整形外科と災害外科
Online ISSN : 1349-4333
Print ISSN : 0037-1033
ISSN-L : 0037-1033
外傷性股関節前方脱臼の 3 症例
田口 憲士富田 雅人野口 雅夫伊東 大介白石 公太郎玉井 崇目貫 邦隆菅 泰子張 瑞棠
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2004 年 53 巻 2 号 p. 255-258

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Traumatic dislocations of the hip joint are high energy and uncommon injuries. Traumatic anterior dislocation accounts for about 10% of all hip dislocations and is classified into superior and inferior types. We experienced 3 cases of superior type anterior hip dislocation. The average age was 33 years and the follow-up period ranged from 3 to 12 months, averaging 7 months. Secondary osteoarthritis and avascular necrosis (AVN) of the femoral head are reported as complications of anterior hip dislocation. The prevalence of AVN may be higher when reduction is delayed for more than 24 hours. All our patients took early reduction, averaging 2.5 hours, post injury one open reduction and the others closed reduction. Good ROM was achieved and pain disappeared. No arthritis and AVN of the femoral head were seen. After reduction, all our cases were inhibited with weight bearing for more than 3 weeks. All achieved good clinical results, but further follow-up is required.

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© 2004 西日本整形・災害外科学会
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