Traumatic Hip Dislocation: An Experience from a Public General Hospital of Brunei

Abstract

Introduction: Traumatic dislocation of the hip (TDH) is an orthopedic trauma emergency, which is commonly due to high-energy trauma. Morbidity and mortality are very high usually resulting from the associated injuries sustained during the trauma. The condition of the victims worsened when associated with acetabular or femoral head fractures. The prevalence of hip dislocations is increasing worldwide. Materials and methods: From August 2011 to March 2018, a total of 27 cases of traumatic hip dislocation were treated in a public general hospital. The emergency reduction was performed, immobilization with skin tractions was done for 3 weeks by admitting to the hospital. After 3 weeks of hospital stay, discharged and advised for non-weight bearing (NWB) crutch walk for another 3 weeks. Medical records of all patients after 1 year of dislocation were reviewed. Results: There were 21 (77.78%) males, 6 (22.22%) females, and the mean age of the patient was of 37.59 ± 13.69 years (range 8-71), posterior dislocation occurred in 18 (66.66%) cases, anterior dislocation on 6 (22.22%) cases, and central dislocation on 3 (11.11%) cases. The right hip was dislocated in 17 (62.96%) cases and left in 10 (37.04%) cases. A road traffic accident (RTA) was the cause for 16 (59.25%) cases, fall injury in 8 (29.62%) cases, and physical assaults in 3 (11.11%) cases. Associated injuries like abdominal, thoracic, pelvic and acetabular fracture, upper and lower limbs injuries, and sacroiliac joint injury were found in 17 (62.96%) cases. Conclusion: Traumatic dislocation of the hip is a severe injury caused mostly by RTA and young adults are most commonly affected.

Keywords

• anterior
• dislocation
• hip
• posterior
• trauma