PAŠA, Libor, Radek VESELÝ and Martin KELBL. Bilaterální asymetrická traumatická luxace kyčelních kloubů (Bilateral Asymmetric Traumatic Dislocation of Hip Joints). Acta chirurgiae orthopaedicae et traumatologiae čechoslovaca. Praha: Galén, 2017, vol. 84, No 1, p. 66-69. ISSN 0001-5415.
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Basic information
Original name Bilaterální asymetrická traumatická luxace kyčelních kloubů
Name (in English) Bilateral Asymmetric Traumatic Dislocation of Hip Joints
Authors PAŠA, Libor (203 Czech Republic, guarantor, belonging to the institution), Radek VESELÝ (203 Czech Republic, belonging to the institution) and Martin KELBL (203 Czech Republic, belonging to the institution).
Edition Acta chirurgiae orthopaedicae et traumatologiae čechoslovaca, Praha, Galén, 2017, 0001-5415.
Other information
Original language Czech
Type of outcome Article in a journal
Field of Study 30211 Orthopaedics
Country of publisher Czech Republic
Confidentiality degree is not subject to a state or trade secret
Impact factor Impact factor: 0.645
RIV identification code RIV/00216224:14110/17:00097621
Organization unit Faculty of Medicine
UT WoS 000397352100010
Keywords (in Czech) Bilaterální asymetrická traumatická luxace kyčelních kloubů
Keywords in English bilateral asymmetric dislocation of hip joints; hip arthroscopy; acetabular fracture
Tags EL OK
Tags International impact, Reviewed
Changed by Changed by: Soňa Böhmová, učo 232884. Changed: 20/3/2018 18:34.
Abstract
Luxace kyčelního kloubu je vážné poranění s potencionálními úrazovými a poúrazovými komplikacemi. Simultánní luxace obou kyčelních kloubů je vzácné poranění, zvláště pak když jsou luxace asymetrické. Nitro-kloubní zlomeniny acetabula nebo hlavice fernuru u luxací kyčelních kloubu však vzácností nejsou. Urgentní repozice je nezbytná pro příznivý výsledek léčby. Autoři prezentují raritní případ s bilaterální asymetrickou traumatickou luxací kyčelních kloubů, kdy jeden kloub byl léčen po repozici konzervativně a druhý s interpozicí fragmentu acetabula byl léčen operativně - artroskopicky asistovanou repozici a stabilizací ostechondrálního fragmentu acetabula. Ukazují na důležitost akutní repozice a hodnocení zobrazovacích metod rtg a CT.
Abstract (in English)
The authors present a rare case of bilateral asymmetric traumatic dislocation of hip joints, where the left joint was treated conservatively after the reduction, while the right joint, with an acetabular fragment interposition, was treated surgically by arthroscopically assisted reduction and fixation of an osteochondral fragment of posterior wall of the acetabulum. The female patient healed with no complications, showing an excellent clinical outcome with no signs of instability or limited mobility of hip joints, and also with no signs of para-articular calcification or necrosis of the hip at 1 year after the injury and treatment. Bilateral asymmetric dislocation of hip joint is a rare injury with the total incidence of 150 cases as reported by the literature. Recently, its incidence is higher due to the increased traffic and the associated accident rate. A precise and prompt reduction of the injured hip joint is always necessary, if possible under general anesthesia. Also, it is always necessary to carry out a complete examination of the patient since this type of injury is always caused by a strong force and is often accompanied by injuries of other parts of the body.
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