PDF(Pubmed)
Abstract：
(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.
摘要：
(1)背景:被忽视的髋关节脱位是一种罕见的疾病,特别是在发达国家，因为脱臼被认为是创伤紧急情况，因此可以早期治疗。它们通常用在通常发生的位错中使用的方法进行治疗。这项研究的目的是详细说明在复杂病例中应用的成人被忽视髋关节脱位的两阶段策略。（2）病例介绍：我们介绍了患有相关神经系统疾病的患者中被忽视的髋关节脱位的复杂病例。结合关节扩张和Ilizarov外固定器进行了两阶段切开复位。在需要第三次干预的并发症之后，关节稳定了,到目前为止，患者没有出现更多的发作。（3）结论：已使用关节炎来治疗这些疾病。将其与文献中描述的其他方法进行比较，这似乎是一个很好的治疗策略，尤其是老年患者。由于研究数量有限，我们无法建立最有效的治疗方法，但我们认为，所描述的策略可以对这种情况的患者有用。
