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International Journal of
Orthopaedics Research
ARCHIVES
VOL. 5, ISSUE 2 (2023)
Total Hip arthroplasty in a neglected obturator dislocation of Hip – A rare case report
Authors
Nagesh Sherikar, Souradeep Mitra, Vilasagarapu Trilok, Rakshith Chakravarthy H Y
Abstract

Introduction: The rise of road traffic accidents involving high energy trauma has increased the incidence of traumatic hip dislocations, traumatic antero-inferior hip dislocations are relatively rare, it is uncommon due to strong ligamentous support to capsule anteriorly and inferiorly. Mechanism of injury usually being hip in abduction, flexion and external rotation with a strong external force. Here in this case report, we present a rare neglected form of such an injury.

Case report: Here we report a patient, 23-year-old male who presented to us with a limp since past 2 years, patient had a road traffic accident while driving a two-wheeler and had a head on collision with an oncoming vehicle. Patient never visited a hospital before this as he was taking osteopathic treatment for the same.

Discussion: The hip is a stable joint, and the weakest point is the posteroinferior capsule. Therefore, anterior hip dislocations are more infrequent than posterior dislocations, accounting for up to 13% of all hip dislocations. Little has been reported about old unreduced traumatic hip dislocations, and old unreduced obturator dislocation has been even less studied. Due to the infrequency of old unreduced traumatic hip dislocations, treatment options and outcome measures are scarce.

Conclusion: We report an extremely rare case of old unreduced traumatic obturator hip dislocation of the femoral head without associated fracture of the acetabulum in a 23-year-old male. Treatment for old unreduced dislocation has been somewhat empirical and no method has been proven to be superior. Open reduction may be an effective option for rare old unreduced obturator dislocation.
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Pages:18-21
How to cite this article:
Nagesh Sherikar, Souradeep Mitra, Vilasagarapu Trilok, Rakshith Chakravarthy H Y "Total Hip arthroplasty in a neglected obturator dislocation of Hip – A rare case report". International Journal of Orthopaedics Research, Vol 5, Issue 2, 2023, Pages 18-21
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