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Types and Management of Traumatic Hip Dislocation among Patients Attended at Muhimbili Orthopaedics Institute Dar es Salaam, Tanzania

DOI : https://doi.org/10.36349/easjms.2026.v08i05.004
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Background: Traumatic hip dislocation management is a time-sensitive medical emergency that occurs in high-energy trauma. The optimal result is obtained if the dislocation is reduced within 6 hours post-injury. Types of dislocation in patients with traumatic hip dislocations attended at MOI are not known. The study aimed to determine the types, time interval between dislocation and reduction and management provided to patients with traumatic hip dislocation attended at MOI. Aim of the study: To determine the types and management of traumatic hip dislocation among patients attended at MOI from January 2016 to December 2018. Methods: This was a hospital-based cross-sectional retrospective study that was conducted at MOI for 6 months from September 2019 until March 2020. One hundred patients who met the inclusion criteria were enrolled in the study. Data were collected using a data abstraction form. Types of dislocation and reduction maneuvers were obtained from patients’ files. Types of management provided were recorded as non-operative or operative management. Associated injuries were recorded by frequency and percentage. Data were analyzed using SPSS version 25 and presented as frequency and proportion. Results: A total of 100 patients with traumatic hip dislocation were recruited during the study period. The majority of study participants were males 85(85%). The mean age of patients was 36 ±12 years. Posterior dislocation of the hip was the most common injury 88(88%) while central dislocation of the hip was 7(7%) and anterior dislocation of the hip was 5(5%). Associated injuries were observed in 76(76%) of patients, acetabular fractures being the most frequent. The period between dislocation and reduction was less than 6 hours in 4(4%) of patients, between 6 and 12 hours in 21(21%), and over 12 hours in 75(75%). Over half of the patients 55(55%) were managed by a closed reduction for the traumatic dislocated hip and the rest were managed surgically. Conclusion: Th

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