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《Medical Journal of West China》 2009-08
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Treatment for posterior dislocation of hip joint combined with fracture of femoral head and the sciatic nerve injuries

Liu kan,Qi xin-wen,Zhou wei-min,et al (Department of emergency,the fifth Affiliated Hospital of ZunYi Medical College,Zhuhai,Guandong,519100)  
Objective To approach the results of surgical treatment of posterior dislocation of hip joint combined with fracture of femoral head and the sciatic nerve injuries.Method 6 patients were treated surgically for posterior dislocation of hip joint combined with fracture of femoral head and the sciatic nerve injuries from September 2005 to May 2008, according to Pipkin's classification,there were type Ⅰ in 4 cases,typeⅡ in 1 case,typeⅣ in 1 case.All posterior dislocation of hip joint were closed reduced within 6 hours and the cases were reduced and fixed with absorbable screw,operated with neurolysis.Results All cases were followed up,the following-up period lasted from 6-32months with an average of 24 months.Fracture healed successfully in 6 cases,the average time of fracture healing was 16 weeks(range from 12-21 weeks).According to Epstein criteria:5 cases were excellent,1 case was good;According to MCRR criteria:4 cases were excellent,1 cases was good and 1 case was fair.Conclusion Super-early reduction of joint,early diagnosis and proper treatment(open-reduction and fixation,neurolysis) can contribute to better prognosis of posterior dislocation of hip joint combined with fracture of femoral head and the sciatic nerve injuries.
【CateGory Index】: R687.3;R651.3
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