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Posterior Fracture-Dislocations of the Hip LONG-TERM FOLLOW-UP
HERMAN C. EPSTEIN
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10450 Wilshire Boulevard, Apartment 7, Los Angeles, California 90024
1974 by The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 1974 Sep 01;56(6):1103-1127
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Abstract

Of 242 posterior fracture-dislocations of the hip, of which 150 had been followed for from four to twenty-seven years (over-all average, seven years and three months), 112 were treated by closed reduction; seventy-four, by closed reduction followed by open reduction; and fifty-six, by primary open reduction. Satisfactory results were obtained in 12 per cent of the hips treated by closed reduction, in 42 per cent of those treated by closed reduction followed by open reduction, and in 63 per cent of those treated by primary open reduction. It was concluded that early primary open reduction with removal of all loose fragments of bone and cartilage and restoration of stability by internal fixation of the fracture of the acetabular rim offers the best prognosis.

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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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