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Re: Intrapelvic farcture dislocation of the hip
Chip Routt 14 Сентябрь 2004, 17:01
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Yes. We used a Watson-Jones exposure, spread the acetabular fracture with a laminar spreader, and used a Schanz pin to remove the proximal femoral fragment, then fixed it, and later fixed the acetabular fracture.
Chip
M.L. Chip Routt, Jr.,M.D.
Professor-Orthopedic Surgery
Harborview Medical Center
325 Ninth Avenue
Box 359798
Seattle, WA
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Re: Intrapelvic farcture dislocation of the hip
James Carr 16 Сентябрь 2004, 22:11
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Jeff
I have had one very similar. I placed him lateral decubitus, did a posterior approach, and did similar to what Chip described. The posterior approach allowed me to fix what appears to be a transverse acetabular fracture. The femoral neck can be fixated from that approach with multiple screws, although there may be more there than "just" a neck fx. The patient later required hemiarthroplasty for total head osteonecrosis.
Jim Carr
James B. Carr, MD
Premier Orthopedic Specialists
3 Medical Park Drive
Suite 330
Columbia, SC 29203
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Intrapelvic farcture dislocation of the hip
