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External fixation-assisted reduction for the treatment of neglected hip dislocations with limb length discrepancy: a retrospective study of 13 cases.

Abstract：

BACKGROUND:The purpose of this study was to evaluate a new method for treating neglected hip dislocation with limb length discrepancy by using external fixation-assisted pre-reduction. METHODS:Thirteen patients admitted between January 2010 to February 2018 with a mean duration from injury to surgery of 5.0 ± 2.1 months and an average preoperative leg-length discrepancy of 7.7 ± 2.3 cm were enrolled in this study. The dislocation and associated acetabular fracture type, clinical outcomes and residual limb length discrepancy were evaluated. RESULTS:All patients had posterior dislocations, and nine patients presented with acetabular fractures and were followed-up for at least 12 months. The average traction duration of external fixators was 28.8 ± 8.0 days and all patients received second-stage open reduction and internal fixation. Six patients showed residual limb length discrepancy within 2 cm. Patients showed significant improvement in hip function and pain relief. Complications including avascular femoral head necrosis and osteoarthritis occurred in three patients. CONCLUSION:Effective correction of limb length discrepancy and improved function were observed in patients with neglected hip dislocations and limb equality using traction by external fixation combined with second-stage open reduction. Further follow-up is required to determine long-term outcomes.

journal_name

BMC Musculoskelet Disord

journal_title

BMC musculoskeletal disorders

authors

Li P,Tao F,Song W,Dong J,Qiu D,Zhou D

doi

10.1186/s12891-019-3015-0

subject

Has Abstract

pub_date

2019-12-26 00:00:00

pages

621

issue

1

issn

1471-2474

pii

10.1186/s12891-019-3015-0

journal_volume

20

pub_type

杂志文章

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