Post-traumatic hip dislocation with femoral head fracture.docVIP

 PAGE \* MERGEFORMAT 5 Post-traumatic hip dislocation with femoral head fracture [Abstract] of 14 patients with post-traumatic hip dislocation with femoral head fracture, analyze and summarize surgical procedures, operative approach and fixation on the treatment of choice. [Keywords:] femoral fractures; hip dislocation; surgical approach; fixation Our hospital from February 2004 ~ January 2009 14 patients were treated using different treatment methods, and achieved good results, reported below. Clinical data 1 General information The group of male 10 cases, 4 females; aged 19 to 66 years, average 41.2 years old. The causes of injury: 10 cases of road traffic injuries, falls injury in 2 cases, 2 cases of landslides crushed. According to Pipkin classification : in 7 cases, 5 cases, type 2 cases. 2 treatment both in this group 6 hours after injury in the intravenous anesthesia Allis manual reduction, and 1 case failed closed reduction, open reduction. The three-dimensional reconstruction of CT showed anatomical reduction, line .2 cases of skeletal traction line of non-surgical treatment of type The remaining 12 underwent surgical treatment. 1 week after injury, surgery in 10 cases, surgery in 2 cases within 2 weeks. Smith Peterson approach in 10 cases, Kocher Langenbeck approach in 2 cases. Non-surgical treatment using skeletal traction after reduction 6 to 8 weeks , limb line during isometric quadriceps exercise, skeletal traction line removal of weight-bearing ambulation with crutches to walk. 3 Results 9 to 24 months were followed up for an average of 20 months. According to Epstein [1] assessment: excellent in 6 cases, good in 4 cases, 2 cases and poor in 2 cases; excellent rate of 71.4%. There was no infection No avascular necrosis, fracture fixation failure in 1 case (using the absorbable screw fixation), 1 case of heterotopic ossification, traumatic arthritis in 1 case. Discussion A posterior dislocation of hip fracture treatm