Neglected Dislocation in Adults: A New Therapeutic Strategy for an Uncommon Condition

(1) Background: Neglected hip dislocation is an uncommon condition, especially in developed countries because dislocations are considered trauma emergencies and thus are treated early. They are usually treated with methods used in commonly occurring dislocations. The aim of this study is to detail a...

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Main Authors: Juan Carlos García de la Blanca, Javier Cuarental García, Gonzalo Luengo, Rafael Martí, Luis Rafael Ramos
Format: Article
Language:English
Published: MDPI AG 2023-11-01
Series:Geriatrics
Subjects:
Online Access:https://www.mdpi.com/2308-3417/8/6/117
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author Juan Carlos García de la Blanca
Javier Cuarental García
Gonzalo Luengo
Rafael Martí
Luis Rafael Ramos
author_facet Juan Carlos García de la Blanca
Javier Cuarental García
Gonzalo Luengo
Rafael Martí
Luis Rafael Ramos
author_sort Juan Carlos García de la Blanca
collection DOAJ
description (1) Background: Neglected hip dislocation is an uncommon condition, especially in developed countries because dislocations are considered trauma emergencies and thus are treated early. They are usually treated with methods used in commonly occurring dislocations. The aim of this study is to detail a two-stage strategy for neglected hip dislocations in adults applied in a complicated case. (2) Case presentation: We present a complicated case of neglected hip dislocation in a patient with an associated neurological condition. Two-stage open reduction was performed combined with arthrodiastasis and Ilizarov external fixators. After complications requiring a third intervention, the joint was stabilized, and the patient has presented no more episodes to date. (3) Conclusions: Arthrodiastasis has been used to treat these conditions. Comparing it with the other methods described in the literature, it seems to be a good therapeutic strategy, especially in elderly patients. Because of the limited number of studies, we cannot establish the most efficient therapeutic method, but we believe that the described strategy can be useful for patients with this condition.
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spelling doaj.art-0b928ae527c24512a95d2a2c382199682023-12-22T14:11:46ZengMDPI AGGeriatrics2308-34172023-11-018611710.3390/geriatrics8060117Neglected Dislocation in Adults: A New Therapeutic Strategy for an Uncommon ConditionJuan Carlos García de la Blanca0Javier Cuarental García1Gonzalo Luengo2Rafael Martí3Luis Rafael Ramos4Orthopedic Surgery Department, Hospital Universitario 12 de Octubre, 28041 Madrid, SpainOrthopedic Surgery Department, Hospital Universitario 12 de Octubre, 28041 Madrid, SpainOrthopedic Surgery Department, Hospital Universitario 12 de Octubre, 28041 Madrid, SpainOrthopedic Surgery Department, Hospital Universitario 12 de Octubre, 28041 Madrid, SpainOrthopedic Surgery Department, Hospital Universitario 12 de Octubre, 28041 Madrid, Spain(1) Background: Neglected hip dislocation is an uncommon condition, especially in developed countries because dislocations are considered trauma emergencies and thus are treated early. They are usually treated with methods used in commonly occurring dislocations. The aim of this study is to detail a two-stage strategy for neglected hip dislocations in adults applied in a complicated case. (2) Case presentation: We present a complicated case of neglected hip dislocation in a patient with an associated neurological condition. Two-stage open reduction was performed combined with arthrodiastasis and Ilizarov external fixators. After complications requiring a third intervention, the joint was stabilized, and the patient has presented no more episodes to date. (3) Conclusions: Arthrodiastasis has been used to treat these conditions. Comparing it with the other methods described in the literature, it seems to be a good therapeutic strategy, especially in elderly patients. Because of the limited number of studies, we cannot establish the most efficient therapeutic method, but we believe that the described strategy can be useful for patients with this condition.https://www.mdpi.com/2308-3417/8/6/117dislocationneglectedhiparthrodiastasisIlizarov
spellingShingle Juan Carlos García de la Blanca
Javier Cuarental García
Gonzalo Luengo
Rafael Martí
Luis Rafael Ramos
Neglected Dislocation in Adults: A New Therapeutic Strategy for an Uncommon Condition
Geriatrics
dislocation
neglected
hip
arthrodiastasis
Ilizarov
title Neglected Dislocation in Adults: A New Therapeutic Strategy for an Uncommon Condition
title_full Neglected Dislocation in Adults: A New Therapeutic Strategy for an Uncommon Condition
title_fullStr Neglected Dislocation in Adults: A New Therapeutic Strategy for an Uncommon Condition
title_full_unstemmed Neglected Dislocation in Adults: A New Therapeutic Strategy for an Uncommon Condition
title_short Neglected Dislocation in Adults: A New Therapeutic Strategy for an Uncommon Condition
title_sort neglected dislocation in adults a new therapeutic strategy for an uncommon condition
topic dislocation
neglected
hip
arthrodiastasis
Ilizarov
url https://www.mdpi.com/2308-3417/8/6/117
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AT rafaelmarti neglecteddislocationinadultsanewtherapeuticstrategyforanuncommoncondition
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