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            [0] => Anterior open dislocation of the hip : An unusual case report
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            [0] => Hopital sahloul sousse
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    [nom] => Array
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            [0] => jellali
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            [0] => alaeddine
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            [0] => jellalialaeddine1614@gmail.com
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            [0] => 26697847
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            [0] => 
 
Nom prénom / Name Surname: Lassaad HASSINI*, Wadie MAHJOUBI *, Wajdi CHERMITI*, Mourad MTAOUMI*, Mahmoud BEN MAITIGUE*, Karim BOUATTOUR*
Email: jellalialaeddine1614@gmail.com
Hôpital / Hospital: hopital sahloul sousse

        )

    [mots_cles] => Array
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            [0] => open dislocation  hip  Anterior;

        )

    [event-id] => Array
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            [0] => 3663
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            [0] => 1
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            [0] => jellalialaeddine1614@gmail.com
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    [specialite] => Array
        (
            [0] => Chirurgie orthopédique et traumatologique
        )

    [pays] => Array
        (
            [0] => Tunisie
        )

    [texte_abs] => Array
        (
            [0] => Introduction
The hip joint is inherently stable, which requires significant force to promote its dislocation. Therefore, hip dislocations usually result from high-energy trauma. Craniocerebral, thoracic, and abdominal injuries are commonly associated. Skeletal injuries often associated include fractures of the head or femoral neck, femoral shaft, acetabulum, and pelvis, as well as knee, ankle, and foot injuries and neurological lesions . Approximately 3% of all joint dislocations involve the hip joint, and only 8–10% of these will be anterior. Open traumatic dislocation of the hip is rare and even unusual in children. Early recognition and prompt, congruous reduction is advised . We report an adolescent who sustained an open anterior dislocation of the hip with ipsilateral avulsion of the greater trochanter.
Case presentation
We present a case of a 13-year-old boy who had an open anterior dislocation of the hip with ipsilateral avulsion fracture of the greater trochanter and a diaphyseal closed fracture of the contralateral femur after a tractor wheel crush in an agricultural accident. Additional lesions included thoracic trauma with rib fractures and pneumothorax.
The physical examination revealed a protrusion of the right femoral head through an 12-cm-long inguinal wound without vascular/nerve complications
Discussion
Traumatic hip dislocation in children is a relatively rare injury accounting for about 5% of all hip dislocations. Most of the hip dislocations seen in children are of the posterior type, but the much rarer anterior type has also been described, accounting for about 5–10% of all pediatric hip dislocations . Holzach et al. reported 86 patients with traumatic hip dislocation, of whom 78 had a posterior dislocation, five anterior, and three central. Further studies consisting of more
Conclusion
Anterior traumatic open dislocation of the hip is very rare. It occurs in the context of high-velocity polytrauma. There are various associated lesions. An open dislocation is possible even in the absence of an acetabular fracture. The long-term prognosis depends on the occurrence of complications, mainly avascular necrosis of femoral head, which is very difficult to manage, especially in children and adolescents. To reduce the risk of occurrence of femoral head necrosis, reduction and repair
        )

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