Medina CA, Reséndiz A, Pozos E, Gómez T, Guerrero N, Nieto L, Castillo E, Almanza A, Soria E

Language: Spanish
References: 10
Page: 42-46
PDF size: 84.68 Kb.

ABSTRACT

The floating hip represents a severe injury and it is associated with high morbidity and mortality. Material and methods. Retrospective, longitudinal, observational, and descriptive study of 20 patients who were treated by open reduction and internal fixation during 56 weeks follow-up operation. Results. Sixteen males (80%), 4 females (20%) and the average age of 35 years old. The high energy trauma was the main reason for the 12 pelvic ring injuries (60%), 8 acetabulum fractures (40%), 7 intertrochanteric (35%), 3 middle cervical (15%), 4 subtrochanteric (20%), and 6 femur fractures (30%) that we found while doing the research. Overall the pain, ambulation, and muscular force were acceptable after surgery. Postoperative complications were: infections in 1 patient, 1 disincline, clinical injury of nerve sciatic in 2 patients who had a complete recovery at 24 weeks after surgery. Discussion. In order to reduce the mortality and morbidity it is important to have an adequate interdisciplinary team. In conclusion, it is recommended to stabilize the long-bone injury first, then the pelvis, and finally the acetabulum.

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