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العنوان
Surgical hanagement of posterior fracture dislocation of the hip joint /
المؤلف
Ahmed, Hussein Hassan.
هيئة الاعداد
باحث / Hassan Hussein Ahmed
مشرف / Galal El Dein Kazem
مناقش / Mohamed Osama Hegazy
مناقش / Hazem Abdel Azeem
الموضوع
Orthopatic surgery.
تاريخ النشر
1990.
عدد الصفحات
158p. :
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
جراحة العظام والطب الرياضي
تاريخ الإجازة
1/1/1990
مكان الإجازة
جامعة بنها - كلية طب بشري - العظام
الفهرس
Only 14 pages are availabe for public view

from 188

from 188

Abstract

SU””Jl’.RY
Posterior fracture-dislocation of the hip is an intra-articular
fracture. Displaced fragMnt and hip dislocation should be reduced
anatom.caaly for the sake of !JfItting the best possible results.
It is always a part of _jor accident involving IIore than one
serious injury.
The cc.plicated anat~ of the hip bone and its vital relatiolllS
.ue a precise diagDOsisof the fractured part IIIIJIdatoryto .ue
proper s1lr9ical procedure.
TheX-ray ~ing in the fOl”ll of antero-posterior and oblique
vievs and CTseaning is Dportant. to !JfItaccurate diagnosis.
Thenextensive pre opeIative planning is Dportant..
The dislocated hip is considered a lI1Ir9icalm r!Jflnc:yand should be
reduced within t-ty four hours to reduce the incidence of avascular
_is and dey_ative arthritis of the hip. Bat the operation
itself can be delaJed till the optt.8 conditions are justified. and
the delay should not exceed two weeks.
-144-
In this thesis _ perfOl’llopen reduction and internal fixation for
t_nty five patients with posterior fracture-dislocation of the hip
with the result of ~ satisfactory results and 201\ unsatisfactory
results.
The Cc.pl1catiODS encountered are avascular necrosis and
degenerative arthritis of the hip in 1ft due to late operative
interference, ~sitis ossificans in ., sciatic uerYepal.y in ••
Bachpatient ••••••• sed bf geDeIal •••••tnation to detect and
.aDllgeany associated anjuri... Traction to the affected liab •• done
as a first aid and then X-ray •• daDe. ’!!Ie di.located hips _re
reduced as an _tra1genc..p..r,occy:’”eclureand then the patient prepared for
_jor s\Ilg_}’.
’!!Ienitable IIIJIlI”OBiC. hthe posterior Xoc:ker-Langenheclatpproach,
ach1... nt of _tomcal recIuct10nand stable internal fixation is
Post-operative ph}’aiotherapy i. helpfull in regaining norMl hip
-145-
fwx:tioD.llearly aDdweight bearing should be postpoDdtill soUDdunion
occur.
The pollibility of baving a no~l hip is of high percentage after
this regiM.
-146-