This study indicates that patients have significant improvement in functional outcome after release from orthopaedic follow-up but have a residual physical effect at twenty months after injury. These data are important to guide a patient's expectations after this injury and are also important in considering medicolegal and workers' compensation issues. Patients continue to have improvement in function after we have routinely released them from orthopaedic follow-up. Maximal medical improvement appears to be longer than four months from this injury.
This article reports on the case of a twenty-eight-year-old woman who developed recurrent hip dislocation after open reduction and internal fixation of a posterior wall hip fracture-dislocation with an associated femoral head fracture. Because of the posterior wall deficiency, a modified periacetabular osteotomy was performed to stabilize the hip. At the two-year follow-up, there was no evidence of osteonecrosis in the remaining femoral head and the joint space was maintained. There has been no recurrence of dislocation. This procedure may be indicated in a patient with an unreconstructable posterior wall deficiency and persistent instability after a traumatic hip dislocation.
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