SURGICAL OUTCOMES IN TREATMENT OF ACETABULAR FRACTURE WITH CENTRAL HIP DISLOCATION

Anh Dũng Vũ1, , Ngọc Thắng Phạm1, Tiến Thành Phạm1, Nhất Định Vũ1
1 Bệnh viện Quân y 103, Học viện Quân y

Main Article Content

Abstract

Objectives: Evaluation of surgical outcomes in the treatment of acetabular fractures and central hip dislocation due to trauma in adult patients. Methods: Prospective study, surgical treatment of internal osteosynthesis for 12 cases of acetabular fracture – central hip dislocation due to trauma at 103 Military Hospital from 1/2021 to 1/2024. Results: The patients ranged in age from 44 to 70 years. Of the 12 cases, 11 were caused by traffic accidents and 1 by a high fall. There were 3 cases of type 62B fractures and 9 cases of type 62C fractures. Rectal injuries occurred in 3 cases, and bladder injury in 1 case. Eight patients were able to return to their previous jobs. One case required a cementless total hip replacement. Eight patients achieved good or very good outcomes, 1 patient had a fair outcome, and 3 patients had poor outcomes. Conclusion: Surgical repositioning of the femoral head to its anatomical location, along with anatomical restoration of the acetabulum and fracture fixation using plates and screws through the ilioinguinal approach, represents a safe and effective treatment option for acetabular fractures with central hip dislocation.

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References

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