Functional outcome of a year-old neglected posterior hip dislocation after a 2-Stage operation: A case report

Abstract

Posterior hip dislocations occur as a result of hip trauma in positions of flexion, adduction, and internal rotation. In developing countries especially in Indonesia, the patients usually come to the hospital several days or even years after the trauma. Open reduction was known as a management of posterior hip dislocation in chronic condition. We present the case of a 22-year-old male with neglected posterior hip dislocation from motor vehicle collision 1 year ago. The patient went to the bonesetter and a year later went to an orthopedic Surgeon at Dr Mohammad Hoesin General Hospital Palembang because the pain worsened and the patient was having difficulty walking. The operation performed on the patient was soft tissue release + skeletal traction and open reduction followed by installation of a Kirschner wire (K-wire). After the operation, the patient had improvements such as leg length discrepancy score was 0 cm, able to walk without crutch, no limp, unlimited distance, and the improvement of Harris Hip Score from 41 to 96. In conclusion, open reduction had better improvement than any treatment.