TOTBİD Derleme Dergisi

TOTBİD Derleme Dergisi

2026, Cilt 25, Sayı, 6     (Sayfalar: 679-686)

Traumatic hip dislocations: Diagnosis, classification, treatment, and complications

Evrim Duman 1, Ömer Torun 1, Ahmet Acar 1

1 S.B. Ankara Etlik Şehir Hastanesi, Ortopedi ve Travmatoloji Kliniği, Ankara

DOI: 10.5578/totbid.derleme.dergisi.2026.79
Görüntüleme: 14
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İndirme : 9

Traumatic hip dislocations are orthopedic emergencies that usually result from high-energy trauma and require prompt diagnosis and treatment. Early reduction is essential for preserving femoral head vascularity and minimizing long-term complications. Plain radiographs remain the primary imaging modality for diagnosis, whereas computed tomography is recommended after reduction to assess joint congruency, occult fractures, and intra-articular fragments. Surgical intervention is indicated when closed reduction fails or when instability, incarcerated intra-articular fragments, or associated fractures are present. Major complications include avascular necrosis, post-traumatic osteoarthritis, sciatic nerve injury, heterotopic ossification, and recurrent instability. In pediatric patients, early reduction is equally critical, although imaging strategies and injury patterns differ from those of adults. In conclusion, successful management of traumatic hip dislocations requires systematic trauma assessment, detailed neurovascular examination, urgent reduction, appropriate post-reduction imaging, and close follow-up for early detection of complications.

Anahtar Kelimeler : hip joint; hip dislocation; dislocation; closed reduction