A five year retrospective study and a six months prospective study of traumatic posterior dislocation of the hip.

Abstract

This study was done in two parts. Part I is a retrospective study from Jan 1995 to December 1999 of patients who were admitted in Kenyatta National Hospital with traumatic posterior dislocation of the hip. 89 patients were studied. It was found that young adults between ages 21 - 30 were the most commonly injured. Majority of the injured were males (74 or 83%). 69 patients (77.5%) sustained posterior dislocation following road traffic accidents. Majority of the patients presented to hospital within Y2 hr - 6 hrs and closed reduction was the most common method of treatment.The standard radiographs were the only method of imagmg. There was no follow-up in the majority of patients (70 or 78.7%) and most of them (72 or 80.9%) had no complications. • Part 11- This was a prospective study of 9 patients who sustained traumatic posterior dislocation of the hip. One patient died of diabetic complications during the study. Male to female ratio was 8: 1 and 5 (55.6%) were in the age group 21 - 30 yrs. Road traffic accident accounted for the majority (7 or 77.8%) of those injured. 5 (55.6%) had associated injuries and majority (8 or 88.9%) were treated by closed methods. 7 (77.8%) had no complications. Only one had post traumatic osteoarthritis.