29-172

Tratamiento quirúrgico de la fractura de acetábulo con luxación posterior de cadera. Análisis retrospectivo de 20 casos

ACETABULAR FRACTURE WITH POSTERIOR DISLOCATION OF DE HIP. RETROSPECTIVE ANALYSIS OF 20 CASES TREATED SURGICALLY

J. AMADOR MELLADO, A. GEZON QUIROS, J. CINCUNEGUI OREZABALA, D. NUÑEZ BATALLA, P. LÓPEZ FERNÁNDEZ y J. PAZ JIMÉNEZ Servicio de Traumatología y Cirugía Ortopédica I. Hospital Central de Asturias. Oviedo.
Recepción:
09/01/2009
Aceptación:
09/01/2009
Publicación:
09/01/2009


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Resumen (ES)

Between 1985 and 1990, 20 patients aged from 22 to 53 years with fracture ofthe acetabulum and posterior dislocation of the femoral head were treated surgically. Eighteen(90%) were male. Eighteen (90%) of the fractures were sustained in a motor-vehicle accident.Ten (50%) patients had multiple associated injuries. The average duration of the follow-up periodwas 5 years (range from 3.5 to 8.1). Ten (50%) of the dislocations were associated withposterior wall fracture. We observed 14 (70%) satisfactory results; 2 patients needed a THA 3years later. Best results were achieved with early treatment. Aspects of the preoperative evaluationare commented.

Palabras clave (ES):

Luxación
Posterior
Cadera
Fractura
Cotilo
Acetábulo
Tratamiento

Resumen (EN)

Between 1985 and 1990, 20 patients aged from 22 to 53 years with fracture ofthe acetabulum and posterior dislocation of the femoral head were treated surgically. Eighteen(90%) were male. Eighteen (90%) of the fractures were sustained in a motor-vehicle accident.Ten (50%) patients had multiple associated injuries. The average duration of the follow-up periodwas 5 years (range from 3.5 to 8.1). Ten (50%) of the dislocations were associated withposterior wall fracture. We observed 14 (70%) satisfactory results; 2 patients needed a THA 3years later. Best results were achieved with early treatment. Aspects of the preoperative evaluationare commented.

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