type 1, 6 patients type 2, 4 patients type 3, 4 patients type 4. All of the patients were reducted closedly under general anesthesia in first 6 hours. Skeletal traction was applied for 1,5 months and no load on their lower extremity was given for 3 months. In follow-up of 2 of these 3 patients arthrosis developed.
Conclutions: Traumatic hip dislocation is a high energy injury which is usually seen in young patients and accopanied by additional injuries.Although we have a limited number of patients,development of arthrosis in 3 patients that 2 of them were type 4 (25%) and 1 of them was type 3 (25%) according to Thompson Ebstein classification, may suggest a proportional relationship between the energy of trauma and the risk of arthrosis.

Keywords: Traumatic hip dislocation, arthrosis, avascular necrosis, nerve lesion

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Travmatik kalça çýkýðý olgularýnýn orta dönem sonuçlarý

Yavuz Arýkan¹, Raffi Armaðan¹, Osman Tuðrul Eren¹, Hasan Basri Sezer², Cem Sever³, Ünal Kuzgun^1
1Þiþli Etfal Eðitim ve Araþtýrma Hastanesi 1. Ortopedi ve Travmatoloji Kliniði, Ýstanbul
²Bingöl Devlet Hastanesi, Bingöl
³Dr. Lütfi Kýrdar Kartal Eðitim ve Araþtýrma Hastanesi, Patoloji Kliniði, Ýstanbul

Amaç: Travmatik kalça çýkýðý kalça eklem bütünlüðünün ve dolaþýmýnýn bozulduðu acil bir durumdur. Bu çalýþmada travmatik kalça çýkýðýnýn orta dönem sonuçlarý bildirilmiþtir.
Yöntem: 1995-2006 yýllarý arasýnda kliniðimize baþvuran 45 travmatik kalça çýkýðý olgusunun 18’ine ulaþýlarak artroz, avasküler nekroz ve siyatik sinir lezyonu varlýðý, radyografi ve klinik muayene bulgularý ile deðerlendirildi.
Bulgular: Olgularýn takip süresi daðýlýmý 12-126 ay olarak saptandý. Olgularýn 13’ü erkek 5’i kadýndý. Thompson Ebstein sýnýflandýrýlmasýna göre 2 olgu tip 1, 6 olgu tip 2, 4 olgu tip 3, 4 olgu tip 4 olarak sýnýflandýrýldý. Olgularýn hepsi kapalý olarak ilk 6 saat içerisinde genel anestezi altýnda redükte edildi. Olgulara 1,5 ay boyunca iskelet traksiyonu yapýldý ve toplam 3 ay yük verilmedi. Redüksiyon sonrasý stabil olmayan 3 olguya mevcut asetabulum kýrýðý için osteosentez yapýldý.
Tartýþma ve Sonuç: Travmatik kalça çýkýðý yüksek enerjili bir yaralanmadýr. Genellikle genç hastalarda, ek yaralanmalarla birlikte gözlenir. Olgularýmýz sýnýrlý sayýda olmasýna raðmen artroz geliþen 3 olgunun Thompson Ebstein’e göre 2’sinin tip 4 (%50), 1’nin tip 3 (%25) olmasý travmanýn enerjisiyle artroz riski arasýnda doðru orantýlý bir iliþki olabileceðini düþündürmektedir.

Anahtar Kelimeler: Travmatik kalça çýkýðý, artroz, avasküler nekroz, sinir lezyonu

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