Outcome Analysis of Neglected Musculoskeletal Injuries of Hip
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 9
Abstract
Background: In our study the focus is on periarticular unreduced fractures involving the hip joint which are serious injuries resulting from both high velocity and low velocity trauma. Old unreduced dislocations of hip are relatively uncommon in adults but in our hospital we have seen many cases presenting with neglected hip dislocation and neglected neck of femur fractures with a minimum period of neglect of 1 week. Due to the increased need for preservation of biological hip in Indians we have attempted to devise a strategy for treatment of these neglected injuries to produce the best outcome possible for the patient. Materials And Methods: 96 patients with neglected hip injuries were selected based on a set criteria and was put on a treatment protocol according to various factors like age, outcome expected, occupation of the patient etc and they evaluated at three stages pre intervention, intervention and post intervention stage. Then after a serial follow up period of minimum 1 year the final outcome was recorded. Results: In our study neglected trochanteric fractures had a better outcome when compared to neglected neck of femur that underwent fixation of fractures. In neck of femur fracture that underwent prosthetic replacements had better outcome than fracture fixations of neglected neck of femur fractures Conclusion: In conclusion we have proven that irrespective of duration of neglect surgical procedures for neglected injuries are always better than watchful neglect. The complications and outcome in all the cases depended on many factors as even in some cases with longer neglect duration excellent outcome was possible but in some cases with shorter neglect duration also fair outcome was only possible.
Authors and Affiliations
K. Muthukumar, Hementha Kumar, K M Siva Prasad
Keywords
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- EP ID EP256170
- DOI 10.9790/0853-1609063848
- Views 53
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