Treatment of Traumatic Dislocation of the Hip

Nine patients with posterior fracture-dislocation of the hip were reviewed after a post therapeutic period varying from seven months to eight years, and examined personally in an attempt to evaluate their functional results. Using criteria advocated by Stewart and Milford, the results were rated as...

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Published inOrthopedics & Traumatology Vol. 16; no. 2; pp. 152 - 155
Main Authors Tsuneoka, T., Yatsunami, M., Ogushi, T., Okazaki, T., Egawa, T.
Format Journal Article
LanguageEnglish
Published West-Japanese Society of Orthopedics & Traumatology 1967
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ISSN0037-1033
1349-4333
DOI10.5035/nishiseisai.16.152

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Abstract Nine patients with posterior fracture-dislocation of the hip were reviewed after a post therapeutic period varying from seven months to eight years, and examined personally in an attempt to evaluate their functional results. Using criteria advocated by Stewart and Milford, the results were rated as excellent in four, good in one, fair in two, and poor in two patients. In those remained dislocated for more than one month no good result was obtained. Regardless of the type of treatment or dislocation, there was no satisfactory result in the cases which had elapsed more than five years after injury. This unsatisfactory results were principally due to avascular necrosis of femoral head or traumatic arthritis of hip. It cannot be overemphasized that too optimistic policy in treating traumatic dislocation of hip must be discarded.
AbstractList Nine patients with posterior fracture-dislocation of the hip were reviewed after a post therapeutic period varying from seven months to eight years, and examined personally in an attempt to evaluate their functional results. Using criteria advocated by Stewart and Milford, the results were rated as excellent in four, good in one, fair in two, and poor in two patients. In those remained dislocated for more than one month no good result was obtained. Regardless of the type of treatment or dislocation, there was no satisfactory result in the cases which had elapsed more than five years after injury. This unsatisfactory results were principally due to avascular necrosis of femoral head or traumatic arthritis of hip. It cannot be overemphasized that too optimistic policy in treating traumatic dislocation of hip must be discarded.
Author Ogushi, T.
Okazaki, T.
Egawa, T.
Tsuneoka, T.
Yatsunami, M.
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References_xml – reference: 6) 伊藤: 災害医学. 1: 246, 昭33.
– reference: 11) J. R. Armstrong: J. B. J. S., 30-B: 430, 1948.
– reference: 13) Herman C. Epstein: J. B. J. S., 43-A: 1079, 1916.
– reference: 10) E. K. Frangakis: J. B. J. S., 48-B: 17, 1966.
– reference: 14) D. King and V. Richards: J. B. J. S., 23: 533, 1941.
– reference: 15) Carter R. Rowe: J. B. J. S., 43-A: 30, 1961.
– reference: 1) 井上: 整形外科. 1: 230, 昭25.
– reference: 2) 吉田: 災害医学. 7: 297, 昭39.
– reference: 3) 河野: 災害医学. 7: 429, 昭39.
– reference: 8) 柏木・他: 整形外科. 16: 481, 昭40.
– reference: 4) 弓削・他: 災害医学. 6: 430, 昭38.
– reference: 16) G. E. Freeman: J. B. J. S., 43-A: 401, 1961.
– reference: 5) 竹岡: 災害医学. 3: 63, 昭35.
– reference: 18) M. R. Urist: J. B. J. S., 30-A: 699, 1948.
– reference: 12) Sam W. Banks: J. B. J. S., 23: 753, 1941.
– reference: 17) W. W. Howe and R. P. Schwartz: J. B. J. S., 32-A: 856, 1950.
– reference: 9) 河野: 整形外科. 14: 604, 昭38.
– reference: 19) Bray: J. B. J. S., 44-A: 1115, 1962.
– reference: 7) 上村: 災害医学. 9: 321, 昭41.
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