RESUMEN
Traumatic obturator hip dislocations are rare injuries that are typically diagnosed and managed acutely. We encountered a patient who presented with a painful hip 2 months after sustaining an undiagnosed traumatic obturator hip dislocation. After failed closed treatment, the hip was reduced with open reduction, utilizing a Kocher approach and a trochanteric osteotomy. At 15 months postoperatively, the patient maintained a functional range of motion without clinical or radiographic signs of posttraumatic arthritis or avascular necrosis.
Asunto(s)
Errores Diagnósticos , Luxación de la Cadera/diagnóstico por imagen , Luxación de la Cadera/etiología , Luxación de la Cadera/cirugía , Osteotomía/métodos , Rango del Movimiento Articular/fisiología , Accidentes de Tránsito , Estudios de Seguimiento , Lesiones de la Cadera/complicaciones , Lesiones de la Cadera/diagnóstico por imagen , Humanos , Puntaje de Gravedad del Traumatismo , Masculino , Radiografía , Recuperación de la Función , Factores de Tiempo , Resultado del Tratamiento , Adulto JovenRESUMEN
We present 20 patients, who had a four corner arthrodesis, from July 2006 to March 2008, using a dorsal circular plate, to treat scaphoid nonunion and scapholunate dissociation with advanced collapse (SNAC, SLAC). The surgical technique was a fusion restricted to the central area filled with one piece of cancellous bone graft taken from the excised scaphoid. Wrist motion, grip strength, and Disabilities of Arm Shoulder and Hand (DASH) score improved after surgery at a mean follow-up of 20.2 months. Fusion occurred in 19/20 patients. Two patients (10%) had persistent pain. The rest had a good clinical result. We found that four-corner fusion using a dorsal circular plate using the specific technical modifications was successful.