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
![[img]](https://boris.unibe.ch/style/images/fileicons/text.png) |
Text
1-s2.0-S0020138316302625-main.pdf - Published Version Restricted to registered users only Available under License Publisher holds Copyright. Download (1MB) |
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 |
Actions (login required)
 |
Edit item |