Most prognostic factor related to development of traumatic osteonecrosis of femoral head following hip dislocation. Time to relocation or severity of injury?

Femoral head osteonecrosis following hip dislocations has been reported to be directly related to the timing of reduction. Reduction within six hours of injury was reported to lower the risk to 10%. Most previous reports concluded no good results were achieved if reduction is delayed beyond twenty-f...

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Main Authors:	Sharifudin, Mohd Ariff, Johari, Joehaimey, Shafei, Surianty
Format:	Conference or Workshop Item
Language:	English English
Published:	2012
Subjects:	RD701 Orthopedics RZ301 Osteopathy
Online Access:	http://irep.iium.edu.my/24413/ http://irep.iium.edu.my/24413/ http://irep.iium.edu.my/24413/1/Mohd_Ariff_SHARIFUDIN.pdf http://irep.iium.edu.my/24413/4/AVN_HIP_%28AOAP_2012%2C_HK%29.pdf

id	iium-24413
recordtype	eprints
spelling	iium-244132013-02-01T03:07:46Z http://irep.iium.edu.my/24413/ Most prognostic factor related to development of traumatic osteonecrosis of femoral head following hip dislocation. Time to relocation or severity of injury? Sharifudin, Mohd Ariff Johari, Joehaimey Shafei, Surianty RD701 Orthopedics RZ301 Osteopathy Femoral head osteonecrosis following hip dislocations has been reported to be directly related to the timing of reduction. Reduction within six hours of injury was reported to lower the risk to 10%. Most previous reports concluded no good results were achieved if reduction is delayed beyond twenty-four hours. In this study, factors which are implicated in the development of traumatic osteonecrosis of femoral head were evaluated. Thirty-eight patients with simple posterior hip dislocation admitted to a single tertiary centre were evaluated. All patients were treated with closed manual reduction. Plain radiograph of the hip was done to screen for occurrence of osteonecrosis of the femoral head. The duration of injury until the last x-ray done must be more than four months post injury. The mean age was 25 years (range 14 to 48 years). Majorities were males (92.1%) and motorcyclists (71.0%). 15.7% had associated femoral head fracture, while 31.6% had posterior acetabular fracture. Time to relocation for 42.1% of cases was less than six hours, with 28.9% of cases were reduced after twelve hours. Mean duration from the onset of injury until last x-ray done was 41 months (range 4 to 99 months). No case of avascular necrosis of the femoral head was reported. All of the hips had good to excellent functional and radiographic outcome. The findings were not consistent with previous reports concluding no good results achieved if reduction is delayed beyond 24 hours. This supports the claim that the severity of injury sustained rather than delay in treatment is the more important factor influencing the occurrence of femoral head osteonecrosis. 2012-05 Conference or Workshop Item PeerReviewed application/pdf en http://irep.iium.edu.my/24413/1/Mohd_Ariff_SHARIFUDIN.pdf application/pdf en http://irep.iium.edu.my/24413/4/AVN_HIP_%28AOAP_2012%2C_HK%29.pdf Sharifudin, Mohd Ariff and Johari, Joehaimey and Shafei, Surianty (2012) Most prognostic factor related to development of traumatic osteonecrosis of femoral head following hip dislocation. Time to relocation or severity of injury? In: 1st AOTrauma Asia Pacific Scientific Congress & TK Experts' Symposium , 11-12 May 2012, Hong Kong Disneyland Hotel, Hong Kong. http://www.aotapcongress.org/index.html.php
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English English
topic	RD701 Orthopedics RZ301 Osteopathy
spellingShingle	RD701 Orthopedics RZ301 Osteopathy Sharifudin, Mohd Ariff Johari, Joehaimey Shafei, Surianty Most prognostic factor related to development of traumatic osteonecrosis of femoral head following hip dislocation. Time to relocation or severity of injury?
description	Femoral head osteonecrosis following hip dislocations has been reported to be directly related to the timing of reduction. Reduction within six hours of injury was reported to lower the risk to 10%. Most previous reports concluded no good results were achieved if reduction is delayed beyond twenty-four hours. In this study, factors which are implicated in the development of traumatic osteonecrosis of femoral head were evaluated. Thirty-eight patients with simple posterior hip dislocation admitted to a single tertiary centre were evaluated. All patients were treated with closed manual reduction. Plain radiograph of the hip was done to screen for occurrence of osteonecrosis of the femoral head. The duration of injury until the last x-ray done must be more than four months post injury. The mean age was 25 years (range 14 to 48 years). Majorities were males (92.1%) and motorcyclists (71.0%). 15.7% had associated femoral head fracture, while 31.6% had posterior acetabular fracture. Time to relocation for 42.1% of cases was less than six hours, with 28.9% of cases were reduced after twelve hours. Mean duration from the onset of injury until last x-ray done was 41 months (range 4 to 99 months). No case of avascular necrosis of the femoral head was reported. All of the hips had good to excellent functional and radiographic outcome. The findings were not consistent with previous reports concluding no good results achieved if reduction is delayed beyond 24 hours. This supports the claim that the severity of injury sustained rather than delay in treatment is the more important factor influencing the occurrence of femoral head osteonecrosis.
format	Conference or Workshop Item
author	Sharifudin, Mohd Ariff Johari, Joehaimey Shafei, Surianty
author_facet	Sharifudin, Mohd Ariff Johari, Joehaimey Shafei, Surianty
author_sort	Sharifudin, Mohd Ariff
title	Most prognostic factor related to development of traumatic osteonecrosis of femoral head following hip dislocation. Time to relocation or severity of injury?
title_short	Most prognostic factor related to development of traumatic osteonecrosis of femoral head following hip dislocation. Time to relocation or severity of injury?
title_full	Most prognostic factor related to development of traumatic osteonecrosis of femoral head following hip dislocation. Time to relocation or severity of injury?
title_fullStr	Most prognostic factor related to development of traumatic osteonecrosis of femoral head following hip dislocation. Time to relocation or severity of injury?
title_full_unstemmed	Most prognostic factor related to development of traumatic osteonecrosis of femoral head following hip dislocation. Time to relocation or severity of injury?
title_sort	most prognostic factor related to development of traumatic osteonecrosis of femoral head following hip dislocation. time to relocation or severity of injury?
publishDate	2012
url	http://irep.iium.edu.my/24413/ http://irep.iium.edu.my/24413/ http://irep.iium.edu.my/24413/1/Mohd_Ariff_SHARIFUDIN.pdf http://irep.iium.edu.my/24413/4/AVN_HIP_%28AOAP_2012%2C_HK%29.pdf
first_indexed	2023-09-18T20:36:35Z
last_indexed	2023-09-18T20:36:35Z
_version_	1777409086797643776

Most prognostic factor related to development of traumatic osteonecrosis of femoral head following hip dislocation. Time to relocation or severity of injury?

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