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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- |