Successful Treatment of an Osteoporotic Posterior Fracture-Dislocation of the Hip in a Low-Resource Setting Using the Combined Hip Procedure

Marlon M Mencia; Shanta Bidaisee; Curtis Young Pong; Richard Hoford

doi:10.1016/j.artd.2021.05.022

Successful Treatment of an Osteoporotic Posterior Fracture-Dislocation of the Hip in a Low-Resource Setting Using the Combined Hip Procedure

Arthroplast Today. 2021 Jul 9:10:68-72. doi: 10.1016/j.artd.2021.05.022. eCollection 2021 Aug.

Authors

Marlon M Mencia^{1

2}, Shanta Bidaisee², Curtis Young Pong³, Richard Hoford²

Affiliations

¹ Department of Clinical Surgical Sciences, University of the West Indies, St. Augustine, Trinidad and Tobago.
² Department of Surgery, Port of Spain General Hospital, Trinidad, Trinidad and Tobago.
³ Department of Orthopaedics, Eric Williams Medical Sciences Complex, Trinidad, Trinidad and Tobago.

Abstract

The prevalence of osteoporotic acetabular fractures and fracture-dislocations of the hip is increasing worldwide. These injuries are difficult to treat, and outcomes using traditional methods of osteosynthesis have been generally disappointing. Currently, there is debate about the management strategies with no widely held consensus on which technique is best. Studies from tertiary centers in North America and Europe have reported excellent results using the "combined hip procedure" which merges osteosynthesis and acute hip arthroplasty to treat these challenging fractures. As our population ages, these injuries are likely to occur more commonly in the developing world. We describe a case of an 80-year-old man who sustained a posterior fracture-dislocation of his hip and underwent successful treatment using the combined hip procedure in a low-resource setting.

Keywords: Acetabulum; Combined hip procedure; Hip dislocation; Low-resource; Osteoporosis.

Publication types

Case Reports