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1 381
Repost from MedMinder / stage 6
Posterior hip dislocation
-usually due to dashboard injury
-C/F : the leg is short, adducted, internally rotated and slightly flexed
See the classifications in the picture 👇🏻
Rx : According to Thompson & Epstein classification :
1- reduction under GA as soon as possible (up to 12 h) —> after 2-3 failed attempts —> open reduction —> then test for stability by trying to re-dislocate the hip —> if stable, just apply skeletal traction for 3-6 w and avoid weight bearing for 12 w but if unstable, repair the post wall of the acetabulum
2- immediate ORIF of the detached fragment
3- closed reduction (surger is indicated if there is retained fragments or persistent instability)
4 & 5- closed reduction (surgery is indicated if there is retained fragments, persistent instability, or joint incongruity)
Early Cx :
-Sciatic nerve injury
-Vascular injury
-associated # of femoral shaft
Late Cx :
-AVN
-Myositis ossificans (uncommon)
-Unreduced dislocation
-Secondary OA
1 381
Repost from ➎𝐭𝐡 𝐒𝐭𝐚𝐠𝐞 - 𝐁𝐥𝐨𝐜𝐤 4
لمن عندي Posterior Hip Dislocation + Fracture
الاولوية تكون للخلع فأعالجه بأسرع وقت ممكن لانه بي رسك عالي لل AN خلال اول 6 ساعات نسبته تكون 10 % اذا عبرت 12 ساعة وما عالجته النسبة تزداد لل40 %.
1 381
هاي شكد جايبين عليها
thoracotomy
ماعدكم ملف يضم كلشي البروسيجر والاندكيشن
والكمبلكيشن
