Mukesh Kumar, Masroor Ahmed, Ghulam Hussain, Muhammad Saleem, Khurram Sahar, Muhammad Bux.
Frequency of posterior wall acetabular fracture in patients presenting with posterior hip dislocations.
Rawal Med J Jan ;45(2):347-9.
Objective: To determine the frequency of posterior wall acetabular fracture in patients presenting with posterior hip dislocations. Methodology: This descriptive cross sectional study was conducted from June 2017 to June 2018 at Jinnah Postgraduate Medical Center, United Medical and Dental College, and Kulsoom Bai Valika Social Security Site Hospital, Karachi. Non-probability consecutive sampling technique was used and 100 patients with posterior hip dislocation were included in the study. Results: Out of 100 patients, 61% were male and 39% were female patients. The mean age was 48.53+-9.8 years. The duration of fracture from injury to report in study centers was 1.08+-0.307 days. The most common cause was road traffic accidents accounting for 89% of cases; bike v/s four wheel 37% followed by bike v/s bike (30%). The right side fracture was four times more common than its counter-part. The posterior wall acetabular fracture, however, was found in 67 (67%) patients involving 41(61.20%) males and 26(38.80%) females. Conclusion: Posterior hip dislocation is the most common type of dislocation and most of the times is associated with posterior wall acetabulum fractures. Being one of the most complex injuries, it is mandatory to look into the way they present in our population. These injuries are on the rise as a result of high velocity injuries.
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