Dislocation of the femoral head after hip fracture surgery.docVIP

 PAGE \* MERGEFORMAT 19 Dislocation of the femoral head after hip fracture surgery Author: tube-Ting Jin, Sun Dongsheng, Qi Xiangyang, Zhang Xuekun, Zheng Liangguo Abstract [Objective] To investigate the dislocation of the femoral head after hip fracture surgery methods and results. [Method] in July 1997 ~ October 2005, a total of 17 patients treated dislocation of the femoral head after hip fracture cases, using absorbable screw fixation of femoral head fractures in 12 cases, titanium screw fixation in 2 cases, 3 cases of small pieces of bone can not be fixed for removal. Application of reconstruction plate fixation of acetabular fractures in 3 cases. [Results] All patients received a 7-year follow-up, all fractures healed without infection. Epstein used the standard functional evaluation, excellent in 6 cases, good in 7 cases, fair in 3 cases and poor in 1 case, the fine rate was 76.5%. [Conclusion] dislocation of the femoral head after hip fracture surgery under sub-type selection methods, surgical approach should be integrated to choose a variety of factors to absorb the screw is an ideal internal fixation, postoperative events should be as early as the late weight-bearing. Keywords: dislocation of the hip; femoral head fracture; surgical treatment Dislocation of the femoral head after hip fracture is a high-energy injury, clinical relatively rare, improper handling could easily lead to femoral head necrosis, heterotopic ossification, traumatic arthritis, and a series of complications. Our hospital since July 1997 ~ In October 2005 were treated after surgical treatment of hip dislocation of femoral head fractures in 17 cases, and achieved satisfactory results. 1 Materials and Methods 1.1 General Information The group of 17 patients, 14 males and 3 females; aged 23 to 61 years old, with an average 37.8 years of age. Injuries reasons: traffic injury in 9 cases, 4 cases of injury fall height, weight smash