Traumatic fracture-dislocation of the hip is a mutilating injury which often comprises multiplicity of complications and requires well planned therapeutic procedures.
In this paper 36 cases of fracture-dislocation of the hips treated at the Department of Orthopedic Surgery, The National Medical Center, during the years from 1959 to 1971 is reported. 1. The incidence of the injury is remarkably higher in the male than in the female as 29 versus
7, and it was higher in the age group of 20-30 years. It is of interest the incidence is equally distributed in age group of 10 to 60 years in this series.
2. The mode of the injury was considerably higher in falling type of trauma as 16 cases out of . 36 cases, and the incidence of posterior dislocation was higher than other type of disloatons, 22 cases out of 36 cases. Grade I type of the injury had higher incidence than other grades of the injuries, 17 cases out of 36 cases.
3. 14 cases out of 36 cases had complicated injuries in other part of the, bodies, and among them 18 was complicated fractures. Sciatic nerve paralysis and head injuries were complicated in four respectively.
4. Seven out of eight cases treated by conservative treatment had good results, and seven out of 12 cases treated by primary acetabulosynthesis had good results.
As a whole the conservative treatment had better result than that of the surgical treatment, this seems to be derived from the fact that the surgically treated group had higher proportion of higher grade of injuries than in the group of the conservative treatment.
5. The higher grade of the injury the poorer the results of the treatment.
The post-operative and post-therapeutic complications mostly occurred among the cases, who had delayed treatment for more than two months after the injury had been sustained. Aseptic necrosis in the femoral head occured in four cases and reccurrent dislocation occurred in three cases in
this series.
|