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ANATOMY
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Femur connects to
acetabulum by 5
separated ligaments,
such as:
Iliofemoral ligament
Pubofemoral ligament
Ischiofemoral ligament
transverse acetabular
ligament
femoral head ligament
Posterior Dislocation
80-90% cases
Mostly because of Traffic accident
Pressure is trasmitted by 2 ways:
Gejala klinis
Radiology Examination
On anteroposterior (AP)
MANAGEMENT
Must do repotition immediately. Closed reduction
can be done by a couple methods :Bigelow, Stimson,
dan Allis.
In type II after reposition, big fragment is fixated with
screw by surgery
In type III usually performs close reduction and
fragments that trapped in acetabulum will undergo
surgery
Type IV dan V reduction and surgery
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Stimson Methods
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Bigelow Methods
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Allis Methods
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position
Doing pelvic immobilization
Flexion of the knee at 90
and legs diadduksi light and
medial rotation
Perform vertical traction
and femoral head is
removed from the posterior
part of the acetabulum
Hip and knee is extended
with caution
the leg
Traction is being maintained for 3 weeks. Couple
days after reduction, active and passive movement of
the hip joint can be done
In the end of third week, patient is permitted to walk
using the kruk
Patient is allowed to lean on himself at the end of
week 12-14 and is permitted to do normal
activity 6-10 months after surgery
KOMPLIKASI
Ischiadicus nerve injury
Vascular injury. Sometimes there is ruptur on the
Avaskular Necrosis.
Avaskular necrosis is seen on X-Ray as increased
Anterior Dislocation
Anterior dislocation
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CLINICAL FINDING
eksorotasi
Extension and abduction
There was no shortening
of the limbs
Where the femoral head
can be palpated easily in
front of the inguinal region
Hip joint difficult to move
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Pemeriksaan Radiologi
On the anteroposterior
CENTRAL DISLOCATION
Central Dislocation
The central dislocation is a fracture - dislocation , which
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Mechanism Of Injury
Clinical Symptoms
The
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Pemeriksaan Radiologi
On the anteroposterior photo , caput femoris
in a supine position ,
then an assistant to
perform a lateral
traction , while
operators perform
longitudinal traction .
TREATMENT
Surgeons attractive with strong thigh and then bring out the head of
Indication of operation:
Compliaction
PROGNOSIS
dislocation depending on :
The
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