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POSTERIOR DISLOCATION AND FRACTURE-DISLOCATION OF THE HIP

A Review of Fifty-seven Patients



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Abstract

1. A review of fifty-eight posterior dislocations or fracture-dislocations of the hip is presented.

2. With few exceptions, patients were treated by immediate reduction of the dislocation under general anaesthesia, traction for six weeks and avoidance of weight-bearing for a further six weeks.

3. The results are discussed with reference to the age of the patient, length of follow-up, side affected and type of dislocation.

4. As a result ofthis review, we propose to reduce the period oftreatment in Type I dislocations (posterior dislocation without fracture) and to continue a conservative policy in respect to treatment and reconstructive hip surgery in Types II and HI fracture-dislocations.

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