Surgical hip dislocation for removal of retained intra-articular bullets.

Maqungo, Sithombo; Hoppe, S; Kauta, Jimmy N; McCollum, Graham A; Laubscher, Maritz; Held, Michael; Keel, MJ (2016). Surgical hip dislocation for removal of retained intra-articular bullets. Injury - international journal of the care of the injured, 47(10), pp. 2218-2222. Elsevier 10.1016/j.injury.2016.06.020

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INTRODUCTION

Surgical hip dislocation with trochanteric osteotomy was introduced for the treatment of femoroacetabular impingement and other intra-articular pathologies of the hip. We expanded the indications to include removal of retained bullets in the hip joint as an alternative to hip arthroscopy.

PATIENTS AND METHODS

We present a prospective case series of ten patients that were treated with a surgical hip dislocation for removal of retained bullets in the hip joint between January 2014 and October 2015 in a Level 1 trauma centre. The main outcome measurements were successful bullet removal, blood loss, surgical time and intraoperative complications.

RESULTS

There were 8 males and 2 females with a mean age of mean age 27.3 years (range 20-32). All patients had one whole retained bullet for removal (right side: 8; left side: 2). In all cases the bullet could be removed in its entirety. The average surgical time was 73min (range 55-125) and the average blood loss 255ml (range 200-420).

CONCLUSIONS

Surgical hip dislocation provides an unlimited view of the acetabulum and femoral head and neck and it therefore allows for easy removal of retained bullets. Osteocartilaginous lesions and concomitant fractures of the femoral head can be simultaneously evaluated and treated.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Orthopaedic Surgery

UniBE Contributor:

Hoppe, Sven, Keel, Marius

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0020-1383

Publisher:

Elsevier

Language:

English

Submitter:

Lilianna Bolliger

Date Deposited:

26 Apr 2017 17:16

Last Modified:

05 Dec 2022 15:02

Publisher DOI:

10.1016/j.injury.2016.06.020

PubMed ID:

27375011

Uncontrolled Keywords:

Bullet removal; Gunshot; Hip; Retained bullet; Surgical hip disclocation

BORIS DOI:

10.7892/boris.94782

URI:

https://boris.unibe.ch/id/eprint/94782

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