Tratamiento quirúrgico de la fractura de acetábulo con luxación posterior de caderaanálisis retrospectivo de 20 casos

  1. J. AMADOR MELLADO 1
  2. A. GEZON QUIROS 1
  3. J. CINCUNEGUI OREZABALA 1
  4. D. NUÑEZ BATALLA 1
  5. P. LÓPEZ FERNÁNDEZ 1
  6. J. PAZ JIMÉNEZ 1
  1. 1 Hospital Central de Asturias. Oviedo
Journal:
Revista española de cirugía osteoarticular

ISSN: 0304-5056

Year of publication: 1994

Volume: 29

Issue: 172

Pages: 181-185

Type: Article

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Abstract

Between 1985 and 1990, 20 patients aged from 22 to 53 years with fracture of the acetabulum and posterior dislocation of the femoral head were treated surgically. Eighteen (90%) were male. Eighteen (90%) of the fractures were sustained in a motor-vehicle accident. Ten (50%) patients had multiple associated injuries. The average duration of the follow-up period was 5 years (range from 3.5 to 8.1). Ten (50%) of the dislocations were associated with posterior wall fracture. We observed 14 (70%) satisfactory results; 2 patients needed a THA 3 years later. Best results were achieved with early treatment. Aspects of the preoperative evaluation are commented.

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