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Year : 1975  |  Volume : 9  |  Issue : 2  |  Page : 69-80

Management Of Unreduced Traumatic Dislocations Of The Hip


Correspondence Address:
B. P Varma


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It is not uncommon to come across a neglected traumatic dislocation of the hip in this Part of the world. The management of these cases is difficult because of adhesions and soft tissue contracture, presence of myositis ossificans, and filling up of the acetabular cavity with fibro-fatty tissue. Watson-Jones (1956) recounted the difficulties of open reduction which lead to degenerative arthritis, and recommended operative reduction and fusion of the joint. Open reposition of old dislocation of the hip has generally been disfavoured due to its associated haemorrhage and shock (Armstrong 1948, Gupta and chaturvedi 1963) and the resultant painful and stiff joint (Roaf 1956, Gupta and chaturvedi 1963. Aggarwal and Singh 1967). Roaf (1956) concluded that a simple osteotomy to correct the deformity was usually the wisest course of action. Various other workers (Hamada 1957, Gupta and chaturvedi 1963, Aggarwal and Singh 1967) have also reported satisfactory results with trochanteric osteotomy in both posterior as well as anterior disalocation, which corrected the deformity and gave stable, serviceable hip though a mild limp and limitation of movements persisted. It is the purpose of this communication to record my observations in series of 29 old unreduced dislocations of the hip seen during the period of August 1969 to March 1974.


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