
mlroutt at u
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Jul 24, 2006, 10:17 AM
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Re: [ORT-L] Delayed 1 month ipsilateral acetabular + femoral
shaft fx + hip dislocation
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Letournel's book is a good start...there have been follow up manuscripts as well. > Dear colleagues > > A male 24 y.o, admitted to our unit today 1 month post injury - > images attached. Except ipsilateral acetabular fx, femoral shaft fx > and hip dislocation also he has shaft fxs of right humerus and ulna, > left radius and ulna. No neurological deficits after the hip > dislocation. At first we plan closed nailing of all long bones. > > Questions are regarding the acetabular fx + dislocation. With the 1 > month of exposition and obvious callus everywhere does it make sense > to attempt ORIF of the acetabulum with hip reduction, or primary THA > should be considered? Does anybody have references on outcomes after > delayed surgeries for acetabular fx + hip dislocation depending on > duration of the delay? M.L. Chip Routt, Jr.,M.D. Professor-Orthopedic Surgery Harborview Medical Center 325 Ninth Avenue Box 359798 Seattle, WA 98104-2499 phone 206-731-3658 FAX 206-731-3227 -- --- [This E-mail scanned for viruses by Declude Virus]
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