Khan Kashif Mahmood, Bhatti Anisuddin, Rasheed Khurram
Department of Orthopaedic Surgery, Jinnah Postgraduate Medical Centre, Karachi.
J Pak Med Assoc. 2013 Jun;63(6):772-4.
Old unreduced acetabulum fracture-dislocation is common in developing countries due to various factors. Different options including arthrodesis, Girdlestone arthroplasty and total hip replacement (THR) are used for its treatment. THR with reconstruction of the acetabulum is recommended, but not much work has been reported so far in our country. Till date, arthrodesis in youngsters and resection arthroplasty in the elders has been the treatment of choice.THR, however, is being done by a few, but the experience has not been published. We are reporting a case of a middle-aged woman, who had a 6-month-old acetabulum dislocation of the hip with fracture of the posterior wall of the acetabulum. It was treated by THR and acetabulum reconstruction and had good functional result 8 years after the surgery.
由于多种因素，陈旧性未复位髋臼骨折脱位在发展中国家较为常见。其治疗方法包括关节融合术、Girdlestone关节成形术和全髋关节置换术（THR）等多种选择。推荐采用髋臼重建的全髋关节置换术，但目前我国这方面的报道较少。迄今为止，年轻人采用关节融合术，老年人采用切除关节成形术一直是首选的治疗方法。然而，有少数医生开展全髋关节置换术，但相关经验尚未发表。我们报告一例中年女性病例，该患者髋臼后壁骨折合并髋关节脱位6个月。通过全髋关节置换术和髋臼重建进行治疗，术后8年功能恢复良好。
