Title: Neglected Posterior Dislocation of Hip in Children -A Case Report
Authors: Dr Sanjeev Gupta, Dr Tanveer Ali
DOI: https://dx.doi.org/10.18535/jmscr/v8i7.82
Abstract
Introduction
Traumatic posterior dislocation of the hip in children is an uncommon injury[1]. It makes up over 80% of pediatric hip dislocations. As compared to adults, minimal trauma is required to produce dislocation in children. This can be attributed to a soft, pliable acetabulum and ligamentous laxity in younger age group[2]. This fracture has a better prognosis if managed within 6 hours. Delay in reduction is associated with long-term complications such as episodes of renewed dislocation, chondrolysis, avascular necrosis and degenerative arthritis[3].
Posterior dislocation is diagnosed on the basis of classical deformity of flexion, adduction and internal rotation. However, the diagnosis can be missed if an associated shaft fracture masks the classical findings.
The treatment should be initiated as early as possible. The options for management of hip dislocation in children are closed and open reduction,[4] salvage by excisional orthoplasty, realignment osteotomy, arthrodesis or total hip replacement. We choose to manage our patients by open reduction and internal fixation by K-wire and post operative immobilization with hip spica.
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