scholarly journals Surgical Hip Dislocation for Management of Acetabular Osteochondroma in an Adult

2017 ◽  
Vol 2017 ◽  
pp. 1-3
Author(s):  
Alexandre H. Nehme ◽  
Georges F. Haidamous ◽  
Hicham G. Abdelnour ◽  
Jad N. BouMounsif ◽  
Joseph W. Wehbe ◽  
...  
Keyword(s):  
Rare Case ◽  
Clinical Presentation ◽  
Hip Dislocation ◽  
Complete Resection ◽  
Open Approach ◽  
Surgical Hip Dislocation ◽  
Surgical Dislocation ◽  
Dislocation Of The Hip

The purpose of this study is to report a rare case of acetabular osteochondroma with a unique clinical presentation occurring in an adult with normally developed hips. The distinctive size and location of the lesion required an open approach with surgical dislocation of the hip for complete resection.

scholarly journals Combined Imhauser osteotomy and osteochondroplasty in slipped capital femoral epiphysis through surgical hip dislocation approach

2020 ◽  
Vol 14 (3) ◽  
pp. 190-200 ◽  
Author(s):  
Mostafa M. Baraka ◽  
Hany M. Hefny ◽  
Mootaz F. Thakeb ◽  
Tamer A. Fayyad ◽  
Haytham Abdelazim ◽  
...  
Keyword(s):  
Slipped Capital Femoral Epiphysis ◽  
Alpha Angle ◽  
Hip Dislocation ◽  
Harris Hip Score ◽  
Functional Score ◽  
Surgical Hip Dislocation ◽  
Level Of Evidence ◽  
Surgical Dislocation ◽  
Imhauser Osteotomy ◽  
The Mean

Purpose Treatment of moderate to severe stable slipped capital femoral epiphysis (SCFE) remains a challenging problem. Open reduction by modified Dunn procedure carries a considerable risk of osteonecrosis (ON). Imhauser osteotomy is capable of realigning the deformity without the risk of ON, but the remaining metaphyseal bump is implicated with significant chondro-labral lesions and accelerated osteoarthritis. We conducted this study to evaluate the efficacy and safety of Imhauser osteotomy combined with osteochondroplasty (OCP) through the surgical hip dislocation (SHD) approach. Methods A prospective series of 23 patients with moderate-severe stable SCFE underwent Imhauser osteotomy and OCP through SHD. The mean age was 14.4 years (13 to 20) and the mean follow-up period was 45 months (24 to 66). The outcome measures included clinical and radiological parameters and Harris hip score (HHS) was used as a functional score. Results The mean HHS improved significantly from 65.39 to 93.3. The limb length discrepancy improved by a mean of 1.72 cm. The mean flexion and abduction arcs showed a significant improvement (mean increase of 37.5° and 18.5°, respectively). The mean internal rotation demonstrated the most significant improvement (mean increase of 38.5°). All the radiographic parameters improved significantly; including anterior and lateral slip angles (mean improvement 37.52° and 44.37°, respectively). The mean alpha angle decreased by 39.19°. The articulo-trochanteric distance significantly increased to a mean of 23.26 mm. No cases of ON or chondrolysis were identified. Conclusion Combined Imhauser osteotomy and OCP through the surgical dislocation approach provide a comprehensive and safe management of moderate to severe stable SCFE. Level of evidence IV

scholarly journals Complete Resection of a Massive Synovial Osteochondromatosis of the Hip Using an Anterior Approach: A Report of Two Cases

2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
Masanao Kataoka ◽  
Koji Goto ◽  
Yutaka Kuroda ◽  
Toshiyuki Kawai ◽  
Ouki Murata ◽  
...  
Keyword(s):  
Hip Joint ◽  
Anterior Approach ◽  
Open Surgery ◽  
Complete Resection ◽  
Synovial Osteochondromatosis ◽  
Surgical Dislocation ◽  
Arthroscopic Excision ◽  
Trochanteric Flip Osteotomy ◽  
Dislocation Of The Hip ◽  
Surgical Option

Arthroscopic excision of synovial osteochondromatosis of the hip is commonly performed. However, when the lesion extends to the extra-articular space of the hip joint, excision using arthroscopy becomes difficult. Although surgical dislocation of the hip with a trochanteric flip osteotomy is commonly used, manual access to the inferomedial portion of the acetabulum remains difficult. In this case report, we describe arthroscopic resection followed by open surgery using an anterior approach with or without surgical dislocation to excise a synovial osteochondromatosis of the hip that had extended to the extra-articular space and formed a herniation sac. Excision was completed without complications. An anterior approach with or without surgical dislocation should be considered as a surgical option for the treatment of a massive synovial osteochondromatosis of the hip joint.

