REDÜKTE EDİLEMEYEN TRAVMATİK POSTERİOR KALÇA ÇIKIĞININ AÇIK GÜVENLİ CERRAHİ İLE REDÜKSİYONU İLE İLGİLİ NADİR BİR OLGU SUNUMU

Year 2025, Volume: 26 Issue: 4, 386 - 389, 13.10.2025

Uğur Yüzügüldü , Özal Özcan , Bilge Kağan Yılmaz , İbrahim Ethem Bütüner

https://doi.org/10.18229/kocatepetip.1260273

Abstract

Travmatik kalça çıkığı hızlı değerlendirme ve redüksiyon gerektiren ortopedik bir acil durumdur. Uzun dönemde avasküler nekroz ve posttravmatik osteoartrit gibi ciddi morbiditelere neden olabilir. Bu olgu sunumunda trokanterik osteotomi uygulanarak açık redüksiyonla tedavi edilen travmatik kalça çıkığı ele alınmıştır. 50 yaşında sürücü kadın trafik kazası sonrası posterior superior sağ kalça çıkığı görüldü. Acil serviste sedasyon altında kapalı redüksiyon denendi ancak kalça redüksiyonu sağlanamadı. Genel anestezi altında tekrar kapalı redüksiyon denendi ancak redüksiyon başarısız olduğu için açık cerrahi yapılmasına karar verildi. Femur başının arka labrumu yırtıp arka kapsülü delerek düğme iliği fenomenine neden olduğu ve bu nedenle kapalı redüksiyon sağlanamadığı anlaşıldı. Redükte edilemeyen travmatik kalça çıkıkları literatürde nadir görülen olgulardır. Kapalı redüksiyon sağlanamadığı takdirde bu durumlarda düğme iliği fenomeni mutlaka düşünülmeli ve açık cerrahi yöntemler tercih edilmelidir.

Keywords

Osteonekroz , Düğme İliği Fenomeni , Dislokasyon

A RARE CASE REPORT ABOUT REDUCTION OF IRREDUCIBLE TRAUMATIC POSTERIOR HIP DISLOCATION WITH OPEN SAFE SURGERY

Abstract

Traumatic hip dislocation is an orthopedic emergency that requires rapid evaluation and reduction. It may cause severe morbidities like avascular necrosis and posttraumatic osteoarthritis in the long term. This case report discusses a traumatic hip dislocation treated with open reduction using trochanteric osteotomy. A 50-year-old female driver experienced a posterior superior right hip dislocation following a traffic accident. Under sedation in an emergency room, closed reduction was attempted, but the reduction of the hip was not achieved. Under general anesthesia, closed reduction was reattempted, but then performing an open surgery was decided because of the unsuccessful reduction. It was understood that the femoral head tore the posterior labrum and passed out by penetrating the posterior capsule causing the buttonhole phenomenon; therefore, closed reduction was not accomplished. Irreducible traumatic hip dislocations are rare cases in the literature. The buttonhole phenomenon should be considered unless closed reduction can be achieved, and open surgical methods should be preferred.

Keywords

Osteonecrosis , Buttonhole Phenomenon , Dislocation

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