
jjbrooksmd at gmail
New User
Sep 26, 2007, 10:50 AM
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[ORT-L] femoral head fx-dislocation
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Dear list members, sorry, I am re-sending this as I think the first attempt had too large an attachment, and I just managed to shrink it down a bit. If it comes thru later, I apologize in advance for clogging your inboxes! attached is a (large -- sorry) .ppt of an anterior femoral head fx-dislocation with what I think is a stable pelvic ring injury in a 300+ lb 50y.o. lady struck by a car last night. dislocation has been closed reduced but remains non-concentric with displaced head fragment and comminution in the joint. question is approach to L hip - anterior or posterior? dislocation was anterior but free frag is posterior. fragment is anterosuperior so my instinct is to go anteriorly to make fixation easier. many thanks Jeff
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