The combination of a dislocation with a fractured femur diaphysis his
Traumatology / / August 12, 2017
combination of dislocation with a fractured femur diaphysis it is a rare and "insidious" injury, the characteristic feature of which is erased symptoms of hip dislocation, which leads to late recognition of it.
high position of the greater trochanter, determined by palpation;protrusion of the femoral head under the gluteal muscles and bruising in the area.To prevent associated injuries such views should be observed generally radiography polifraktur: a snapshot to perform on the big films, with the capture of adjacent joints.
The basis of the mechanism of dislocation and hip fracture is a direct blow or impact from the outside in the fall.
After successful reduction and osteosynthesis is recommended to apply a circular plaster bandage to the inguinal folds, within a week to start physical therapy, and after 9-10 weeks to remove plaster for X-ray control, physical therapy and the presence of callus start functional load limbs.
In severe polytrauma dislocation of the hip joint may be "centr
- Dislocation shin
- Dislocation brush
- Dislocations of the hip
- Plaster bandages
- Bilateral dislocations of hip
- Bilateral fractures of the fibula
- Bilateral fractures of the foot
- bilateral calcaneus fractures
reduction of dislocation hip in polytrauma should be possible in the early and non-invasive with respect to other bones of the skeleton.A common way to reposition on Dzhanelidze can not be used in the form of a typical patient laying on his stomach, with bilateral fractures of the ribs, the sternum, the anterior half-ring of the pelvis and thighs, and stomach damage.
diaplasis should be made at the position of the victim on the back with a mandatory pre-novocaine blockade related fractures and maximize their immobilization.This particularly applies to multiple pelvic fractures, accompanied by interstitial hemorrhage;damage to the urethra or bladder pubic bone fragments displacement.In polytrauma should use methods for setting, based on relaxation and stretching of the muscles of the patient in the supine position.In this position, the assistant can fixation arms pelvis to prevent further damage.