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Systematic reviewEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026

Neglected traumatic hip dislocation: a systematic review of case reports and case series on management, outcomes, and complications.

Vijendra Jinger, Sonali Barad, Arun Vaishy, Hemant Jain

OrthopedicsSystematic review

Total hip arthroplasty was most reliable for chronic neglected traumatic hip dislocations

Neglected traumatic hip dislocation: a systematic review of case reports and case series on management, outcomes, and complications.

Vijendra Jinger … Hemant Jain

European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026

Background

Neglected traumatic hip dislocation (neglected traumatic hip dislocation) is a challenging orthopaedic condition predominantly encountered in developing countries, where delayed presentation is attributable to socioeconomic barriers, lack of awareness, and reliance on traditional bone setters.

Purpose

The objective of this work was to systematically review the available literature on the management strategies, functional outcomes, and complications associated with neglected traumatic hip dislocation in both adults and children.

Methods

A systematic search of five electronic databases (PubMed/MEDLINE, Embase, Cochrane CENTRAL, Scopus, and Google Scholar) was conducted from inception through March 2026 using predefined search strings, and the review was reported in accordance with the PRISMA 2020 guidelines.

n = 200 patients

81-91

Results

81-91

average hip pain-and-function score after hip replacement; higher scores mean better function

n = 200 patients

More results

Twenty-one studies comprising a total of 200 patients met the inclusion criteria.

Avascular necrosis was the most prevalent complication (reported in up to 100% of chronic series), followed by post-operative dislocation (8-25%), pre-existing sciatic nerve palsy (up to 25%), limb-length discrepancy, and heterotopic ossification.

More results

The overall certainty of evidence was low to very low.

“

Conclusion · 1 of 3

Management of neglected traumatic hip dislocation must be individualized based on the duration of neglect, patient age, presence of associated fractures, and condition of the femoral head.

Conclusion · 2 of 3

For dislocations less than 3 months old, open reduction remains viable, and in children it is the treatment of choice.

Conclusion · 3 of 3

For chronic dislocations exceeding 3 months, total hip arthroplasty with or without sub-trochanteric shortening osteotomy is the most consistently reported and reliable option.

Post

Neglected traumatic hip dislocation: a systematic review of case reports and case series on management, outcomes, and complications.

Total hip arthroplasty was most reliable for chronic neglected traumatic hip dislocations

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