Malcolm B W, Schatzker J
J Trauma. 1981 Feb;21(2):152-6. doi: 10.1097/00005373-198102000-00010.
In 11 subluxations and four dislocations of the hip, following the internal fixation of intracapsular or intertrochanteric fractures, sepsis was proved in 12. Subluxations were diagnosed radiographically between 2 and 26 months following injury. Dislocations occurred following unstable intertrochanteric fractures, stabilized by valgus reduction, medial displacement, and osteotomy of the greater trochanter, and were diagnosed between 10 days and 9 weeks post-fracture. Treatment alternatives included implant removal, resection arthroplasty, and replacement arthroplasty in selected cases.
在11例髋关节半脱位和4例髋关节脱位病例中，这些病例均为囊内或转子间骨折内固定术后，其中12例证实发生了感染。半脱位在受伤后2至26个月通过X线片诊断。脱位发生于不稳定转子间骨折经外翻复位、内侧移位及大转子截骨固定术后，在骨折后10天至9周被诊断出来。治疗选择包括取出植入物、切除关节成形术以及在特定病例中进行置换关节成形术。
