Introduction: Hip disarticulation (HD) consists of a removal of the entire lower limb at the height of the hip-femoral joint. It is an extremely mutilating intervention with a major functional and psychological impact. We report 11 cases of hip disarticulation following severe trauma of the lower limb. The aim of the study is to analyze the frequency, the clinical aspect and present their management results and the patients’ becoming. Patients and methods: A 13-year retrospective study was conducted in our traumatology department. Eleven cases of hip disarticulation were identified. We analyzed the following data: the epidemiological parameters (age, sex, accidentology), Clinico-radiological (gravity injury severity score (ISS), mangled extremity severity score (MESS), associated lesion), admission time, evolutionary aspects and finally the patients’ becoming). Results: The series consisted of 3 males and 8 females, with an average age of 24 years. All experienced a HD following the lower limb severe traumatism due to a road accident. The category of victims was dominated by pedestrians. The average admission time was 13 hours with extremes of 9 and 28 hours. Our series average ISS was 28 with extremes of 15 - 69. The associated lesions were dominated by Gustilo Type III A III B open fractures. The mean MESS at admission was 10 with extremes from 8 to 14. Complications were dominated by infection (at least 72%) with a mortality rate of 36.36%. Algohallucinosis affects all these patients post-operatively at varied degrees. Aggressive components and denial of bereavement were most noticeable. Only one patient was able to honor her Canadian prosthetic equipment. All the victims changed their personal and professional activities. Conclusion: HD is an extremely mutilating surgery with a major functional and psychological impact. Quality of life of the disarticulated patient is taught because of the persistence of the pain, the occurrence of a major motor handicap and the impossibility of apparatus limiting the social and relational life.
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机译：简介：髋关节脱位（HD）包括在髋-股关节高度处切除整个下肢。这是一种极具破坏性的干预措施，具有重大的功能和心理影响。我们报告11下肢严重外伤后髋关节脱臼的情况。这项研究的目的是分析频率，临床方面，并介绍他们的治疗结果和患者的成长情况。 患者和方法：我们的创伤科进行了为期13年的回顾性研究。确定了11例髋关节脱臼。我们分析了以下数据：流行病学参数（年龄，性别，意外事件），临床放射学（重症严重程度评分（ISS），肢体严重程度评分（MESS），相关病变），入院时间，进化方面以及最后的患者' 变得）。 结果：该系列由3位男性和8位女性组成，平均年龄为24岁。由于交通事故，在下肢严重创伤后，所有人都经历了HD。受害人类别以行人为主。平均入场时间为13个小时，极端情况为9个小时和28个小时。我们的系列平均ISS为28，极端值为15-69。相关病变主要由Gustilo III A III B型开放性骨折主导。入院时的平均MESS为10，极端值为8至14。感染以并发症为主（至少72％），死亡率为36.36％。沙门氏菌病在不同程度上影响所有这些患者。攻击性成分和丧亲之痛最为明显。只有一名患者能够兑现她的加拿大假肢设备。所有受害者都改变了他们的个人和专业活动。 结论： HD是一种极为残废的手术，具有重大的功能和心理影响。由于疼痛的持续存在，严重的运动障碍的发生以及无法限制社交和关系生活的设备，教导了肢解患者的生活质量。
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