Functional outcome after total hip replacement following 30 years neglected posterior hip dislocation: a rare case report

Authors

  • Ivander Purvance Department of Orthopaedic and Traumatology, Sanglah General Hospital, Udayana University, Bali, Indonesia
  • Wayan Suryanto Dusak Department of Orthopaedic and Traumatology, Sanglah General Hospital, Udayana University, Bali, Indonesia
  • Gusti Ngurah Putra Stanu Department of Orthopaedic and Traumatology, Sanglah General Hospital, Udayana University, Bali, Indonesia
  • Ni Made Puspa Dewi Astawa Department of Orthopaedic and Traumatology, Sanglah General Hospital, Udayana University, Bali, Indonesia

DOI:

https://doi.org/10.18203/2320-6012.ijrms20200796

Keywords:

Hip dislocation, Neglected, Total hip replacement

Abstract

Neglected traumatic dislocations of the hip is one of disabling condition in lower extremity which are seldom found in adults. However, in developing countries, neglected-unreduced traumatic dislocations are not uncommon. Total hip replacement (THR) still remains a recommendation for the treatment of neglected hip dislocation which occurs more than 3 months. A 45- years-old female came to the outpatient clinic complaining pain on her right hip with history of trauma 30 years before, but instead of seeking medical treatment, she went to bonesetter instead. On physical examination, there is 5 cm leg length discrepancy, and the patient walked with limping gait. Conventional x-ray confirmed persistent dislocation of the right hip. A soft tissue release procedure and femoral neck osteotomy with skeletal traction was done before, followed by delayed THR two months after. The patient’s functional status was improved, and the HHS score increased from 48 to 87. The patient had no pain or significant complaints, except for a finding of mild residual Trendelenburg gait.

References

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Published

2020-02-26

How to Cite

Purvance, I., Dusak, W. S., Putra Stanu, G. N., & Dewi Astawa, N. M. P. (2020). Functional outcome after total hip replacement following 30 years neglected posterior hip dislocation: a rare case report. International Journal of Research in Medical Sciences, 8(3), 1152–1155. https://doi.org/10.18203/2320-6012.ijrms20200796

Issue

Section

Case Reports