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CUTANEO-OSTEOVESICAL FISTULA Report of a Case Following Fracture of the Pelvis, Rupture of the Bladder, and Hip Fusion
J. J. KAUFMAN
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Department of Surgery, Veterans Administration Hospital, Newington, Connecticut
1951 by The American Orthopaedic Association
J Bone Joint Surg Am, 1951 Oct 01;33(4):1017-1020
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Abstract

The case reported demonstrates multiple complications of a fracture of the pelvis with central displacement of the hip, culminating in a bizarre cutaneo-osteovesical fistula two and one-half years after the original trauma.

Such fistulae following hip fusion produced by internal fixation or following hipnailing for fractures of the femoral neck are singularly rare.

The fistula in this case was demonstrated by injection of the cutaneous ostium but not by cystography.

The treatment of such fistulae should consist in adequate drainage of abscesses, removal of sequestra, establishment of adequate bladder drainage, and control of infection by chemotherapeutic and antibiotic agents.

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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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