In general, all traumatic dislocations of the hip must be treated as surgical @entity341 . Multiple attempts at closed reduction are contraindicated, particularly in @entity3029 . Every effort must be made to recognize the dislocation, particularly in @entity1 with other severe lower extremity @entity130 . Reduction within 24 hours gives better results than late reductions. Roentgenograms of the pelvis must include both @entity572 after closed or open procedures as a check for a concentric reduction of the hip. Any abnormality, or failure to reduce the avulsed head fragment, demands an immediate hip arthrotomy. The good results, after primary open reduction, although under 50%, were better than closed or closed followed by open reduction. Our approach is to discard the avulsed head fragment. No conclusions can be made regarding screw fixation of the avulsed fragment because there was an insufficient follow-up period in this procedure. Long-term follow-up examination is necessary in Type V @entity174 dislocations because one can anticipate that @entity5144 will develop in more than 50% of @entity1 . Anterior approaches to excise head fragments in @entity3029 are contraindicated. Early intervention is indicated in all dislocations with @entity3030 . Because most dislocations in this series were due to automobile accidents, the routine use of seat belts could have prevented many of these injuries.

Posterior @entity174 dislocation of the hip with XXXX of the femoral head.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fracture'] @entity3030 :: ('MESH:D020427', 'Disease') :: ['sciatic or peroneal nerve paralysis'] @entity341 :: ('MESH:D004630', 'Disease') :: ['emergencies'] @entity5144 :: ('MESH:D015535', 'Disease') :: ['arthritic changes'] @entity572 :: ('MESH:D006617', 'Disease') :: ['hips'] @entity130 :: ('MESH:D014947', 'Disease') :: ['trauma'] @entity3029 :: ('MESH:D004204', 'Disease') :: ['Type V dislocations']
@entity174 :: (MESH:D050723,Disease) :: ['fractures']
