Surgical Dislocation of the Hip for Excision of Benign Tumours

Overview

Journal J Orthop

Specialty Orthopedics

Date 2014 Apr 11

PMID 24719531

Citations 5

Authors

Aamer Nisar

Sudhesh Gulhane

Ashish Mahendra

Robert Marshall Dominic Meek

Sanjeev Patil

Affiliations

Soon will be listed here.

Abstract

Aim: Surgical dislocation of hip is used to treat a variety of hip conditions. We report our experience of the approach in excision of benign tumours of the hip.

Methods: This is a review of the cases presenting with benign tumours to a tertiary care complex hip clinic. Data was collected prospectively. All patients were radiologically investigated before surgery for anatomical detail. Surgical dislocation was carried out by the senior surgeon in all cases. Non-Arthritic Young Hip Scores were done preoperatively and at 12 months. All patients are under annual follow-up.

Results: There were 9 cases of benign tumours in this series including Pigmented Villonodular Synovitis (2), synovial chondromatosis (2), fibrous dysplasia (2), osteochondroma (2) and chondroblastoma (1). No recurrences, trochanteric nonunion or avascular necrosis have been seen up to a minimum of 18 months follow-up. Non-arthritic Young Hip scores improved from a mean of 45 to 89 at 12 months.

Conclusion: Surgical dislocation of the hip is a useful approach for removal of benign tumours of the hip joint.

Citing Articles

Surgical Hip Dislocation for a Diagnostic Dilemma: Differentiating Synovial Chondromatosis and Pigmented Villonodular Synovitis.

Feroe A, Hassan M, Fourman M, Anderson M, Kim Y Iowa Orthop J. 2022; 42(1):263-265.

PMID: 35821952 PMC: 9210434.

Surgical treatment of benign osteolytic lesions in the femoral head and neck: a systematic review.

Shi J, Zhao Z, Yan T, Guo W, Yang R, Tang X BMC Musculoskelet Disord. 2021; 22(1):549.

PMID: 34134687 PMC: 8210383. DOI: 10.1186/s12891-021-04442-y.

Surgical hip dislocation for treatment of synovial chondromatosis of the hip.

Fang S, Li H, Wang Y, Xu P, Sun H, Li S Int Orthop. 2021; 45(11):2819-2824.

PMID: 33877408 DOI: 10.1007/s00264-021-05045-x.

Surgical hip dislocation through a direct lateral approach: A cadaveric study of vascular danger zones.

Halawi M, Brigati D, McBride J, Drake R, Brooks P J Clin Orthop Trauma. 2017; 8(3):281-284.

PMID: 28951648 PMC: 5605746. DOI: 10.1016/j.jcot.2017.06.009.

CORR Insights®: what are the results using the modified trapdoor procedure to treat chondroblastoma of the femoral head?.

Davidson D Clin Orthop Relat Res. 2014; 472(11):3468-70.

PMID: 25163690 PMC: 4182391. DOI: 10.1007/s11999-014-3907-0.

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