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KMID : 0386719920040010067
Journal of the Korean Hip Society
1992 Volume.4 No. 1 p.67 ~ p.73
Acetabular Bone Loss Due to Unreduced Fracture-Dislocation of the Hip Treated with Total Hip Arthroplasty



Abstract
Unreduced fracture-dislocation of the hip in a polytraumatized patient is usually the results of a traffic accident. Life threatening emergencies are dealt with first, and the solution of the hip problem is sometimes postponed or even
neglected. The patients come for treatment several months after the caaident.
Surgical reduction and acetabular reconstruction at this stage are almost impossible because of acetabular bone loss, fibrosis, and avascular necrosis of the femoral head. Recent concept is that total hip arthroplasty can be the solution
for
a
patient suffering from a persistent to perform the procedure by a one-staged operation.
The authors report four cases of unreduced fracture-dislocation of the hip treated by hip
arthroplasty.
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