OBJECTIVE: To determine the outcome of and prognostic factors associated with irreducible @entity174 of the hip. DESIGN: Retrospective review of a prospectively gathered @entity130 database. METHODS: Using a prospectively gathered @entity130 database, we identified twenty-five @entity1 with @entity174 of the hip that were irreducible with closed means under a general anaesthetic. All were victims of high-energy @entity130 with severe @entity130 (mean Injury Severity Score = 25, range 9 to 54). Eighteen @entity1 had @entity174 , fifteen had associated @entity1317 , and only four sustained the @entity4822 in an isolated fashion. There were seven associated @entity1930 (28 percent) and nine associated femoral @entity135 (36 percent). The mean time from @entity542 was 15.3 hours (range 3 to 58 hours). RESULTS: Twenty-three @entity1 (92 percent) were followed to definitive outcome. Despite accurate reduction, only six @entity1 had satisfactory results ( @entity16611 = good or excellent). Poor results were associated with delay in reduction and an associated femoral @entity135 . Reasons for the poor results include @entity2530 , posttraumatic @entity625 or chondrolysis, persisting @entity1930 , and @entity2736 . CONCLUSIONS: An irreducible @entity173 is a severe injury with a poor prognosis and a high incidence of associated @entity130 . Outcome is best in @entity1 who do not have an associated femoral @entity135 and those whose dislocation is promptly reduced.

Irreducible XXXX : a severe injury with a poor prognosis.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity135 :: ('MESH:D006258', 'Disease') :: ['head or neck fractures', 'head or neck fracture'] @entity625 :: ('MESH:D001168', 'Disease') :: ['arthritis'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fracture-dislocations', 'multiple fractures'] @entity542 :: ('MESH:D006259', 'Disease') :: ['injury to open reduction'] @entity16611 :: ('MESH:C535507', 'Disease') :: ['Thompson-Epstein'] @entity173 :: ('MESH:D006620', 'Disease') :: ['fracture-dislocation of the hip'] @entity2736 :: ('MESH:D009999', 'Disease') :: ['heterotopic ossification'] @entity4822 :: ('MESH:D025981', 'Disease') :: ['hip injury'] @entity1317 :: ('MESH:D057772', 'Disease') :: ['systemic injury'] @entity1930 :: ('MESH:D020426', 'Disease') :: ['sciatic nerve injury', 'sciatic nerve injuries'] @entity130 :: ('MESH:D014947', 'Disease') :: ['injuries', 'trauma'] @entity2530 :: ('MESH:D010020', 'Disease') :: ['avascular necrosis']
@entity173 :: (MESH:D006620,Disease) :: ['fracture-dislocation of the hip']
