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Delayed presentation of bilateral central hip protrusio acetabuli: evidence-based management.
- Source :
-
BMJ case reports [BMJ Case Rep] 2018 Aug 01; Vol. 2018. Date of Electronic Publication: 2018 Aug 01. - Publication Year :
- 2018
-
Abstract
- This is a case of a previously healthy 51-year-old man who sustained bilateral central hip dislocations following a sudden presentation of epileptic seizures. The patient was initially treated conservatively for a period of 9 months. On presentation, he had gross disability due to stiffness in both hips and left peroneal nerve paresis. Through minimally invasive direct anterior approaches, bilateral total hip arthroplasties were performed using tripolar head articulations. These were cemented into a biologic acetabular buttress constructed out of autologous bone graft. The femoral heads and necks were used as plugs and pressed into the acetabular defects, putting the medial acetabular walls under tension. At 24 months' follow-up, there was a good clinical outcome, and the acetabular walls remodelled bilaterally. In conclusion, in traumatic protrusio acetabuli, a functional, biologic reconstruction of the acetabular wall can be facilitated with the application of distraction osteogenesis (tension-stress) principles while using minimally invasive surgical techniques.<br />Competing Interests: Competing interests: None declared.<br /> (© BMJ Publishing Group Limited 2018. No commercial re-use. See rights and permissions. Published by BMJ.)
- Subjects :
- Bone Transplantation
Cementation
Evidence-Based Practice
Hip Joint physiopathology
Humans
Joint Diseases etiology
Joint Diseases physiopathology
Male
Middle Aged
Peroneal Neuropathies etiology
Peroneal Neuropathies physiopathology
Recovery of Function
Time Factors
Transplantation, Autologous
Treatment Outcome
Arthroplasty, Replacement, Hip methods
Hip Joint surgery
Joint Diseases surgery
Peroneal Neuropathies surgery
Seizures complications
Subjects
Details
- Language :
- English
- ISSN :
- 1757-790X
- Volume :
- 2018
- Database :
- MEDLINE
- Journal :
- BMJ case reports
- Publication Type :
- Academic Journal
- Accession number :
- 30068579
- Full Text :
- https://doi.org/10.1136/bcr-2018-225934