floating hip injury 浮髋损伤 PPT课件.pptVIP

Traffic accident, transverse fractures of acetabular, and comminuted fracture of left femoral head, neck and trochanter, belong to A type Case6 Preoperative CT Preoperative 3D-CT Firstly, to fix proximal femoral fractures with DHS , then fix acetabular fracture Traffic accident , transverse fracture of posterior wall in the right acetabular, pelvic ring and comminuted fracture of the right femoral head, belong to C type Case7 Preoperative CT Preoperative 3D-CT An open reduction and internal fixation and a total hip arthroplasty were performed for this patient Case 8 Fracture of double column of acetabular ,femur, and tibia in the right leg, combined comminuted fracture of right radius, belong to A type. Preoperative 3D-CT Preoperative x-ray and CT Post-operative x-ray Falls injury, fracture of two columns of acetabulum , pelvic ring and left femoral neck, belong to C3 type Case 8 Post-operative X-ray Case 8 Ipsilateral Floating Hip and Floating Knee Case 9 Undisplaced posterior coloumn fracture seen on CT scan interlocking nail for femur and tibia Concomitant ipsilateral floating hip and floating knee injuries Case 10 Concomitant ipsilateral floating hip and floating knee injuries Case 10 Concomitant ipsilateral floating hip and floating knee injuries Case 10 Case 11 ipsilateral floating hip and kneewith concomitant arterial injury Case 12 ipsilateral floating hip and kneewith concomitant arterial injury Case 12 ipsilateral floating hip and kneewith concomitant arterial injury Case 12 Postoperative and follow-up X-ray Case 12 Summary Most injury floating hip injury were high-energy, combined more serious associated injuries, the treatment should be to save lives firstly , and prioritize life-threatening injuries, finally, fixed fractures after vital signs were stable. The treatment sequence is: the femur, pelvis and acetabulum; According to damage control theory, based on the specific circumstances of each patients, to develop surgical planning