Glomangiopericytoma (sinonasal-type haemangiopericytoma)

2012 ◽  
Vol 126 (10) ◽  
pp. 1069-1072 ◽  
Author(s):  
J C Oosthuizen ◽  
S Kennedy ◽  
C Timon
Keyword(s):  
Skull Base ◽  
Endoscopic Resection ◽  
Clinical Presentation ◽  
Endoscopic Examination ◽  
Complete Resection ◽  
Anterior Skull Base ◽  
Surgical Approaches ◽  
Open Approach ◽  
Successful Management ◽  
Histopathological Features

AbstractBackground:Glomangiopericytoma is a rare sinonasal tumour of perivascular myoid phenotype, which accounts for less than 1 per cent of all sinonasal tumours.Objective:Discussion of the clinical presentation, histopathological features and advances in the management of sinonasal and skull base glomangiopericytoma.Case report:A 32-year-old woman presented with worsening nasal obstruction, anosmia, severe frontal headaches and right-sided proptosis. Radiographic and endoscopic examination revealed a right-sided, vascular mass involving the nasal cavity, paranasal sinuses and anterior skull base. Histopathological features were consistent with a glomangiopericytoma. Complete endoscopic resection with free margins was achieved.Conclusion:Glomangiopericytomas are rare, vascular, sinonasal tumours. Successful management depends on complete resection, traditionally achieved via an open approach. However, recent advances in endoscopic surgical approaches have enabled complete endoscopic resection of these tumours, minimising morbidity and facilitating subsequent surveillance of the operative site.

Midterm results of trochanteric flip osteotomy technique for management of fractures around the hip

2017 ◽  
Vol 28 (2) ◽  
pp. 148-155 ◽  
Author(s):  
Vivek Trikha ◽  
Saubhik Das ◽  
Arkesh Madegowda ◽  
Prabhat Agrawal
Keyword(s):  
Femoral Head ◽  
Excellent Result ◽  
Hip Dislocation ◽  
Posterior Wall ◽  
Acetabular Fractures ◽  
Functional Evaluation ◽  
Midterm Results ◽  
Surgical Hip Dislocation ◽  
Surgical Dislocation ◽  
Trochanteric Flip Osteotomy

Introduction: In this study, we aimed to investigate safety and efficacy of the trochanteric flip osteotomy with surgical hip dislocation technique in selected displaced acetabular and femoral head fractures with clinico-radiological outcome and potential complications. Materials and methods: We retrospectively reviewed 32 patients from January 2009 to June 2014. Selected displaced acetabular fractures with comminution and/or cranial extension of posterior wall, marginal impaction, intraarticular fragment, femoral head fractures and hip fracture-dislocations were operated by this modified approach of trochanteric flip osteotomy and surgical hip dislocation. Patients were evaluated for fracture reduction, femoral head viability, trochanteric union, abduction power, and functional evaluation was done by Merle d’Aubigné-Postel scoring system. Minimum follow-up was 24 months. Results: Reduction was judged to be anatomical in 84.38% of cases, and within 1-3 millimetres in 9.38% of cases. All osteotomies healed in an anatomical position. Heterotopic ossification was found in 2 patients limited to Brooker class I. Osteonecrosis developed in 1 patient. 2 patients developed arthritis of the hip as sequelae of poor reduction. Abduction power was MRC 5/5 in all except in 1 patient (4/5). Mean Merle d’Aubigné-Postel score was 16.18; overall good to excellent result was achieved in 87.5% of cases. Conclusions: Trochanteric flip osteotomy with surgical dislocation allows better intraarticular assessment, control of intraarticular fragments, assists accurate reduction and the fixation of complex acetabular and femoral head fractures, without compromising femoral head vascularity and abductor strength. This technique has provided excellent midterm results in the management of complex injuries around the hip.

Surgical hip dislocation for treatment of synovial chondromatosis of the hip

2021 ◽  
Author(s):  
Sheng Fang ◽  
Huan Li ◽  
Yiming Wang ◽  
Peng Xu ◽  
Han Sun ◽  
...  
Keyword(s):  
Hip Dislocation ◽  
Synovial Chondromatosis ◽  
Surgical Hip Dislocation

Open Surgical Hip Dislocation for an Acetabular Osteoid Osteoma - A Case Report

2022 ◽  
Vol 5 (1) ◽  
pp. 01-04
Author(s):  
Parker J. Prusick ◽  
Steven D. Jones ◽  
Jesse Roberts ◽  
Nathan Donaldson
Keyword(s):  
Case Report ◽  
Osteoid Osteoma ◽  
Proximal Femur ◽  
Benign Tumor ◽  
Hip Dislocation ◽  
Long Bones ◽  
Surgical Hip Dislocation ◽  
Sclerotic Bone

Osteoid osteoma is a benign tumor that accounts for roughly 10-12% of all benign bone forming tumors. This tumor generally occurs within the first three decades of life and occurs more commonly in males. This lesion is painful and is generally worse at night and has relief of symptoms with the use of NSAIDs. Osteoid osteoma is characterized by the production of osteoid surrounded by a rim of sclerotic bone. These lesions most commonly occur in long bones such as the proximal femur, however they can occur anywhere. Rarely, as with our patient, have these lesions been reported in the acetabulum.

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