Holzach P, Weymann A, Perren T, Matter P
Spital Davos.
Z Unfallchir Versicherungsmed. 1993;Suppl 1:187-93.
We report about 86 patients with traumatic dislocation of the hip. Group 1 consisted of 26 patients of the hospital of Davos, group 2 of 60 patients of a multi-center evaluation of 7 hospitals in the Kanton Graubünden. 53 were males and 33 females. 13 patients were 16 years old or younger, of these 5 below 10 years. 69% are injuries in sports, 66% in alpine skiing. 78 had a posterior, 5 an anterior and 3 central dislocation with a fracture of the floor of the acetabulum. Concomitant local injuries were seen in 76.9% of traffic accidents and only in 22% of skiing injuries. Closed reduction was performed in 81 patients on the average less than two hours after injury, in 5 cases an open reduction was necessary. The subsequent treatment was in 15 cases operative, consisting in reconstruction of the concomitant injuries.
我们报告了86例髋关节创伤性脱位患者。第一组由达沃斯医院的26例患者组成，第二组由格劳宾登州7家医院多中心评估的60例患者组成。男性53例，女性33例。13例患者年龄在16岁及以下，其中5例年龄在10岁以下。69%的损伤发生在运动中，66%发生在高山滑雪中。78例为后脱位，5例为前脱位，3例为中心脱位并伴有髋臼底骨折。76.9%的交通事故伴有局部损伤，而滑雪损伤中仅22%伴有局部损伤。81例患者在受伤后平均不到两小时进行了闭合复位，5例需要切开复位。后续治疗中15例采用手术治疗，包括对伴随损伤进行重建。
