CLINICAL ARTICLE

 

Posterior fracture dislocation of the hip joint in motor vehicle occupants

 

 

DM Selvey^I; GM Siboto^II; J Walters^III

^IConsultant Orthopaedic Surgeon, Alexandra Hospital, Redditch, UK
^IIConsultant Orthopaedic Surgeon, Groote Schuur Hospital, Cape Town
^IIIProfessor and Head of Orthopaedics, Groote Schuur Hospital, Cape Town

Correspondence

 

 

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ABSTRACT

Between July 1994 and January 2000 one hundred and ten posterior fracture dislocations in 109 patients presenting to Groote Schuur Hospital required open reduction and internal fixation.
Motor vehicle accidents accounted for 88 (80%) of the injuries equally divided between drivers and passengers. Eighty-one per cent of comminuted grade III injuries occurred on the right side. Of these, 71.5% occurred in vehicle drivers. Only 48% of the simple fractures were right-sided and 64% occurred in passengers.
We concluded that the driver of a motor vehicle is more likely to sustain a right-sided fracture dislocation which is of greater severity than other occupants. These findings should alert the motor industry to take steps to minimise this injury.

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References

1. Armstrong JR. Traumatic dislocation of the hip joint. JBJS (Br) 1952;34-B:503-4.         [ Links ]

2. Epstein HC. Traumatic dislocation of the hip: Baltimore, Williams and Wilkins, 1980: Pp 17-41        [ Links ]

3. Funsten RV, Kinser P, Frankel CJ. Dashboard dislocations of the hip: A report of twenty cases of traumatic dislocation. JBJS 1938;20:124-32.         [ Links ]

4. Griswold, RA, Herd CR. Dislocation of the hip with fracture of posterior rim of acetabulum. J Indiana State Med ASSN 1929;22:150-3.         [ Links ]

5. Judet R, Judet J and Letournel E. Fractures of the acetabulum: Classification and surgical approaches for open reduction. JBJS (Am); Dec 1964:46-8.         [ Links ]

6. Stewart MJ, Millford LW. Fracture dislocations of the hip and end result study. JBJS (Am) 1954;36A:315.         [ Links ]

7. Urist MR. Fracture dislocations of the hip joint. JBJS (Am) 1948; 30-A:699.         [ Links ]

8. Selvey DM and Siboto GM. Classification of posterior fracture dislocation of the hip joint: a modification of the Thompsen Epstein classification. Injury 2001;32(3):217-9.         [ Links ]

 

 

Correspondence:
David Selvey
Woodend House
Grafton Flyford
WR7 4PH
United Kingdom
Email: davidselvey@bluespier.com

 

 

Department Orthopaedic Surgery, Groote Schuur Hospital, Cape Town, South Africa
The authors have taken an active role in the compilation of this article and are willing to discuss it in detail.
The authors further confirm that the article is original, that it is not under consideration by another journal, and that it has not been previously published.
No financial support of this project has been or will be received.