Problems in Treating Fractures and Dislocations of the Hip. To Avoid and Overcome Such Problems.:To Avoid and Overcome Such Problems

概要

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Eighteen cases which developed complications following treatment for fractures and dislocations of the hip were analyzed to avoid and overcome such problems. Complications included re-fracture (7 cases) after osteosynthesis or endoprosthesis, postoperative dislocation of endoprosthesis (6 cases), external rotational mal-union, limitation of ROM, injury of artery, surgical fracture, and dislocation of the hip joint after re-open reduction. Complications were due to lack of knowlege, unskilled surgical techniques, osteoporosis, paralytic disease (spastic paralysis, hemiplasia), mental disease (dementia), and inadequate countermeasures for dealing with those complications or background disease. It is essential to avoid complication and therefore we have to assess patient's conditions more carefully and master skilled surgical techniques. It is even more important for us to be aware of the possibility of such complications developing, and if necessary to start treatment as soon as possible.
西日本整形・災害外科学会の論文