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Forum: OWL Lists: OTA:
Re: [ORT-L] Delayed 1 month ipsilateral acetabular + femoral shaft fx + hip dislocation

 

 


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 Can't Post

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
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