Open Obturator Hip Dislocation: A Case Report and Review of the Literature

An open obturator dislocation with associated pelvic ring injury and perineal wound underwent fixation and aggressive debridement. Despite this, the patient proceeded to infection requiring additional debridements and prolonged intravenous antibiotics. At 18 months postinjury, the patient developed...

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Bibliographic Details
Published inJBJS case connector Vol. 10; no. 2; p. e0149
Main Authors Medda, Suman, Araiza, Edgar T, Pilson, Holly T
Format Journal Article
LanguageEnglish
Published United States 01.04.2020
Subjects
Accidents, Traffic
Adolescent
Female
Femur Head Necrosis - etiology
Fracture Fixation, Intramedullary
Fractures, Comminuted - complications
Fractures, Comminuted - diagnostic imaging
Fractures, Comminuted - surgery
Hip Dislocation - complications
Hip Dislocation - diagnostic imaging
Hip Dislocation - surgery
Humans
Osteomyelitis - etiology
Pelvic Bones - injuries
Perineum - injuries
Reoperation
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Summary:An open obturator dislocation with associated pelvic ring injury and perineal wound underwent fixation and aggressive debridement. Despite this, the patient proceeded to infection requiring additional debridements and prolonged intravenous antibiotics. At 18 months postinjury, the patient developed avascular necrosis and significant heterotopic ossification; however, she was able to ambulate. Open obturator dislocations of the hip require a multidisciplinary team. Despite prompt antibiotic therapy and aggressive debridement, patients are at high risk of infection because of the microbial environment in this region. Open obturator hip dislocations are at significant risk of avascular necrosis despite timely reduction.
ISSN:2160-3251
DOI:10.2106/JBJS.CC.19.00149